Literature DB >> 9894175

Determinants of antepartum human immunodeficiency virus testing in a non-Medicaid obstetric population.

E Cardonick1, S Daly, M Dooley, K Elles, N S Silverman.   

Abstract

OBJECTIVE: To determine voluntary human immunodeficiency virus (HIV) testing rates and factors influencing testing in a private obstetric practice.
METHODS: Antepartum patients were offered HIV testing after completing a self-assessment questionnaire. Perceived risks and demographics were correlated with testing rates.
RESULTS: Overall, 348/600 (58%) women consented to HIV testing. In a univariate analysis, patients with "any" perceived risk(s) were more likely to be tested. Single women and those with an at-risk partner(s) or a history of sexually transmitted disease (STD) were more likely to desire testing. These factors remained independently associated with voluntary testing in a multivariate regression model. No patients tested positive for HIV.
CONCLUSIONS: In our private obstetric practice, 26% of women perceived themselves at risk for HIV infection, and testing rates depended on the various risks identified. A history of STDs or an at-risk sexual partner were stronger predictors of voluntary testing than was marital status. Focused HIV counseling among pregnant women at relatively low risk for infection may be possible.

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Mesh:

Year:  1998        PMID: 9894175      PMCID: PMC1784813          DOI: 10.1002/(SICI)1098-0997(1998)6:5<209::AID-IDOG4>3.0.CO;2-J

Source DB:  PubMed          Journal:  Infect Dis Obstet Gynecol        ISSN: 1064-7449


  10 in total

1.  Umbilical cord blood serosurvey for human immunodeficiency virus in parturient women in a voluntary hospital in New York City.

Authors:  R S Sperling; H S Sacks; L Mayer; M Joyner; R L Berkowitz
Journal:  Obstet Gynecol       Date:  1989-02       Impact factor: 7.661

2.  Attitudes toward health-care, HIV infection, and perinatal transmission interventions in a cohort of inner-city, pregnant women.

Authors:  N S Silverman; D M Rohner; B J Turner
Journal:  Am J Perinatol       Date:  1997-07       Impact factor: 1.862

3.  Routine prenatal screening for HIV infection.

Authors:  M Barbacci; J T Repke; R E Chaisson
Journal:  Lancet       Date:  1991-03-23       Impact factor: 79.321

4.  Serosurvey of human immunodeficiency virus infection in parturients. Implications for human immunodeficiency virus testing programs of pregnant women.

Authors:  S Landesman; H Minkoff; S Holman; S McCalla; O Sijin
Journal:  JAMA       Date:  1987-11-20       Impact factor: 56.272

5.  Physician attitudes toward human immunodeficiency virus testing in pregnancy.

Authors:  A I Segal
Journal:  Am J Obstet Gynecol       Date:  1996-06       Impact factor: 8.661

Review 6.  Human immunodeficiency virus testing and counseling: nuts and bolts.

Authors:  G K Gupta
Journal:  Am J Obstet Gynecol       Date:  1996-12       Impact factor: 8.661

Review 7.  The acceptability of voluntary HIV antibody testing in the United States: a decade of lessons learned.

Authors:  K L Irwin; R O Valdiserri; S D Holmberg
Journal:  AIDS       Date:  1996-12       Impact factor: 4.177

8.  Incidence and prevalence of human immunodeficiency virus infection in a prenatal population undergoing routine voluntary human immunodeficiency virus screening, July 1987 to June 1990.

Authors:  M K Lindsay; H B Peterson; S Willis; B A Slade; J Gramling; H Williams; L Klein
Journal:  Am J Obstet Gynecol       Date:  1991-10       Impact factor: 8.661

9.  The cost-effectiveness of human immunodeficiency virus screening in pregnancy.

Authors:  J L Ecker
Journal:  Am J Obstet Gynecol       Date:  1996-02       Impact factor: 8.661

10.  Reduction of maternal-infant transmission of human immunodeficiency virus type 1 with zidovudine treatment. Pediatric AIDS Clinical Trials Group Protocol 076 Study Group.

Authors:  E M Connor; R S Sperling; R Gelber; P Kiselev; G Scott; M J O'Sullivan; R VanDyke; M Bey; W Shearer; R L Jacobson
Journal:  N Engl J Med       Date:  1994-11-03       Impact factor: 91.245

  10 in total
  1 in total

1.  Factors Associated with HIV Testing History among Pregnant Women and Their Partners in Georgia: The ANRS 12127 Prenahtest Trial.

Authors:  Maia Butsashvili; Maia Kajaia; George Kamkamidze; Patrice Tchendjou; Annabel Desgrees du Loû; François Dabis; Joanna Orne-Gliemann
Journal:  AIDS Res Treat       Date:  2014-09-29
  1 in total

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