PMID- 18543089
OWN - NLM
STAT- MEDLINE
DCOM- 20090810
LR  - 20211020
IS  - 1573-6628 (Electronic)
IS  - 1092-7875 (Linking)
VI  - 13
IP  - 3
DP  - 2009 May
TI  - Patient perceptions of obstetrician-gynecologists' practices related to HIV 
      testing.
PG  - 355-63
LID - 10.1007/s10995-008-0374-9 [doi]
AB  - OBJECTIVES: The objectives of this study were to (1) determine the percentage of 
      obstetrician-gynecologists' patients who have been tested for HIV; (2) examine 
      patient attitudes about HIV testing and patients' knowledge about their own risk 
      status; (3) determine primary reasons patients decline an HIV test; and (4) learn 
      patient recall of how their obstetrician-gynecologists approach the topic of HIV 
      testing. METHOD: Survey packets were mailed to each of 687 
      obstetrician-gynecologists who are members of the Collaborative Ambulatory 
      Research Network (CARN) to distribute to their patients. Data are reported from 
      851 patient respondents (297 pregnant and 554 non-pregnant), and were analyzed 
      utilizing independent samples t-tests, chi2 analysis, and linear regression. 
      RESULTS: Two-thirds of respondents (65%/n = 534) reported having been tested for 
      HIV at some point, although the majority (72%) did not recall that their current 
      obstetrician-gynecologist had recommended HIV testing. Among pregnant respondents 
      specifically, 61% did not recall that their current obstetrician-gynecologist had 
      recommended HIV testing, although 82% reported having had an HIV test at some 
      point and 71% stated they had received their most recent HIV test results from 
      their obstetrician-gynecologist during their current pregnancy. Age, race, and 
      pregnancy status were linked to likelihood of patient recall of receiving an HIV 
      testing recommendation from their obstetrician-gynecologist; with young, 
      pregnant, Hispanic, and African-American patients most likely to recall a test 
      recommendation. Perceived low risk was the primary reason given for declining an 
      HIV test. Only 2% of respondents considered themselves high-risk for HIV despite 
      almost half of the sample reporting having had unprotected sex at some point with 
      more than one partner. CONCLUSIONS: Many patients did not recall that their 
      obstetrician-gynecologist had ever recommended HIV testing, although the majority 
      had been tested. Efforts should be made to increase communication between 
      obstetrician-gynecologists and their patients related to HIV risk status and HIV 
      testing.
FAU - Coleman, Victoria H
AU  - Coleman VH
AD  - Research, The American College of Obstetricians and Gynecologists, Washington, 
      DC, USA. vhcoleman@gmail.com
FAU - Morgan, Maria A
AU  - Morgan MA
FAU - Carlson, Rebecca
AU  - Carlson R
FAU - Hawks, Debra
AU  - Hawks D
FAU - Schulkin, Jay
AU  - Schulkin J
LA  - eng
GR  - 65/CCU323377-03/04/PHS HHS/United States
GR  - R60 MC 05674/PHS HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
DEP - 20080610
PL  - United States
TA  - Matern Child Health J
JT  - Maternal and child health journal
JID - 9715672
SB  - IM
MH  - Adult
MH  - Female
MH  - HIV Infections/*prevention & control
MH  - Health Care Surveys
MH  - Humans
MH  - Mass Screening/*statistics & numerical data
MH  - Middle Aged
MH  - *Obstetrics
MH  - *Patient Satisfaction
MH  - Pregnancy
MH  - United States
EDAT- 2008/06/11 09:00
MHDA- 2009/08/11 09:00
CRDT- 2008/06/11 09:00
PHST- 2008/01/22 00:00 [received]
PHST- 2008/05/28 00:00 [accepted]
PHST- 2008/06/11 09:00 [pubmed]
PHST- 2009/08/11 09:00 [medline]
PHST- 2008/06/11 09:00 [entrez]
AID - 10.1007/s10995-008-0374-9 [doi]
PST - ppublish
SO  - Matern Child Health J. 2009 May;13(3):355-63. doi: 10.1007/s10995-008-0374-9. 
      Epub 2008 Jun 10.