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

doi:10.1007/s10461-017-1920-5

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

Obstetrics and Gynecology

Research output: Contribution to journal › Article › peer-review

8 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 language	English (US)
Pages (from-to)	538-544
Number of pages	7
Journal	AIDS and behavior
Volume	22
Issue number	2
DOIs	https://doi.org/10.1007/s10461-017-1920-5
State	Published - 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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-017-1920-5

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title = "Sustainability of Statewide Rapid HIV Testing in Labor and Delivery",

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.",

keywords = "HIV testing, Human immunodeficiency virus, Mother-to-child transmission, Perinatal transmission, Public health policy, Rapid testing",

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

note = "Funding Information: Funding LMY and ESM are supported by the NICHD K12 HD050121-11 and HD050121-09, respectively. Publisher Copyright: {\textcopyright} 2017, Springer Science+Business Media, LLC.",

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doi = "10.1007/s10461-017-1920-5",

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AU - Carter, Sarah Deardorff

AU - Borders, Ann

AU - Wong, Amy E.

AU - Olszewski, Yolanda

AU - Cohen, Mardge H.

AU - Garcia, Patricia M.

PY - 2018/2/1

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N2 - 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.

AB - 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.

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Sustainability of Statewide Rapid HIV Testing in Labor and Delivery

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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