@article{fdi:010007714,
  title = {{A} cohort study of factors associated with failure to return for {HIV} post-test counselling in pregnant women : {K}igali, {R}wanda, 1992-1993},
  author = {{L}adner, {J}. and {L}eroy, {V}. and {M}sellati, {P}hilippe and {N}yiraziraje, {M}. and {D}e {C}lercq, {A}. and {V}an de {P}erre, {P}. and {D}abis, {F}.},
  editor = {},
  language = {{ENG}},
  abstract = {{T}o identify factors associated with failure to return for {HIV} post-test counselling in pregnant women in {K}igali ({R}wanda). {I}n the context of a study on the impact of {HIV} infection on pregnancy, {HIV}-1 antibody testing was offered to all pregnant women attending the antenatal clinic of the {C}entre {H}ospitalier de {K}igali from {J}uly 1992 to {A}ugust 1993. {P}re-test counselling was performed after verbal informed consent was obtained. {T}wo weeks later, we formally enrolled all {HIV}-positive women and a corresponding number of {HIV}-negative women in a cohort. {A}t this visit, post-test counselling was given to those wishing to be informed of their {HIV} serostatus. {L}evel of knowledge about modes of {HIV} transmission and condom use were recorded. {F}our months after delivery, another interview was conducted to determine the proportion of women who used condoms regularly. {A} total of 1233 pregnant women were screened. {T}he {HIV} seroprevalence was 34.4%; 271 (63.9%) out of 424 {HIV}-positive and 577 (71.3%) out of 809 {HIV}-negative women asked for their {HIV} serostatus. {I}n multivariate analysis, the only variable significantly associated with failure to return for post-test counselling was a positive {HIV} test result, independently of obstetrical history and socioeconomic characteristics. {A}mong the 848 women who had post-test counselling, 50.9% of the {HIV}-positive women and 94.6% of the {HIV}-negative women stated that they planned to inform their partner of their serostatus. {M}ore than 95% of the women interviewed knew about sexual and parenteral transmission of {HIV}, but half were unaware of mother-to-child transmission. {M}ore of 80% of the women had seen a condom before, but 14% only had used it at least once. {A}mong women who were sexually active 4 months after delivery, 8.8% of the {HIV}-positive and 3.9% of the {HIV}-negative women reported using a condom. {I}nnovative approaches for {HIV} testing and counselling programs are needed... ({R}{\'e}sum{\'e} d'auteur)},
  keywords = {{SIDA} ; {COMPORTEMENT} {SOCIAL} ; {DIAGNOSTIC} ; {DEPISTAGE} ; {PREVENTION} {SANITAIRE} ; {FEMME} ; {GROSSESSE} ; {PSYCHOLOGIE} ; {VIRUS} {HIV}-1 ; {TRANSMISSION} {FOETOMATERNELLE} ; {PRESERVATIF} ; {RWANDA} ; {KIGALI}},
  booktitle = {},
  journal = {{AIDS}},
  volume = {10},
  numero = {1},
  pages = {69--75},
  ISSN = {0269-9370},
  year = {1996},
  DOI = {10.1097/00002030-199601000-00010},
  URL = {https://www.documentation.ird.fr/hor/fdi:010007714},
}