applying the theory of planned behaviour to explain hiv testing in antenatal settings in addis ababa - a cohort study运用计划行为理论来解释在亚的斯亚贝巴艾滋病毒检测在产前环境u2014u2014一个队列研究.pdfVIP

Mirkuzie et al. BMC Health Services Research 2011, 11:196 /1472-6963/11/196 RESEARCH ARTICLE Open Access Applying the theory of planned behaviour to explain HIV testing in antenatal settings in Addis Ababa - a cohort study 1,2* 3 4 5 Alemnesh H Mirkuzie , Mitike M Sisay , Karen Marie Moland and Anne N Åstrøm Abstract Background: To facilitate access to the prevention of mother-to-child HIV transmission (PMTCT) services, HIV counselling and testing are offered routinely in antenatal care settings. Focusing a cohort of pregnant women attending public and private antenatal care facilities, this study applied an extended version of the Theory of Planned Behaviour (TPB) to explain intended- and actual HIV testing. Methods: A sequential exploratory mixed methods study was conducted in Addis Ababa in 2009. The study involved first time antenatal attendees from public- and private health care facilities. Three Focus Group Discussions were conducted to inform the TPB questionnaire. A total of 3033 women completed the baseline TPB interviews, including attitudes, subjective norms, perceived behavioural control and intention with respect to HIV testing, whereas 2928 completed actual HIV testing at follow up. Data were analysed using descriptive statistics, Chi-square tests, Fisher’s Exact tests, Internal consistency reliability, Pearson’s correlation, Linear regression, Logistic regression and using Epidemiological indices. P-values 0.05 was considered significant and 95% Confidence Interval (CI) was used for the odds ratio. Results: The TPB explained 9.2% and 16.4% of the variance in intention among public- and private health facility attendees. Intention and perceived barriers explained 2.4% and external variabl