HIV Testing Among U.S. Women During Prenatal Care: Findings from the 2002 National Survey of Family Growth
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
Objectives: To measure progress toward the US Public Health Service recommended goal that HIV screening be part of the routine battery of prenatal tests for all pregnant women, using data from a nationally-representative reproductive health survey. Methods: Data from the 2002 National Survey of Family Growth (NSFG) measure self-reported prenatal HIV testing for all women who had a completed pregnancy in the 12 months before interview. We estimated the percentage with a prenatal test for categories defined by major socio-economic groups, HIV risk, knowledge of HIV treatment, and access to health care. Results: Sixty-nine percent of 748 recently pregnant women reported receiving a prenatal HIV test. The percentage tested was significantly higher for women with incomes below 300% of the poverty level (76%) and women who reported some degree of HIV risk (82%), suggesting that prenatal care providers offer and encourage testing based on perceived risk, even though universal HIV screening is recommended. Testing was also higher among women with knowledge of interventions to prevent perinatal HIV transmission (74%), suggesting that more public information on these treatments might be helpful. Conclusions: A national estimate indicates that nearly one in 3 recently pregnant women reported they were not tested for HIV during prenatal care. Studies showing that prenatal testing for other infectious diseases can approach 100% suggest that a similar level of testing is attainable for perinatal HIV screening, particularly if it is incorporated into the routine package of prenatal tests and procedures offered to all pregnant women.
- CDC. Revised recommendations for HIV screening of pregnant women. MMWR 2001;50(RR-19):59–86.
- CDC. Advancing HIV Prevention: New Strategies for a Changing Epidemic—United States, 2003. MMWR 2003;52:329–32.
- CDC. Reducing HIV Transmission from Mother-to-Child: An Opt-Out Approach to HIV Screening, http://www.cdc.gov/hiv/ projects/perinatal/materials/OptOut.htm, accessed September 13, 2005.
- CDC. HIV testing among pregnant women-United States and Canada, 1998–2001. MMWR 2002;51:1013–6.
- Anderson JE, Santelli J, Mugallah C. Changes in HIV-related preventive behavior in the U.S. population: Data from national surveys, 1987–2002. JAIDS 2003;34(2):195–202.
- Schrag SJ, Arnold KE, Mohle-Boetani, et al. Prenatal screening for infectious diseases and opportunities for prevention. Obstet Gynecol 2003;102(4):753–60. CrossRef
- Mosher W, Martinez G, Chandra A, Abma J, Willson SJ. Use of Contraception and Use of Family Planning Services in the United States: 1982–2002. Advance Data, Vital and Health Statistics, Hyattsville, MD: National Center for Health Statistics, Centers for Disease Control and Prevention, no. 350; 2004.
- Paltiel DA, Weinstein MC, Kimmel AD, et al. Expanding HIV screening in the United States—an analysis of cost-effectiveness. N Engl J Med 2005;352:586–95. CrossRef
- Sanders GD, Bayoumi AM, Sundaram V, et al. Cost-effectiveness of screening for HIV in the era of highly active antiretroviral therapy. N Engl J Med 2005;352:570–85. CrossRef
- BozzetteSA. Routine screening for HIV infection-timely and cost-effective. N Engl J Med 2005;352:620–21. CrossRef
- Immergluck L, Cull W, Schwartz A, Elstein A. Cost-effectiveness of universal compared with voluntary screening for human immunodeficiency virus among pregnant women in Chicago. Pediatrics 105(4):54–62.
- Cooper ER, Charurat M, Mofenson L, et al. Combination antiretroviral strategies for the treatment of pregnant HIV-1-infected women and prevention of perinatal HIV-1 transmission. JAIDS 2002;29:484–94.
- Anderson JE, Carey J, Taveras S. HIV testing among the general U.S. population and persons at increased risk: Information from National Surveys 1987–1996. AJPH 2000;90(7):1089–95.
- CDC. HIV Testing Among Racial/Ethnic Minorities—United States, 1999. MMWR 2001;50(47):1054–8.
- Anderson JE, Wilson RW, Barker P, Doll L, Jones TS, Holtgrave D. Prevalence of sexual and drug-related HIV risk behaviors in the US adult population: Results of the 1996 National Household Survey on Drug Abuse. JAIDS 1999;21(2):148–56.
- Ebrahim SH, Anderson JE, Weidle P, Purcell DW. Race/Ethnic Disparities in HIV Testing and Knowledge About Treatment for HIV/AIDS: United States, 2001. AIDS PATIENT CARE and STDs 2004;18(1):27–33. CrossRef
- Fernandez MI, Wilson TE, Ethier KA, Walter EB, Gay CL, Moore J. Acceptance of HIV testing during prenatal care. Public Health Rep 2000;115:460–8. CrossRef
- Ruiz JD, Molitor F. Knowledge of treatment to reduce perinatal human immunodeficiency virus (HIV) transmission and likelihood of testing for HIV: results from two surveys of women of childbearing age. Matern Child Health J 1998;2(2):117–22. CrossRef
- McKinney MM, McSpirit S, Pomeroy C. Prenatal HIV prevention practices in a low seroprevalence state. AIDS Edu c Prev 2000;12(3):252–62.
- Anderson JE, Chandra A, Mosher WD. HIV testing in the United States, 2002. Advance Data, Vital and Health Statistics, Hyattsville, MD: National Center for Health Statistics, Centers for Disease Control and Prevention, no. 363; 2005.
- CDC. Numbers of persons tested for HIV–United States, 2002. MMWR 2004;53:1110–3.
- Lipscomb LE, Johnson CH, Morrow B, et al. PRAMS 1998 Surveillance Report. Atlanta. Division of Reproductive Health, CDC, Atlanta; 2001.
- Anderson JE, Ebrahim SE, Sansom S. Women's knowledge about treatment to prevent mother-to-child human immunodeficiency virus transmission. Obstet Gynecol 2004;103(1):165–8.
- Anderson JE, Koenig LE, Lampe MA, Wright R, Leiss J, Saul J. Achieving universal HIV screening in prenatal care in the United States: Provider persistence pays off. AIDS Patient Care STDs 2005;19(4):247–52. CrossRef
- HIV Testing Among U.S. Women During Prenatal Care: Findings from the 2002 National Survey of Family Growth
Maternal and Child Health Journal
Volume 10, Issue 5 , pp 413-417
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- HIV testing
- Prenatal care
- Preventing vertical transmission
- Industry Sectors