TABLE 6.1 Summary of Selected Recent Research on Prenatal Care Providers' Attitudes and Behaviors Related to Perinatal HIV Testing

Investigator(s)

Study Period

Geographic Area

Methods

Results

Comments

Newton ZB, Bell WC July 21, 1997 Report from Georgia Department of Human Resources

Spring 1997

Metropolitan Atlanta, Georgia

Survey of a convenience sample of 150 private practice OB/GYNs at nine hospitals in metropolitan Atlanta. No information on RR

60% are aware of the ACTG 076 study, 72% report encounters with HIV+ patients. 77% have policy of routine offer of HIV test to all patients; 6% report testing by risk assessment or patient request. Only 15% report all patients are screened. 55% report lack of information makes implementing ACTG guidelines difficult

 

Ching S, Paul S, Goldman K May 1, 1997 Abstract and graduate program fieldwork project write-up

1997

New Jersey

Mail survey of members of state medical association of OB/GYNs. RR 51% (160/315)

94% report offering HIV testing to all or most pregnant patients, 90% discuss benefits of HIV testing with all or most, 77% report counseling all or most about HIV, 59% provide counseling, discuss benefits of HIV testing, and offer test to all pregnant patients. Gender, years of practice, and number of HIV patients not related to levels of implementation

New Jersey requires providers to provide HIV counseling, discussion of HIV test benefits, and a voluntary HIV test offer

Bell LJ 1997 Reported in State Disease Prevention and Epidemiology Newsletter

July 1997

South Carolina

Mail survey of licensed obstetricians. RR 63% of practicing OBs

97% routinely screen pregnant women for HIV. 90% report at least 75% of women accepting test. 21% of OBs test without informed consent

 

Rosenberg KD, Townes JM, Gonzales K, Modesitt SK, Fleming DW Abstract

January 1997

Oregon

Mail survey of 208 persons named as birth attendants on randomly selected birth certificates of children born in Oregon between January 1995 and July 1996. RR 80% (167/208). Analysis limited to 159 prenatal care providers

60% familiar with the CDC recommendations, 63% encourage all pregnant patients to be tested, 33% encouraged testing only for those with known risk factors. HIV counseling and screening practices did not differ by provider type, location of practice, specialty, or number of births attended per year. Fewer than one-half of all pregnant women are estimated to have been tested

Responding providers attend approximately 40% of Oregon births

Partika N, Johnson J November 14, 1997 Unpublished report

July 1996 to June 1997

Hawaii

Mail survey of 326 OB/GYN and family practice physicians statewide. RR 33% (107/326). 61 reported caring for pregnant women in last year

86% (53/61) offered HIV counseling and testing to most or all of their pregnant patients (76% to 100%). 47% (29/61) report that most or all pregnant women accepted HIV counseling and testing. 29% (18/61) report that less than 50% of women offered HIV counseling and testing accepted it. No explanations for the refusals was offered

 

Riley CW January 1998 Perinatal HIV Infection White Paper, Virginia Department of Health

1996

Virginia

Mail survey of 281 medical practices providing prenatal care in Virginia. 230 in sample were OB/GYN practices

54% of practices report offering HIV tests to 76% to 100% of patients. Among OB/GYN practices; 99% report offering HIV test to 76% to 100% of patients. Less than half (48%) of practices report that 76% to 100% of patients accept HIV tests. 15% report that 10% or fewer patients accept the test. Physicians report that the most common reason women decline testing is that they think that they are not at risk or they have already been tested

As of July 1995, providers are required by law to counsel women seeking prenatal care about HIV and to offer voluntary testing



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