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Reducing the Odds: Preventing Perinatal Transmission of HIV in the United States (1999)
Institute of Medicine (IOM)

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. "J Human Immunodeficiency Virus Antibody Testing Among Women 15-44: Results from the 1995 National Survey of Family Growth." Reducing the Odds: Preventing Perinatal Transmission of HIV in the United States. Washington, DC: The National Academies Press, 1999.

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Source of Referral for Self-Reported HIV Tests
  • When asked whose idea it was to get tested, 42% of reproductive-age women report a doctor or other health care provider, 39% report self, and 7% report an insurer (Table J.7).
  • Pregnant women are more than twice as likely as non-pregnant women to report that they were recently tested for HIV upon the recommendation of a health care provider (70% versus 30%) (Table J.8).
Factors Contributing to Test Use among Pregnant and Non-Pregnant Women
  • According to multivariate analyses, different factors are predictive of HIV test use for pregnant and non-pregnant women. Among women who are not pregnant, being at HIV risk, African American, poor, living in a metropolitan area, being age 20–39, highly educated, and having been formerly married increase HIV test use. Decreased HIV test use occurs among teenagers and residents of the Northeast and Midwest. Being at HIV risk triples the odds of HIV test use among non-pregnant women (Table J.9).
  • Among pregnant women, many of the sociodemographic predictors of HIV testing observed among non-pregnant women lose significance (i.e., age, race, poverty, and metropolitan area residence). This suggests that pregnancy is serving as a triggering event for testing, irrespective of the woman's characteristics. The role of education is reversed for pregnant women. Here, lower educational attainment is predictive of HIV testing. Different geographic patterns emerge for pregnant women, with residents of the South more likely to be tested than residents of other areas. Being at HIV risk quadruples the odds of HIV testing among pregnant women (Table J.9).

References

National Center for Health Statistics. Report of final mortality statics, 1995. Monthly Vital Statistics Report 1997; 45(11:Suppl 2).


Wilson JB. Human immunodeficiency virus antibody testing in women 15–44 years of age: United States, 1990. Advance Data from Vital and Health Statistics. Number 238, Hyattsville, Md.: National Center for Health Statistics, 1993.

Page
293
Front Matter (R1-R16)
Executive Summary (1-14)
1 Introduction (15-20)
2 Public Health Screening Programs (21-35)
3 Descriptive Epidemiology of the Perinatal Transmission of HIV (36-44)
4 Natural History, Detection, and Treatment of HIV Infection in Pregnant Women and Newborns (45-53)
5 Context of Services for Women and Children Affected by HIV/AIDS (54-67)
6 Implementation and Impact of the Public Health Service Counseling and Testing Guidelines (68-108)
7 Recommendations (109-133)
References (134-144)
Appendixes (145-146)
A Committee and Staff Biographies (147-154)
B Context of Services for Women and Children Affected by HIV/AIDS (155-189)
C Workshop I Summary (190-202)
D Workshop II Summary (203-235)
E New York/New Jersey Site Visit Summary (236-251)
F Alabama Site Visit Summary (252-259)
G South Texas Site Visit Summary (260-270)
H Florida Conference Summary (271-274)
I HIV Testing and Perinatal Transmission: Thoughts from an HIV-Positive Mother (275-285)
J Human Immunodeficiency Virus Antibody Testing Among Women 15-44: Results from the 1995 National Survey of Family Growth (286-303)
K Details of the Committee's Models and Assumptions (304-312)
L Passing the Test: New York's Newborn HIV Testing Policy, 1987-1997 (313-340)
M Excerpts from the Ryan White CARE Act Amendments of 1996 (341-346)
N 1995 U.S. Public Health Service Recommendations for Human Immunodeficiency Virus Counseling and Testing for Pregnant Women (347-371)
O Acronyms and Glossary (372-376)
Index (377-397)