Prenatal HIV prevention practices in a low seroprevalence state

Martha M. McKinney, Stephanie McSpirit, Claire Pomeroy

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


The purpose of this study was to build understanding of prenatal HIV counseling and testing practices in low seroprevalence states. Responses from a 1998 population-based survey of Kentucky prenatal care providers (67% response; 312 analyzed) were compared with findings from patient focus groups. Sixty-two percent of clinicians said they routinely counsel prenatal patients with risk factors, but only 46% routinely counsel patients without risk factors. The proportions routinely offering HIV testing to patients with and without risk factors were 94% and 84%, respectively. Prenatal patients identified 'fear of a positive test result' as the major barrier to test acceptance. This fear was fueled by lack of knowledge regarding the benefits of early detection. The study concludes that achieving universal prenatal HIV testing will require new strategies, such as the distribution of a standardized protocol, that address clinicians' concerns about 'time burdens' without depriving patients of the opportunity to receive individualized counseling.

Original languageEnglish (US)
Pages (from-to)252-262
Number of pages11
JournalAIDS Education and Prevention
Issue number3
StatePublished - Jun 2000
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Education


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