Evaluation of State-Mandated Third Trimester Repeat HIV Testing in a Large Tertiary Care Center.
Objective The Illinois Perinatal HIV Prevention Act was passed to ensure universal HIV testing once during pregnancy and was extended in 2018 to add third trimester repeat HIV screening. The objectives of this analysis were to describe uptake of, and patient factors associated with, third trimester...
| Publicado en: | American Journal of Perinatology Vol. 41; no. 3; pp. 310 - 317 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Thieme Medical Publishing Inc.
2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175276909&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175276909 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07351631 GQK jtl: American Journal of Perinatology issn: 07351631 maglogo: N pubinfo: dt: 2024 vid: 41 iid: 3 pid: 2811 pub: Thieme Medical Publishing Inc. place: New York, New York artinfo: ui: 175276909 175276909 175276909 10.1055/a-1925-2210 175276909 ppf: 310 ppct: 7 formats: tig: atl: Evaluation of State-Mandated Third Trimester Repeat HIV Testing in a Large Tertiary Care Center. aug: au: Berhie, Saba H. Tsai, Stacy Miller, Emily S. Garcia, Patricia M. Yee, Lynn M. sug: subj: Pregnancy Trimester, Third Health Screening Evaluation HIV Infections Legislation and Jurisprudence HIV Infections Diagnosis Tertiary Health Care Maternal Health Services Human Pregnancy Female Illinois Retrospective Design Prospective Studies Documentation Descriptive Statistics Healthcare Disparities Public Health Implementation Science Female ab: Objective The Illinois Perinatal HIV Prevention Act was passed to ensure universal HIV testing once during pregnancy and was extended in 2018 to add third trimester repeat HIV screening. The objectives of this analysis were to describe uptake of, and patient factors associated with, third trimester repeat HIV testing at a high-volume birthing center. Study Design This is a retrospective cohort study of people who delivered at a single tertiary care hospital in Illinois during 2018. Women who delivered before 27 weeks, had an intrauterine fetal demise, a known diagnosis of HIV, or no HIV test during pregnancy were excluded. Repeat testing was defined as an HIV test at or after 27 weeks' gestation after an earlier negative HIV test during the same pregnancy. The primary outcome was the proportion of people who received repeat testing prior to delivery. Bivariable analyses were performed to identify patient characteristics associated with documentation of repeat HIV testing. Results Of 12,053 people eligible for inclusion, 3.4% (n = 414) presented without a documented third trimester repeat HIV test. The proportion of people with repeat testing improved from 80 to >99% in the first year. Patient factors were largely not associated with testing performance although multiparous people were more likely to have documented repeat testing. Conclusion Rapid implementation of third trimester repeat HIV testing was achieved without disparity. Patient factors were largely not associated with testing performance which reinforces the goal of a universal screen to test all people equitably and effectively without bias. Key Points Little is known about adherence to repeat third trimester HIV testing in pregnancy. Universal third trimester HIV screening was implemented with high uptake and without disparity. Protocolization of repeat HIV testing in pregnancy may reduce bias compared to risk based-screening. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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