Sustaining HIV testing in pregnancy- evaluation of routine offer of HIV testing in three London hospitals over 2 years

AIDS Care
Lorraine SherrCamden and Islington Steering Group

Abstract

This study sets out to examine how routine offers of HIV testing for pregnant women in ante-natal (prenatal) clinics are managed over time. Data was collected over two time periods (2002, 2004) from all women booking clinics at three London hospitals. Data from 3,560 women, comprising 2,710 in 2002 (time 1) and 850 in 2004 (time 2) were gathered. Uptake of HIV testing, demographic variables, HIV-associated risks, pregnancy variables and uptake of other ante-natal tests were monitored. In the later study, details of partner testing and time spent discussing HIV was monitored. HIV test uptake with routine offer (RCT) was high. There was a significant increase in HIV testing over time from 85 to 91% (p<0.0001). In 2004, significantly more women had been previously tested for HIV (25 versus 41%, p<0.0001), more women refused all other ante-natal tests (rubella [0 versus 4% p<0.0001], syphilis [1 versus 5%, p<0.0001], Haemoglobin [1 versus 3%, p<0.0001], Down's syndrome [0 versus 13%, p<0.0001] and hepatitis B [1 versus 5%, p<0.0001]). Significantly less women refused HIV test (15 versus 9%, p<0.0001). Initially, HIV was the most frequently refused test (15%), whereas at time 2 Down's syndrome tests were most frequently declined. At...Continue Reading

References

Oct 7, 1995·BMJ : British Medical Journal·I L ChrystieJ E Banatvala
Nov 1, 1994·International Journal of STD & AIDS·J Meadows, J Catalan
Dec 31, 1997·Lancet·C N Hudson, L Sherr
Oct 31, 1998·Journal of Medical Screening·P A TookeyC N Hudson
Jun 18, 1999·BMJ : British Medical Journal·M J PostmaJ C Jager
Jun 18, 1999·BMJ : British Medical Journal·W M SimpsonG J Hart
Sep 3, 1999·Journal of the Royal Society of Medicine·C N HudsonL Sherr
Jan 26, 2002·BMJ : British Medical Journal·James McIntyre, Glenda Gray
Jan 16, 2004·Seminars in Pediatric Infectious Diseases·Lynne M Mofenson
Jul 7, 2005·Annals of Internal Medicine·Roger ChouUNKNOWN US Preventive Services Task Force

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Citations

Aug 4, 2006·The American Journal of Bioethics : AJOB·Matthew K Wynia
Sep 18, 2012·Bulletin of the World Health Organization·R BaggaleyJ Hargreaves
Jul 14, 2012·Journal of the International AIDS Society·Lorraine Sherr, Natasha Croome
Mar 31, 2012·Journal of Clinical Nursing·Carmel KellyDale Spence
Jul 20, 2016·Journal of Clinical Nursing·Everistus IbekweFrancis Fatoye
Jan 15, 2010·Journal of the International Association of Physicians in AIDS Care : JIAPAC·Emmanuel MonjokE James Essien

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