Determinants of Antepartum Human Immunodeficiency Virus Testing in a Non-Medicaid Obstetric Population. Issue 5 (1998)

• Record Type: Journal Article
• Authors: Cardonick, E.; Daly, S.; Dooley, M.; Elles, K.; Silverman, N. S.
• Is Part Of: Infectious diseases in obstetrics and gynecology. Volume 6:Issue 5(1998)
• Page Start: 209
• Page End: 213
• Publication Date: 1998
• Subjects: Generative organs, Female -- Infections -- Periodicals; Communicable diseases in pregnancy -- Periodicals; 618.142005
• DOI: 10.1155/S1064744998000428
• Languages: English
• ISSNs: 1064-7449

Abstract

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.