Potential Factors That May Affect Acceptance of Routine Prenatal HIV Testing
BACKGROUND: Despite increasing advocacy for an “opt-out” strategy in routine prenatal HIV screening programs in Canada, no published studies have examined factors that may affect acceptance of prenatal HIV testing. METHODS: We included all pregnant women in Alberta who received prenatal care (N=38,7...
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ftpubmed:oai:pubmedcentral.nih.gov:6976195 2023-05-15T16:15:13+02:00 Potential Factors That May Affect Acceptance of Routine Prenatal HIV Testing Wang, Fu-Lin Larke, Bryce Gabos, Stephan Schopflocher, Donald Hanrahan, Anita 2005-01-01 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976195/ http://www.ncbi.nlm.nih.gov/pubmed/15682699 https://doi.org/10.1007/BF03404020 en eng Springer International Publishing http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976195/ http://www.ncbi.nlm.nih.gov/pubmed/15682699 http://dx.doi.org/10.1007/BF03404020 © The Canadian Public Health Association 2005 Article Text 2005 ftpubmed https://doi.org/10.1007/BF03404020 2020-02-09T01:23:05Z BACKGROUND: Despite increasing advocacy for an “opt-out” strategy in routine prenatal HIV screening programs in Canada, no published studies have examined factors that may affect acceptance of prenatal HIV testing. METHODS: We included all pregnant women in Alberta who received prenatal care (N=38,712) and their caregivers (N=2,007) between January 1 and November 30, 2000. Factors associated with non-acceptance of HIV testing in both pregnant women and their caregivers were assessed using multivariate logistic regression. RESULTS: Overall, 1.5% of women declined HIV testing. First Nations women were about twice as likely to decline the test (adjusted odds ratio [OR(adj)] 1.91, 95% CI [1.42–2.58]) compared to non-First Nations women (p<0.001). The proportion also increased with age (χ(2)trend p<0.001) in the general population. In First Nations women, however, most (3.2%) declined in the 20–24 year age group. No significant effect was seen for a socio-economic status marker or for the place of residence. The caregivers of women who declined HIV testing were more likely to be female (OR(adj) 1.56 [1.28–1.89]), midwives (OR(adj) 140.65 [58.61–337.49]), other non-obstetrical medical specialties (OR(adj) 4.92 [1.94–12.47]), and general practitioners (OR(adj) 3.44 [1.87–6.33]). CONCLUSION: In an “opt-out” routine prenatal HIV screening program, the characteristics of both the pregnant women and their caregivers may contribute to the non-acceptance of HIV testing. A higher likelihood of declining HIV testing among First Nations pregnant women and other pregnant women under the care of midwives and female physicians warrants further study. Text First Nations PubMed Central (PMC) Canada Canadian Journal of Public Health 96 1 60 64 |
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Article Wang, Fu-Lin Larke, Bryce Gabos, Stephan Schopflocher, Donald Hanrahan, Anita Potential Factors That May Affect Acceptance of Routine Prenatal HIV Testing |
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BACKGROUND: Despite increasing advocacy for an “opt-out” strategy in routine prenatal HIV screening programs in Canada, no published studies have examined factors that may affect acceptance of prenatal HIV testing. METHODS: We included all pregnant women in Alberta who received prenatal care (N=38,712) and their caregivers (N=2,007) between January 1 and November 30, 2000. Factors associated with non-acceptance of HIV testing in both pregnant women and their caregivers were assessed using multivariate logistic regression. RESULTS: Overall, 1.5% of women declined HIV testing. First Nations women were about twice as likely to decline the test (adjusted odds ratio [OR(adj)] 1.91, 95% CI [1.42–2.58]) compared to non-First Nations women (p<0.001). The proportion also increased with age (χ(2)trend p<0.001) in the general population. In First Nations women, however, most (3.2%) declined in the 20–24 year age group. No significant effect was seen for a socio-economic status marker or for the place of residence. The caregivers of women who declined HIV testing were more likely to be female (OR(adj) 1.56 [1.28–1.89]), midwives (OR(adj) 140.65 [58.61–337.49]), other non-obstetrical medical specialties (OR(adj) 4.92 [1.94–12.47]), and general practitioners (OR(adj) 3.44 [1.87–6.33]). CONCLUSION: In an “opt-out” routine prenatal HIV screening program, the characteristics of both the pregnant women and their caregivers may contribute to the non-acceptance of HIV testing. A higher likelihood of declining HIV testing among First Nations pregnant women and other pregnant women under the care of midwives and female physicians warrants further study. |
format |
Text |
author |
Wang, Fu-Lin Larke, Bryce Gabos, Stephan Schopflocher, Donald Hanrahan, Anita |
author_facet |
Wang, Fu-Lin Larke, Bryce Gabos, Stephan Schopflocher, Donald Hanrahan, Anita |
author_sort |
Wang, Fu-Lin |
title |
Potential Factors That May Affect Acceptance of Routine Prenatal HIV Testing |
title_short |
Potential Factors That May Affect Acceptance of Routine Prenatal HIV Testing |
title_full |
Potential Factors That May Affect Acceptance of Routine Prenatal HIV Testing |
title_fullStr |
Potential Factors That May Affect Acceptance of Routine Prenatal HIV Testing |
title_full_unstemmed |
Potential Factors That May Affect Acceptance of Routine Prenatal HIV Testing |
title_sort |
potential factors that may affect acceptance of routine prenatal hiv testing |
publisher |
Springer International Publishing |
publishDate |
2005 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976195/ http://www.ncbi.nlm.nih.gov/pubmed/15682699 https://doi.org/10.1007/BF03404020 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976195/ http://www.ncbi.nlm.nih.gov/pubmed/15682699 http://dx.doi.org/10.1007/BF03404020 |
op_rights |
© The Canadian Public Health Association 2005 |
op_doi |
https://doi.org/10.1007/BF03404020 |
container_title |
Canadian Journal of Public Health |
container_volume |
96 |
container_issue |
1 |
container_start_page |
60 |
op_container_end_page |
64 |
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1766000936327577600 |