Determinants of Antepartum HumanImmunodeficiency Virus Testing in a Non-MedicaidObstetric Population

[摘要] Objective:To determine voluntary human immunodeficiency virus (HIV) testing rates and factorsinfluencing 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 withan at-risk partner(s) or a history of sexually transmitted disease (STD) were more likely to desiretesting. These factors remained independently associated with voluntary testing in a multivariateregression model. No patients tested positive for HIV.Conclusions:In our private obstetric practice, 26% of women perceived themselves at risk forHIV infection, and testing rates depended on the various risks identified. A history of STDs or anat-risk sexual partner were stronger predictors of voluntary testing than was marital status. FocusedHIV counseling among pregnant women at relatively low risk for infection may be possible.

[学科分类] 妇产科学