Sustainability of Statewide Rapid HIV Testing in Labor and Delivery

• Published in: AIDS and behavior 2018-02, Vol.22 (2), p.538-544
• Main Authors: Yee, Lynn M., Miller, Emily S., Statton, Anne, Ayala, Laurie D., Carter, Sarah Deardorff, Borders, Ann, Wong, Amy E., Olszewski, Yolanda, Cohen, Mardge H., Garcia, Patricia M.
• Format: Article
• Language: English
• Subjects: Acquired immune deficiency syndrome; Adult; AIDS; AIDS Serodiagnosis - methods; Antibodies, Viral - blood; Cohort Studies; Female; Females; Health Policy; Health Psychology; HIV; HIV Infections - diagnosis; HIV-1 - immunology; Hospitals; Human immunodeficiency virus; Humans; Illinois; Infant, Newborn; Infants; Infectious Disease Transmission, Vertical - prevention & control; Infectious Diseases; Labor, Obstetric; Mass Screening; Medicine; Medicine & Public Health; Mothers; Neonates; Original Paper; Population studies; Pregnancy; Pregnancy Complications, Infectious - diagnosis; Pregnancy Complications, Infectious - virology; Program Evaluation; Public Health; Retrospective Studies; Statistical tests; Surveillance; Sustainability; Young Adult
• ISSN: 1090-7165; 1573-3254
• DOI: 10.1007/s10461-017-1920-5

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