Journal article
Correlates of prenatal HIV testing in women with undocumented status at delivery
Maternal and child health journal, Vol.12(4), pp.427-434
07/01/2008
DOI: 10.1007/s10995-007-0257-5
PMID: 17968642
Abstract
Objective To determine factors associated with prenatal HIV testing in women who accepted rapid testing at delivery. Methods The mother-infant rapid intervention at delivery (MIRIAD) protocol offered counseling and voluntary HIV testing in six US cities including New York City (NYC). These hospitals are required to document the HIV status of pregnant women or their infants. From January 2002 to January 2005, 653 HIV-negative women were interviewed post-partum. Results 63% of women reported prior HIV testing during the index pregnancy, although their results were not available at delivery. Multivariate logistic modeling identified receipt of prenatal care and delivery in NYC as being associated with having been offered prenatal HIV testing. In a model restricted to women receiving medical care, emergency department (ED) use and delivery outside of NYC were associated with not having been offered testing. In a model restricted to women who were offered prenatal testing, acceptance was associated with delivery outside of NYC. Conclusions Improved documentation of prenatal test results, expanded prenatal testing in non-traditional settings like EDs, and routine voluntary "opt-out" testing during pregnancy may further reduce perinatal HIV transmission.
Details
- Title: Subtitle
- Correlates of prenatal HIV testing in women with undocumented status at delivery
- Creators
- Mayris P. Webber - Albert Einstein College of MedicinePenelope Demas - Albert Einstein College of MedicineNancy Blaney - University of MiamiMardge H. Cohen - John H. Stroger, Jr. Hospital of Cook CountyRosalind CarterMargaret Lampe - National Center for HIV/AIDS Viral Hepatitis STD and TB PreventionDenise Jamieson - Centers for Disease Control and PreventionRobert Maupin - Louisiana State UniversitySteven Nesheim - Emory UniversityMarc Bulterys - National Center for HIV/AIDS Viral Hepatitis STD and TB Prevention
- Resource Type
- Journal article
- Publication Details
- Maternal and child health journal, Vol.12(4), pp.427-434
- Publisher
- Springer Nature
- DOI
- 10.1007/s10995-007-0257-5
- PMID
- 17968642
- ISSN
- 1092-7875
- eISSN
- 1573-6628
- Number of pages
- 8
- Grant note
- 617734; 517715; U64/217724; 479935; 417719 / PHS HHS; United States Department of Health & Human Services; United States Public Health Service
- Language
- English
- Date published
- 07/01/2008
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446545402771
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