Sustainability of Statewide Rapid HIV Testing in Labor and Delivery

Lynn M. Yee*, Emily S. Miller, Anne Statton, Laurie D. Ayala, Sarah Deardorff Carter, Ann Borders, Amy E. Wong, Yolanda Olszewski, Mardge H. Cohen, Patricia M. Garcia

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

The objective was to assess sustainability of a statewide program of HIV rapid testing (RT) for pregnant women presenting for delivery with unknown HIV status. This is a population-based retrospective cohort study of women delivered in Illinois hospitals (2012–15). Deidentified data on RT metrics from state-mandated surveillance reports were compared using descriptive statistics and non-parametric tests of trend. Over 95% of the 608,408 women delivered had documented HIV status at presentation. The rate of undocumented HIV status rose from 4.19 to 4.75% (p < 0.001). However, overall 99.60% of women with undocumented status appropriately received RT and the proportion who did not receive RT declined (p = 0.003). The number of neonates discharged with unknown HIV status declined (p = 0.011). RT identified 23 new HIV diagnoses, representing 4.62% of maternal HIV diagnoses. In conclusion, statewide perinatal HIV RT resulted in nearly 100% of Illinois mother-infant dyads with known HIV status. Sustained RT completion represents an important prevention safety net.

Original languageEnglish (US)
Pages (from-to)538-544
Number of pages7
JournalAIDS and behavior
Volume22
Issue number2
DOIs
StatePublished - Feb 1 2018

Keywords

  • HIV testing
  • Human immunodeficiency virus
  • Mother-to-child transmission
  • Perinatal transmission
  • Public health policy
  • Rapid testing

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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