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Factors Associated with Receiving Late HIV Testing Among Women Delivering at Hung Vuong Hospital, Ho Chi Minh City, Vietnam, 2014

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Abstract

HIV testing during pregnancy facilitates timely antiretroviral treatment for HIV-positive women. This study identifies reasons for late HIV testing among pregnant women delivering at a hospital in Ho Chi Minh City. We conducted a case–control study in which 160 cases were women who were tested for HIV late (i.e., at labor and delivery) and 160 controls were women who were tested during antenatal care (ANC). In multivariable logistic regression analysis, six variables were associated with late HIV testing: age less than 30 years, nine or fewer years of education, working as a homemaker or worker/farmer, living 20 km or more from the hospital, having received ANC at a private clinic/hospital only, and not believing that HIV testing is important during pregnancy. We recommend that national programs should provide additional effort for HIV testing during pregnancy to young women, less educated women, homemakers, and those receiving ANC at private clinics and hospitals.

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Acknowledgements

We wish to thank various people for their contributions to this study: Ms. Nguyen Kim Ngan and her team at Hung Vuong Hospital for their help in collecting data; Ms. Pham Thi Minh Hang and the staff at Pasteur Institute of Ho Chi Minh City for their valuable support on supervision and data entry; Mr. Patrick Nadol from CDC PEPFAR Vietnam for his valuable technical advice in the protocol development; Dr. Marta Ackers and Dr. Sheryl Lyss from CDC PEPFAR for their valuable reviews and comments on this manuscript; CDC PEPFAR and Global Health Sciences, UCSF for their final support on this study. We wish to acknowledge support from the University of California, San Francisco’s International Traineeships in AIDS Prevention Studies (ITAPS), U.S. NIMH, R25MH064712; and from the CV Starr Foundation. Special thanks should be given to all participants who participated in this study and made it possible.

Funding

This study was funded by the President’s Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Centers for Disease Control and Prevention under the terms of PS001468. Further support was provided by the University of California, San Francisco’s International Traineeships in AIDS Prevention Studies (ITAPS), U.S. NIMH, (Grant Number R25MH064712); and the CV Starr Foundation.

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Authors and Affiliations

  1. Pasteur Institute in Ho Chi Minh City, 167 Pasteur Street, District 3, Ho Chi Minh City, Vietnam

    V. N. Khuu, V. T. Nguyen, T. P. Hau, D. P. Nguyen & P. T. Lan

  2. Global Health Sciences, University of California, San Francisco, USA

    N. K. Hills & D. B. Brickley

  3. Hung Vuong Hospital, Ho Chi Minh City, Vietnam

    V. T. Nhung

Authors
  1. V. N. Khuu
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  2. V. T. Nguyen
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  3. N. K. Hills
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  4. T. P. Hau
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  5. D. P. Nguyen
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  6. V. T. Nhung
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  7. P. T. Lan
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  8. D. B. Brickley
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Correspondence to V. N. Khuu.

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All the authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Khuu, V.N., Nguyen, V.T., Hills, N.K. et al. Factors Associated with Receiving Late HIV Testing Among Women Delivering at Hung Vuong Hospital, Ho Chi Minh City, Vietnam, 2014. AIDS Behav 22, 629–636 (2018). https://doi.org/10.1007/s10461-017-1692-y

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  • DOI: https://doi.org/10.1007/s10461-017-1692-y

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