Quality of Life, Optimism/Pessimism, and Knowledge and Attitudes Toward HIV Screening Among Pregnant Women in Ghana

  • Cheryl A. Moyer
  • , Geraldine Ekpo
  • , Cecilia L. Calhoun
  • , Jonathan Greene
  • , Sujata Naik
  • , Emily Sippola
  • , David T. Stern
  • , Richard M. Adanu
  • , Isaac O. Koranteng
  • , Enyonam Yao Kwawukume
  • , Frank J. Anderson

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

Objective: We sought to explore optimism/pessimism, knowledge of HIV, and attitudes toward HIV screening and treatment among Ghanaian pregnant women. Method: Pregnant women in Accra, Ghana, completed a self-administered questionnaire including the Life Orientation Test-Revised (LOT-R, an optimism/pessimism measure), an HIV knowledge and screening attitudes questionnaire, the Short Form 12 (SF-12, a measure of health-related quality of life [HRQOL]), and a demographic questionnaire. Data were analyzed using t-tests, ANOVA, correlations, and the χ2 test. Results: There were 101 participants; 28% were nulliparous. Mean age was 29.7 years, and mean week of gestation was 31.8. All women had heard of AIDS, 27.7% had been tested for HIV before this pregnancy, 46.5% had been tested during this pregnancy, and 59.4% of the sample had ever been tested for HIV. Of those not tested during this pregnancy, 64.2% were willing to be tested. Of all respondents, 89% said they would get tested if antiretroviral drugs (ARVs) were readily available and might prevent maternal-to-child transmission. Neither optimism/pessimism nor HRQOL was associated with attitudes toward HIV screening. Optimism was negatively correlated with HIV knowledge (p = .001) and was positively correlated with having never been tested before this pregnancy (p = .007). Conclusion: The relationship between optimism/pessimism and HIV knowledge and screening behavior is worthy of further study using larger samples and objective measures of testing beyond self-report.

Original languageEnglish
Pages (from-to)301-309
Number of pages9
JournalWomen's Health Issues
Volume18
Issue number4
DOIs
StatePublished - Jul 2008

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