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Barriers to universal prenatal HIV testing in 4 US locations in 1997.

Publication ,  Journal Article
Royce, RA; Walter, EB; Fernandez, MI; Wilson, TE; Ickovics, JR; Simonds, RJ; Perinatal Guidelines Evaluation Project
Published in: Am J Public Health
May 2001

OBJECTIVES: We determined rates of prenatal HIV testing and investigated barriers to testing. METHODS: We surveyed 1362 representative parturient women from 7 hospitals in 4 locations of the United States. RESULTS: Overall, 89.9% of women reported being offered HIV testing and 69.6% reported being tested. Proportions of women not offered testing differed by location (range = 5.2%-16.3%), as did proportions not tested (range = 12.2%-54.4%). Among women who perceived that their clinicians had not recommended testing, 41.7% were tested, compared with 92.8% of women who perceived a strong recommendation (P < .05). Private insurance for prenatal care was also associated with not being tested. Women gave multiple reasons for not being tested, most commonly not being at risk, having been tested recently, and the test's not being offered or recommended, cited by 55.3%, 39.1% and 11.1% of women, respectively. CONCLUSIONS: Although most parturient women were offered a prenatal HIV test and got tested, testing proportions did not reach national goals and differed significantly by location and payment status. Concern about testing consequences was not a major barrier. Perception of clinicians' recommendations strongly influenced testing. Changing provider practices will be essential to implementing universal prenatal HIV testing.

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Published In

Am J Public Health

DOI

ISSN

0090-0036

Publication Date

May 2001

Volume

91

Issue

5

Start / End Page

727 / 733

Location

United States

Related Subject Headings

  • Southeastern United States
  • Risk
  • Public Health
  • Prenatal Diagnosis
  • Pregnancy
  • Practice Patterns, Physicians'
  • Practice Guidelines as Topic
  • New York
  • Multivariate Analysis
  • Mass Screening
 

Citation

APA
Chicago
ICMJE
MLA
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Royce, R. A., Walter, E. B., Fernandez, M. I., Wilson, T. E., Ickovics, J. R., Simonds, R. J., & Perinatal Guidelines Evaluation Project. (2001). Barriers to universal prenatal HIV testing in 4 US locations in 1997. Am J Public Health, 91(5), 727–733. https://doi.org/10.2105/ajph.91.5.727
Royce, R. A., E. B. Walter, M. I. Fernandez, T. E. Wilson, J. R. Ickovics, R. J. Simonds, and Perinatal Guidelines Evaluation Project. “Barriers to universal prenatal HIV testing in 4 US locations in 1997.Am J Public Health 91, no. 5 (May 2001): 727–33. https://doi.org/10.2105/ajph.91.5.727.
Royce RA, Walter EB, Fernandez MI, Wilson TE, Ickovics JR, Simonds RJ, et al. Barriers to universal prenatal HIV testing in 4 US locations in 1997. Am J Public Health. 2001 May;91(5):727–33.
Royce, R. A., et al. “Barriers to universal prenatal HIV testing in 4 US locations in 1997.Am J Public Health, vol. 91, no. 5, May 2001, pp. 727–33. Pubmed, doi:10.2105/ajph.91.5.727.
Royce RA, Walter EB, Fernandez MI, Wilson TE, Ickovics JR, Simonds RJ, Perinatal Guidelines Evaluation Project. Barriers to universal prenatal HIV testing in 4 US locations in 1997. Am J Public Health. 2001 May;91(5):727–733.
Journal cover image

Published In

Am J Public Health

DOI

ISSN

0090-0036

Publication Date

May 2001

Volume

91

Issue

5

Start / End Page

727 / 733

Location

United States

Related Subject Headings

  • Southeastern United States
  • Risk
  • Public Health
  • Prenatal Diagnosis
  • Pregnancy
  • Practice Patterns, Physicians'
  • Practice Guidelines as Topic
  • New York
  • Multivariate Analysis
  • Mass Screening