Study Period

Geographic Area




Royce RA, Walter EB, Eckman A, Bennett B IOM workshop presentation, April 1, 1998


North Carolina

Pregnancy, Infection, and Nutrition Study. Prospective cohort study with 1,002 English-speaking women enrolled

89% of women were offered an HIV test; of these, 75% got tested (overall, 68% were tested). 73% not offered test would have accepted test had it been offered, and 75% of all women would have been tested if all had been offered test. Testing rates were higher among women who perceived that their provider thought test important. Main reasons women were not tested: they did not believe they had HIV/AIDS (68%), because they had been tested recently (24%)


Simonds RJ, Rogers M IOM workship presentation, April 1, 1998


North Carolina; Miami, Florida; Brooklyn, New York; Connecticut

Perinatal Guideline Evaluation Project. Prenatal study in three sites (excluded North Carolina) involved in-person interviews with women in prenatal care regarding HIV-related communications with provider, content of HIV counseling, and factors related to acceptance of HIV test. Postpartum survey conducted in four sites

According to the postpartum survey, 87% to 100% of women were offered an HIV test across the four sites. Among those offered a test, an average of 93% accepted testing (63% acceptance in Connecticut; 95% acceptance in Miami). According to the prenatal survey, 72% to 93% of women accepted testing across the three sites (on average, 83%). Those most likely to be tested were younger, African-American, Hispanic, and had a provider strongly recommending the test. Major reasons women said they were not tested included "no perceived need," "previously tested," and ''did not want to know"


Simonds RJ, Rogers M IOM workshop presentation, April 1, 1998; CDC, 1998f


New Jersey, South Carolina, Louisiana, Michigan

State Enhanced Pediatric HIV Surveillance Program (STEP). Focus on HIV-infected women and what proportion are identified before delivery. Medical record abstraction. States match birth registries to surveillance data (extrapolations of SCBW data)

Barrier to testing and treatment among HIV+ women is that 14% receive no prenatal care and 23% start prenatal care in third trimester. Among those with a history of drug use, about 35% had no prenatal care. Across sites, 68% of HIV+ women were identified prior to birth in 1993, 79% in 1995, and 81% in 1996


Alderton D, CDC, HIV/AIDS Surveillance Branch Personal communication April 8, 1998


United States

Analyses of BRFSS surveys conducted by states. Surveys include question regarding use of HIV test and whether currently pregnant

HIV test use (ever tested) among pregnant women increased from 1993 to 1996:1993 (50%), 1994 (64%), 1995 (66%), 1996 (75%). In 1996, 71% of pregnant women had been tested in the last 12 months

Some HIV test use recorded in the BRFSS survey is associated with blood donation

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