目的了解广东、安徽、四川3省孕产妇进行人类免疫缺陷病毒(HIV)抗体检测的意愿及影响因素。方法于2011年3月,在3省6县区,对2 270名产妇HIV抗体检测状况进行调查,对其中704名没有接受过检测的产妇了解其HIV抗体检测意愿。结果①在调查的704名产妇中,71.9%的产妇表示愿意接受HIV抗体检测。②多因素分析结果显示,相对于认为产前检查没有必要的产妇,认为产前检查[Antenatal care(ANC)]有必要的产妇更愿意接受HIV抗体检测(OR=3.54,95%CI:1.88～6.67);相对于“不知晓”艾滋病综合知识的产妇,“知晓”艾滋病综合知识的产妇更愿意接受HIV抗体检测(OR=1.53,95%CI:1.07～2.18);相对于城镇产妇,农村产妇更愿意接受HIV抗体检测(OR=2.77,95%CI:1.69～4.54);相对于经产妇,初次分娩的产妇更愿意接受HIV抗体检测(OR=1.80,95%CI:1.20～2.69)。结论我国部分地区仍然有一部分孕产妇不愿意接受HIV抗体检测。没有认识到产前检查的重要性以及艾滋病综合知识知晓率低,是导致孕产妇不愿意接受HIV抗体检测的主要原因。 Objective To understand the willingness and influencing factors of HIV testing for pregnant women in Guangdong, Anhui and Sichuan provinces. Methods In March 2011, 2 270 maternal HIV antibody tests were conducted in 6 counties and districts in 3 provinces. Of 704 unrelated mothers, they were asked about their HIV antibody testing intention. Results (1) Of the 704 women surveyed, 71.9% of them said they were willing to take HIV antibody test. Multivariate analysis showed that mothers who were deemed necessary for prenatal care (Antenatal care (ANC)) were more likely to be tested for HIV antibody than those who considered prenatal care unnecessary (OR = 3.54, 95% CI: 1.88 ~ (OR = 1.53, 95% CI: 1.07 ~ 2.18). Relative to the number of women who did not know the comprehensive HIV / AIDS knowledge, the mothers who knew the AIDS knowledge were more likely to receive HIV antibody testing (OR = 1.53, 95% CI: Maternal and rural mothers were more likely to receive HIV antibody test (OR = 2.77, 95% CI: 1.69-4.54). Compared with mothers, mothers who gave birth for the first time were more likely to receive HIV antibody test (OR = 1.80,95% CI: 1.20 ~ 2.69). Conclusion Some pregnant women still do not want to be tested for HIV antibody in some areas of our country. The lack of awareness of the importance of antenatal care and low awareness of HIV / AIDS is the main reason that mothers are reluctant to take HIV antibody tests.