TABLE 6.2 Summary of Selected Recent Research on the Prevalence of Perinatal HIV Counseling and Testing

Investigator(s)

Study Period

Geographic Area

Methods

Results

Comments

Partika N, John A Burns School of Medicine, University of Hawaii Personal communication May 1998

April 1997 to March 1998

Hawai

Analysis of HIV testing data from Hawaii laboratories

An estimated 56% of women delivering live births were tested for HIV

 

Mitchell B 1998 Personal communication April 1998

January to June 1997

Texas

Analysis of birth certificate reports of HIV testing (prenatal and at delivery)

86% of women giving birth in Texas in the first half of 1997 were tested for HIV prenatally, 74% were tested at delivery, and 94% were tested either prenatally or at delivery. HIV test use was similar by age and race/ethnicity (83% among Hispanics; 89% among whites), but differed by type of prenatal care provider (90% for those cared for by a private physician; 76%, hospital clinic; 84%, public health; 59%, midwives; 88%, other; 22%, no provider)

Birth certificate data have not yet been validated with medical record reports, but comparisons of birth certificate and SCBW for HIV + prevalence are comparable

New York Department of Health, Maternal- Perinatal HIV Prevention and Care Program

February to October 1997

New York

Analysis of administrative data from the New York State program

48% pregnant women tested during pregnancy

 

Pettiti DB, Southern California Kaiser Permanente Medical Group Personal communication May 1998.

1994–1997

Southern California, Kaiser Permanente Medical Group

Analysis of health plan HIV testing data. Percent of women having prenatal screening panel who had HIV test

HIV test use among pregnant women rose from 55% in 1994, to 63% in 1995, 72% in 1996, and 85% in 1997. In 1997, there were an estimated 32,000 women who had a prenatal care screening panel

Variation in the HIV testing rate across Kaiser 6 service areas has decreased over time. In 1994, rates varied from 30% to 80%. In 1997, rates varied from 74% to 90%.

Simonds RJ, Rogers M IOM workshop presentation April 1, 1998 Unpublished preliminary data from CDC

1996

Alabama, Alaska, Florida Georgia, Maine, Michigan, New York, Oklahoma, South Carolina, Washington, West Virginia

Pregnancy Risk Assessment System survey of women with recent birth in 11 states (1,300 to 3,000 respondents per state). RR 75%. All 11 states asked "Did a provider talk to you about getting a HIV blood test" and 5 states asked "Did you have a blood test?" (New York, Oklahoma, West Virginia, Georgia, Florida). RR 71% to 80% across states

In 11 states, the proportion of women reporting that a provider talked to them about getting an HIV test ranged from 60% to 84% (median 75%). Among those offered testing, 75% to 86% of women accepted the HIV test (median 83%). Testing rates ranged from 59% to 77% (HIV test questions asked in five states). Acceptance was higher among African Americans, those with low educational attainment, those seen in public settings, and among those covered under Medicaid

 



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