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Factors influencing consent to HIV testing among wives of heavy drinkers in an urban slum in India.

机译:在印度城市贫民窟,饮酒严重的妻子的妻子同意进行艾滋病毒检测的因素。

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The study examined the influence of socio cultural factors, perception of risk and exposure to violence on consent to HIV testing among at risk women in an urban slum. Married women chosen via a multistage probability sampling in a section of Bangalore, India, between 18 and 44 years, sexually active and considered to be at risk because of their husband's hazardous drinking were recruited for the study. Written informed consent was obtained and measures of risk behavior and violence were administered. Pretest HIV counseling was then conducted and consent for HIV testing was sought. Factors influencing refusal of and consent to HIV testing were documented. Data collected on 100 participants indicated that over half the sample (58%) refused consent for HIV testing. There were no significant differences between the groups who consented and those who refused on perception of risk and exposure to violence. Reasons women refused testing include the following: spouse/family would not allow it (40%), believed that they were not at risk or would test negative (29%) and underwent HIV testing during an earlier pregnancy (21%). Among those who consented for HIV testing, 79% did so because the testing site was easily accessible, 67% consented because testing was free and because the importance of HIV testing was understood. The findings highlight the role of social, logistic and awareness related factors in utilizing voluntary counseling and testing services by women in the slum community. They have important implications for HIV testing, particularly among at risk monogamous women.
机译:该研究调查了城市贫民窟中处于危险中的妇女的社会文化因素,风险感知和暴力暴露对艾滋病毒检测同意的影响。该研究招募了已婚妇女,这些妇女是在印度班加罗尔的一个地区,年龄介于18至44岁之间,通过多阶段概率抽样选择的,这些妇女性活跃并且由于丈夫饮酒而被认为处于危险之中。获得了书面知情同意书,并采取了风险行为和暴力措施。然后进行了艾滋病毒检测前的咨询,并寻求艾滋病毒检测的同意。记录了拒绝和同意进行HIV检测的因素。收集到的100位参与者的数据表明,超过一半的样本(58%)拒绝同意进行HIV检测。同意和拒绝接受风险和遭受暴力侵害的人群之间没有显着差异。妇女拒绝接受检查的原因包括:配偶/家庭不允许接受检查(40%),认为她们没有危险或接受阴性检查(29%)并且在早孕期间接受了HIV检查(21%)。在那些同意进行HIV检测的人中,有79%的人同意接受该检测,因为检测点易于到达; 67%的人同意,是因为检测是免费的,并且因为人们了解HIV检测的重要性。调查结果强调了社会,后勤和意识相关因素在贫民窟社区妇女利用自愿咨询和检测服务中的作用。它们对艾滋病毒检测具有重要意义,特别是对处于危险中的一夫一妻制妇女。

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