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Title: HIV/AIDS knowledge and risk behaviour in Hong Kong Chinese pregnant women
Authors: Ho, CF
Loke Yuen, A 
Keywords: Knowledge
Mother-to-child HIV transmission
Perceived risk
Risk behaviour
Risk management
Preference of HIV screening
Issue Date: 2003
Publisher: Wiley-Blackwell
Source: Journal of advanced nursing, 2003, v. 43, no. 3, p. 238-245 How to cite?
Journal: Journal of advanced nursing 
Abstract: Background: With the increase in HIV infection among childbearing aged women in Hong Kong, health department policy-makers are considering the implementation of antenatal HIV screening to identify infected mothers. However, little is known about women’s understanding of HIV/AIDS, and their attitudes towards HIV screening.
Aim: The aim of this study was to explore pregnant women’s knowledge about HIV/AIDS, their perceptions of risk, risk behaviour and management, and their attitudes towards HIV screening.
Methods: A cross-sectional study was carried out, and all Chinese pregnant women who attended an antenatal clinic of a regional hospital in Hong Kong in the month of December 2000 were invited to complete a questionnaire.
Findings: Hong Kong pregnant women had fairly good general knowledge of HIV/AIDS (mean score = 4.8/6), but were less knowledgeable on specific mother-to-child HIV transmission (mean score = 3.6/6). There were statistically significant differences between those with different levels of education (x2 = 19.81; P < 0.001) and between Hong Kong born residents and immigrants from the Chinese mainland (z = -4.03; P < 0.001). Over a third (36.7%) of all pregnant women perceived a risk of contracting HIV. If HIV infection were suspected, over 70% would have HIV screening together with their spouse. If HIV was confirmed, 24% would terminate the pregnancy. As many as 78.5% and 72.8% of women believed that HIV screening should be carried out before marriage and pregnancy respectively. Only 4.7% would choose universal opt-out antenatal HIV testing.
Recommendations: Health educators should provide tailored-made education programmes for women at risk, particularly those at lower education levels and those who have come from the Chinese mainland, to enhance their knowledge about mother-to-child HIV transmission, and to promote awareness of safe sex. Health policy-makers should consider the possibility of providing pre-marriage and pre-pregnancy HIV screening for women.
ISSN: 0309-2402
EISSN: 1365-2648
DOI: 10.1046/j.1365-2648.2003.02706.x
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