Abstract
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 language | English (US) |
|---|---|
| Pages (from-to) | 252-262 |
| Number of pages | 11 |
| Journal | AIDS Education and Prevention |
| Volume | 12 |
| Issue number | 3 |
| State | Published - Jun 2000 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Education
Cite this
Prenatal HIV prevention practices in a low seroprevalence state. / McKinney, Martha M.; McSpirit, Stephanie; Pomeroy, Claire.
In: AIDS Education and Prevention, Vol. 12, No. 3, 06.2000, p. 252-262.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Prenatal HIV prevention practices in a low seroprevalence state
AU - McKinney, Martha M.
AU - McSpirit, Stephanie
AU - Pomeroy, Claire
PY - 2000/6
Y1 - 2000/6
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=0033930374&partnerID=8YFLogxK
M3 - Article
VL - 12
SP - 252
EP - 262
JO - AIDS Education and Prevention
JF - AIDS Education and Prevention
SN - 0899-9546
IS - 3
ER -