General practitioners' attitudes and beliefs on antenatal testing for HIV: postal questionnaire survey

Whittet, Sally; Trail, Peter; Ruiter, Annemiek de; O'Sullivan, Donal; Jones, Roger

doi:10.1136/bmj.321.7266.934

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…In London, England in 1999, 13% of general practitioners reported offering HIV testing to all pregnant women, and 79% believed that all pregnant women should be offered the test. 18 In the United States in 1997, 79% of obstetricians routinely offered HIV counselling and 76% routinely offered HIV testing. 19 In a recent study from New Zealand, 52% of providers agreed with a universal testing program, but rates of counselling and testing were substantially lower.…”

Section: Discussionmentioning

confidence: 99%

Prenatal HIV Testing in Ontario

Guenter

Carroll

Kaczorowski

et al. 2003

Can J Public Health

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Objective: To describe the knowledge, attitudes and practices of prenatal care providers in relation to prenatal HIV testing. Methods: A stratified random sample of 784 family physicians, 200 obstetricians and 103 midwives providing prenatal care in 3 health planning regions in Ontario received a questionnaire. Results: Response was 622/1087 (57%). Almost half of participants (43%) were not aware of Ontario's prenatal HIV testing policy. Eighty-five percent of participants reported that they offered or ordered HIV testing for all pregnant women. Sixty-six percent agreed that women should have a choice about whether to test or not, and midwives were more supportive of having an informed consent process than were physicians. Conclusion: Knowledge about the risks and benefits of prenatal HIV testing needs to be improved, and standards for informed consent should be re-evaluated to achieve the most ethical process with the least complexity. La traduction du résumé se trouve à la fin de l'article.

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Section: Discussionmentioning

confidence: 99%

Prenatal HIV Testing in Ontario

Guenter

Carroll

Kaczorowski

et al. 2003

Can J Public Health

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Survey of Physician Attitudes Toward HIV Testing in Pregnant Women in Ohio

Duggan

Khuder²,

Sinha³

et al. 2003

AIDS Patient Care and STDs

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HIV infection among women of childbearing age is still increasing in the United States. In most states, HIV testing of women or neonates during pregnancy is not mandatory. The current study assessed HIV prenatal testing practices among obstetrician-gynecologists and primary care physicians listed in a regional physician referral data base in a predominantly rural region. Between December 2000 and March 2001 a 20-question survey was sent by mail to regional physicians in obstetrics/gynecology and primary care regarding physician practice demographics and prenatal HIV testing practices. Of 1116 surveys sent, 431 were returned (38.6% response). Only 42% of physicians offered universal HIV prenatal testing. Factors associated with universal testing (p < 0.5) included obstetrics/gynecology as the practice specialty (90%) physicians' age younger than 50 years, and a practice with predominantly Medicaid or African American patients. Further educational and public health initiatives may be needed to increase nonselective, universal HIV testing in pregnant women.

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Routine HIV and HBV antibody screening

Miller

Hynes

Howard³

et al. 2002

British Journal of Midwifery

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Following the directive from the Department of Health (1999) that action should be taken to reduce mother-to-baby transmission of HIV infection, Norfolk Health Authority instigated a series of workshops. The purpose was to prepare midwives for the task of integrating HIV and Hepatitis B (HBV) testing alongside other screening tests in a ‘low’ HIV prevalence area. This paper describes the challenges and methods used to help midwives acquire the necessary information and to identify and enhance their existing skills. An immediate uptake in excess of the required minimum 50% was achieved and after 12months uptake was 89%, approaching the target set for 31 December 2002 of 90%.

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General practitioners' attitudes and beliefs on antenatal testing for HIV: postal questionnaire survey

Cited by 3 publications

References 4 publications

Prenatal HIV Testing in Ontario

Prenatal HIV Testing in Ontario

Survey of Physician Attitudes Toward HIV Testing in Pregnant Women in Ohio

Routine HIV and HBV antibody screening

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