AI Article Synopsis
- The study aimed to assess HIV screening rates among pregnant women using an opt-in policy and identify factors influencing screening.
- A case-control design was used, focusing on women who visited the hospital for prenatal care and delivery in 2005, with nearly 71% undergoing screening.
- Patient refusal was the main reason for not being screened, and factors like age, marital status, and type of healthcare provider impacted screening rates.
Article Abstract
Objective: We sought to determine the prenatal human immunodeficiency virus (HIV) screening rate when using an opt-in policy and to find variables predictive of screening.
Study Design: This was a case-control study examining gravid women with a prenatal visit and a delivery at our hospital in 2005. Cases were defined as women who did not undergo HIV screening during the first or second prenatal visit. Our institution used an opt-in approach to HIV screening.
Results: Overall, 71% (291/412) of women underwent HIV screening at the first or second prenatal visit. Patient refusal was the most common reason for not being screened (15%; 62/412). Women who were < or = 25 years old, were unmarried, and received care from maternal-fetal medicine attendings or family practitioners were more likely to undergo HIV screening.
Conclusion: With an opt-in approach, 29% of women were not screened for HIV during their early prenatal care. An opt-in policy also leads to screening rates that are provider dependent.
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| http://dx.doi.org/10.1016/j.ajog.2009.09.008 | DOI Listing |
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