Potential Factors That May Affect Acceptance of Routine Prenatal HIV Testing

Background: Despite increasing advocacy for an "opt-out" strategy in routine prenatal HIV screening programs in Canada, no published studies have examined factors that may affect acceptance of prenatal HIV testing. Methods: We included all pregnant women in Alberta who received prenatal ca...

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Bibliographic Details
Published in:Canadian journal of public health 2005-01, Vol.96 (1), p.60-64
Main Authors: Wang, Fu-Lin, Larke, Bryce, Gabos, Stephan, Hanrahan, Anita, Schopflocher, Donald
Format: Article
Language:English
Subjects:
Adolescent
Adult
AIDS serodiagnosis
AIDS Serodiagnosis - statistics & numerical data
Alberta
American Native Continental Ancestry Group - psychology
Biological and medical sciences
Caregivers
Caregivers - psychology
Diagnostic Tests, Routine - statistics & numerical data
Female
Health and wellness
Health care policy
HIV
HIV Infections - ethnology
HIV Infections - prevention & control
Human immunodeficiency virus
Human viral diseases
Humans
Infectious diseases
Logistic Models
Male
Medical sciences
Medical screening
Miscellaneous
Multivariate Analysis
Patient Acceptance of Health Care - ethnology
Physicians
Pregnancy
Pregnant Women - psychology
Prenatal Care
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Screening tests
Sex Factors
Socioeconomics
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Women
Womens health
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Summary:Background: Despite increasing advocacy for an "opt-out" strategy in routine prenatal HIV screening programs in Canada, no published studies have examined factors that may affect acceptance of prenatal HIV testing. Methods: We included all pregnant women in Alberta who received prenatal care (N=38,712) and their caregivers (N=2,007) between January 1 and November 30, 2000. Factors associated with non-acceptance of HIV testing in both pregnant women and their caregivers were assessed using multivariate logistic regression. Results: Overall, 1.5% of women declined HIV testing. First Nations women were about twice as likely to decline the test (adjusted odds ratio [ORadj] 1.91, 95% Cl [1.42-2.58]) compared to non-First Nations women (p
ISSN:0008-4263
1920-7476
DOI:10.1007/BF03404020