PMID- 22506919
OWN - NLM
STAT- MEDLINE
DCOM- 20121113
LR  - 20220321
IS  - 1931-843X (Electronic)
IS  - 1540-9996 (Linking)
VI  - 21
IP  - 7
DP  - 2012 Jul
TI  - What factors influence obstetrician-gynecologists to follow recommended HIV 
      screening and testing guidelines?
PG  - 762-8
LID - 10.1089/jwh.2011.3222 [doi]
AB  - BACKGROUND: The purpose of this study was to determine what factors may influence 
      obstetrician-gynecologists' HIV testing practices and to learn more about 
      obstetrician-gynecologists' current HIV screening and testing practices. METHODS: 
      Survey questionnaires were sent to 1200 American College of Obstetricians and 
      Gynecologists (the College) Fellows and Junior Fellows in practice between 
      October 2009 and January 2010. Four hundred of the recipients were members of the 
      Collaborative Ambulatory Research Network (CARN), and 800 recipients were 
      randomly selected from the ACOG Fellows and Junior Fellows in practice. RESULTS: 
      The survey response rate was 62.0% (248 of 400) for CARN and 31.1% (249 of 800) 
      for non-CARN. Nearly 100% (99.7%) of the study sample report recommending HIV 
      testing to all pregnant women at least once during each pregnancy, while reported 
      rates for repeat testing in the third trimester remain low (20.1% for all 
      patients and 42.6% for high-risk patients). Two thirds (66.0%) of respondents 
      recommend labor and delivery testing to women with unknown or undocumented HIV 
      status. Fewer than 22.0% of respondents report routinely recommending HIV 
      screening to all non-pregnant women, citing a low-risk population as the most 
      common reason. State laws and regulations have only moderate influence on 
      obstetrician-gynecologists' HIV testing practice, as do practice type, location, 
      and setting. CONCLUSIONS: The results of this study suggest that the provider's 
      perception about the patients' risk for being infected as well as practice type 
      and location are important factors influencing an obstetrician-gynecologist's 
      decision to screen a nonpregnant woman for HIV.
FAU - Anderson, Britta L
AU  - Anderson BL
AD  - American College of Obstetricians and Gynecologists, Washington, DC 20024, USA. 
      banderson@acog.org
FAU - Carlson, Rebecca
AU  - Carlson R
FAU - Anderson, Jean
AU  - Anderson J
FAU - Hawks, Debra
AU  - Hawks D
FAU - Schulkin, Jay
AU  - Schulkin J
LA  - eng
GR  - 5U65PS000813-03/PS/NCHHSTP CDC HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
DEP - 20120416
PL  - United States
TA  - J Womens Health (Larchmt)
JT  - Journal of women's health (2002)
JID - 101159262
SB  - IM
MH  - Adult
MH  - Chi-Square Distribution
MH  - Diagnostic Tests, Routine/statistics & numerical data/trends
MH  - Female
MH  - Guideline Adherence
MH  - *Gynecology/standards
MH  - HIV Infections/*diagnosis
MH  - Humans
MH  - Mass Screening/*standards
MH  - Middle Aged
MH  - *Obstetrics/standards
MH  - *Practice Guidelines as Topic
MH  - Practice Patterns, Physicians'
MH  - Pregnancy
MH  - Pregnant Women/ethnology/psychology
MH  - Professional Practice Location/statistics & numerical data/trends
MH  - Surveys and Questionnaires
MH  - United States
MH  - Workforce
EDAT- 2012/04/18 06:00
MHDA- 2012/11/14 06:00
CRDT- 2012/04/18 06:00
PHST- 2012/04/18 06:00 [entrez]
PHST- 2012/04/18 06:00 [pubmed]
PHST- 2012/11/14 06:00 [medline]
AID - 10.1089/jwh.2011.3222 [doi]
PST - ppublish
SO  - J Womens Health (Larchmt). 2012 Jul;21(7):762-8. doi: 10.1089/jwh.2011.3222. Epub 
      2012 Apr 16.