目的了解我国 HIV 感染孕产妇对艾滋病病毒自愿咨询检测（VCT）服务的满意度。方法采用多阶段横断面调查，对2004-2012年我国河南、云南、新疆和广西4省（自治区）7个艾滋病高发地区确诊的所有 HIV 感染孕产妇1367例进行问卷调查，数据采用趋势χ2检验分析不同年度变化趋势。结果HIV 感染孕产妇中，49.31％接受过检测前咨询，95.68％的孕产妇接受过检测后咨询。2004-2012年检测前咨询比例由35.16％升至72.09％，检测后咨询比例由89.01％升至100％。调查对象对检测前、后咨询“非常满意”比例分别为24.04％和34.25％。其中2004年检测前咨询“非常满意”度为0，2012年比例为48.39％；检测后咨询“非常满意或满意”度从2004年的87.65％上升至2012年的100％，检测前、后满意度均呈逐年上升趋势，差异有统计学意义（P ＜0.01）。结论HIV 感染孕产妇对艾滋病检测前咨询服务的利用仍然较低，医务人员提供咨询服务的技巧和质量有待提高。%Objective To learn the satisfaction degree of HIV pregnant women utilization of HIV Voluntary Coun-seling and Testing (VCT).Methods The multi-staged cross sectional study design was used to collect information.1367 pregnant women in 7 counties from Henan,Yunnan,Xinjiang and Guangxi provinces were recruited in the survey.The HIV pregnant women were investigated by the questionnaire which included social characters,HIV testing,pre-test counseling, post-test counseling and related satisfaction degree,etc.CMHχ2was applied to analysis the trend of pre-or post-test counse-ling rate and change of HIV infected pregnant women satisfaction on counseling.Results Only 49.31% of HIV infected pregnant women received pre-test counseling,and 95.69% of them received post-test counseling.In 2004 -2012,the rates of pre-test and post-test counseling were raised from 35.16%,89.01% to 72.09% and 100% respectively.In 2004,none of the women was “very satisfied”with the pre-test counseling,and the ratio was raised to 48.39% in 2012.The ratio of“very satisfied or satisfied ” with the post-test counseling was also increasing from 87.65% in 2004 to 100% in 2012.Conclusion HIV infected pregnant women utilization of HIV VCT was still low,and the counseling skills and quality of the service delivery need to be improved.
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