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Sustainability of Statewide Rapid HIV Testing in Labor and Delivery

Abstract

The objective was to assess sustainability of a statewide program of HIV rapid testing (RT) for pregnant women presenting for delivery with unknown HIV status. This is a population-based retrospective cohort study of women delivered in Illinois hospitals (2012–15). Deidentified data on RT metrics from state-mandated surveillance reports were compared using descriptive statistics and non-parametric tests of trend. Over 95% of the 608,408 women delivered had documented HIV status at presentation. The rate of undocumented HIV status rose from 4.19 to 4.75% (p < 0.001). However, overall 99.60% of women with undocumented status appropriately received RT and the proportion who did not receive RT declined (p = 0.003). The number of neonates discharged with unknown HIV status declined (p = 0.011). RT identified 23 new HIV diagnoses, representing 4.62% of maternal HIV diagnoses. In conclusion, statewide perinatal HIV RT resulted in nearly 100% of Illinois mother-infant dyads with known HIV status. Sustained RT completion represents an important prevention safety net.

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Funding

LMY and ESM are supported by the NICHD K12 HD050121-11 and HD050121-09, respectively.

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Correspondence to Lynn M. Yee.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Yee, L.M., Miller, E.S., Statton, A. et al. Sustainability of Statewide Rapid HIV Testing in Labor and Delivery. AIDS Behav 22, 538–544 (2018). https://doi.org/10.1007/s10461-017-1920-5

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  • DOI: https://doi.org/10.1007/s10461-017-1920-5

Keywords

  • Human immunodeficiency virus
  • HIV testing
  • Mother-to-child transmission
  • Perinatal transmission
  • Public health policy
  • Rapid testing