{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T07:20:11Z","timestamp":1789802411666,"version":"4.0.1"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100022965","name":"Ministerio de Ciencia, Tecnolog\u00eda e Innovaci\u00f3n","doi-asserted-by":"publisher","award":["896"],"award-info":[{"award-number":["896"]}],"id":[{"id":"10.13039\/100022965","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Ascertain whether rapid HIV\/syphilis testing is acceptable to pregnant Wayuu women in Riohacha, La Guajira, Colombia, and identify obstacles\/enablers to an effective diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between March 2023 and August 2024, a cross\u2010sectional study was carried out, involving 698 women at less than 27\u2009weeks who had not previously been diagnosed with syphilis or HIV infection. Standard laboratory testing and rapid HIV\/syphilis testing conducted. Participant opinions about sexually transmitted infections (STI's), the severity of illness, advantages of testing, and obstacles to diagnosis, obtained using a structured questionnaire with Likert\u2010scale. Descriptive statistical analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the Wayuu community there is no translation for STI's in the Wayuunaiki language. Disease is understood within social, spiritual, and environmental contexts. More than 60% of participants expressed positive views regarding benefits of rapid testing. Most of the participants recognized the severity of these infections and the possibilities for prevention and treatment. Important barriers: 30.6% reported feeling embarrassed when requesting testing, 19.4% lacked knowledge on how to request it, 14.5% feared a positive result, and 12.3% concerned about disclosing results to their partners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Rapid HIV\/syphilis testing was acceptable. Cultural, informational, and psychosocial barriers limit timely diagnosis. Intercultural strategies, health education, psychosocial support in prenatal care are essential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70956","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T09:19:35Z","timestamp":1773652775000},"page":"1390-1397","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acceptability and barriers to rapid\n                    <scp>HIV<\/scp>\n                    \/syphilis testing among pregnant Wayuu women in Colombia: A cross\u2010sectional pragmatic study"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5574-585X","authenticated-orcid":false,"given":"M\u00f3nica","family":"Rinc\u00f3n","sequence":"first","affiliation":[{"name":"FUNDARED\u2010MATERNA  Bogot\u00e1 Colombia"},{"name":"Department of Obstetrics &amp; Gynecology Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amith Arelis","family":"Aldana Lyons","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias B\u00e1sicas y Aplicadas Universidad de la Guajira  Riohacha Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariluz","family":"Uribe","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias Sociales y Humanas Universidad de la Guajira  Riohacha Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9457-1466","authenticated-orcid":false,"given":"Yamasain","family":"Romero","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias Sociales y Humanas Universidad de la Guajira  Riohacha Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dauris","family":"Mejia","sequence":"additional","affiliation":[{"name":"Facultad de Medicina Universidad de los Andes  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7361-0414","authenticated-orcid":false,"given":"Daniela Rodr\u00edguez","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Facultad de Medicina Universidad de los Andes  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauricio Alberto","family":"Cortes Cely","sequence":"additional","affiliation":[{"name":"Facultad de Medicina Universidad de los Andes  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"German","family":"Gallego","sequence":"additional","affiliation":[{"name":"FUNDARED\u2010MATERNA  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8166-2850","authenticated-orcid":false,"given":"Valentina Gomez","family":"Serrano","sequence":"additional","affiliation":[{"name":"Facultad de Medicina Universidad de los Andes  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8012-1758","authenticated-orcid":false,"given":"Emily","family":"Boniface","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6331-526X","authenticated-orcid":false,"given":"Luis Jorge","family":"Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Facultad de Medicina Universidad de los Andes  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9932-8908","authenticated-orcid":false,"given":"Jorge E.","family":"Tolosa","sequence":"additional","affiliation":[{"name":"FUNDARED\u2010MATERNA  Bogot\u00e1 Colombia"},{"name":"Department of Obstetrics &amp; Gynecology Oregon Health &amp; Science University  Portland Oregon USA"},{"name":"Department of Obstetrics &amp; Gynecology St. Luke's University Health Network  Bethlehem Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12941-019-0310-4"},{"key":"e_1_2_10_3_1","unstructured":"Social M.d.S.y.P.Marco para la eliminaci\u00f3n de la transmisi\u00f3n materno infantil del VIH la s\u00edfilis la hepatitis b y la enfermedad de chagas.2020."},{"key":"e_1_2_10_4_1","unstructured":"Salud O.O.P.d.l.Epidemia de VIH y respuesta en Am\u00e9rica Latina y el Caribe. 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