title: Cognitive factors associated with the willingness for HIV testing among pregnant women in China.
abstract: BACKGROUND
  The spread of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic in the worldwide trend is not contained effectively. The pregnant women infected HIV seriously in the high HIV epidemic areas in China. The transmission of HIV to child may be cut off if HIV positive mother was found early by HIV testing. Pregnant women mandatorily received the HIV counseling and testing services. Most of them did not know the knowledge about HIV prevention and were not willing to receive HIV testing actively. Willingness for HIV testing among pregnant women was investigated, which can help to promote them to take up HIV testing actively. This study assessed the prevalence of the willingness for HIV testing and cognitive factors associated with it.
  
  
  METHODS
  A cross-sectional survey was conducted to 500 pregnant women via face-to-face interviews with anonymous structured questionnaire guided by the Health Belief Model (HBM).
  
  
  RESULTS
  The prevalence of the willingness for HIV testing was 58.60%. Perceived higher susceptibility to HIV (multivariate-adjusted odds ratio (ORm) = 2.02, 95% confidence interval (CI): 1.40-5.06), more knowledge for HIV (ORm = 1.92, 95% CI: 1.11-3.87) and perceived less social stigma (ORm = 0.80, 95% CI: 0.34-0.91) were associated with higher willingness for HIV testing among pregnant women.
  
  
  CONCLUSIONS
  To prevent HIV mother to children transmission, it is necessary to enhance knowledge for HIV, change cognitive factors and increase willingness for HIV testing among pregnant women.
authors.affiliation: Department of Health Care, Chengdu Women's and Children's Central Hospital, Chengdu, Sichuan 610091, China. Email: cdlcr@163.com.
authors.forename: Chunrong
authors.initials: C
authors.lastname: Li
authors.affiliation: Department of Health Care, Chengdu Women's and Children's Central Hospital, Chengdu, Sichuan 610091, China.
authors.forename: Liu
authors.initials: L
authors.lastname: Yang
authors.affiliation: Department of Health Care, Chengdu Women's and Children's Central Hospital, Chengdu, Sichuan 610091, China.
authors.forename: Jinwang
authors.initials: J
authors.lastname: Kong
mesh_terms: D000328:Adult; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D006678:HIV / Q000472:pathogenicity*; D015658:HIV Infections / Q000175:diagnosis*; D006801:Humans; D018445:Infectious Disease Transmission, Vertical; D008875:Middle Aged; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis; D011795:Surveys and Questionnaires; D055815:Young Adult