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American Journal of Public Health, Vol 90, Issue 9 1448-1451, Copyright © 2000 by American Public Health Association


JOURNAL ARTICLE

Organizational predictors of prenatal HIV counseling and testing

KA Ethier, R Fox-Tierney, WC Nicholas, KM Salisbury and JR Ickovics
Behavioral Interventions and Research Branch, Centers for Disease Control and Prevention, Atlanta, Ga. 30329, USA. kethier@cdc.gov

OBJECTIVES: Efforts to prevent perinatal transmission of HIV include implementation of prenatal counseling and testing programs. The objective of this study was to assess organizational predictors of HIV counseling and testing. METHODS: Surveillance records were collected on 5900 prenatal patients from 9 hospital and community clinics in Connecticut. RESULTS: Some organizational factors (e.g., type of clinic, dedicated staff) that enhanced counseling rates had the opposite effect on test acceptance. For instance, patients were more likely to be counseled when counseling was conducted by providers; however, test acceptance was more likely when dedicated counselors were available. CONCLUSIONS: These results provide important information concerning clinic resources needed as HIV counseling and testing services continue to be incorporated into prenatal care.


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Obstet GynecolHome page
M. H. Yudin, C. Moravac, and R. R. Shah
Influence of an "Opt-Out" Test Strategy and Patient Factors on Human Immunodeficiency Virus Screening in Pregnancy
Obstet. Gynecol., July 1, 2007; 110(1): 81 - 86.
[Abstract] [Full Text] [PDF]




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