title: Correlates of prenatal HIV testing in women with undocumented status at delivery.
abstract: OBJECTIVE
  To determine factors associated with prenatal HIV testing in women who accepted rapid testing at delivery.
  
  
  METHODS
  The mother-infant rapid intervention at delivery (MIRIAD) protocol offered counseling and voluntary HIV testing in six US cities including New York City (NYC). These hospitals are required to document the HIV status of pregnant women or their infants. From January 2002 to January 2005, 653 HIV-negative women were interviewed post-partum.
  
  
  RESULTS
  63% of women reported prior HIV testing during the index pregnancy, although their results were not available at delivery. Multivariate logistic modeling identified receipt of prenatal care and delivery in NYC as being associated with having been offered prenatal HIV testing. In a model restricted to women receiving medical care, emergency department (ED) use and delivery outside of NYC were associated with not having been offered testing. In a model restricted to women who were offered prenatal testing, acceptance was associated with delivery outside of NYC.
  
  
  CONCLUSIONS
  Improved documentation of prenatal test results, expanded prenatal testing in non-traditional settings like EDs, and routine voluntary "opt-out" testing during pregnancy may further reduce perinatal HIV transmission.
authors.affiliation: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA. mwebber@montefiore.org
authors.forename: Mayris P
authors.initials: MP
authors.lastname: Webber
authors.forename: Penelope
authors.initials: P
authors.lastname: Demas
authors.forename: Nancy
authors.initials: N
authors.lastname: Blaney
authors.forename: Mardge H
authors.initials: MH
authors.lastname: Cohen
authors.forename: Rosalind
authors.initials: R
authors.lastname: Carter
authors.forename: Margaret
authors.initials: M
authors.lastname: Lampe
authors.forename: Denise
authors.initials: D
authors.lastname: Jamieson
authors.forename: Robert
authors.initials: R
authors.lastname: Maupin
authors.forename: Steven
authors.initials: S
authors.lastname: Nesheim
authors.forename: Marc
authors.initials: M
authors.lastname: Bulterys
mesh_terms: D015492:AIDS Serodiagnosis; D000328:Adult; D004636:Emergency Service, Hospital; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D007407:Interviews as Topic; D018580:Mandatory Testing; D009519:New York City; D010342:Patient Acceptance of Health Care; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000821:virology; D011295:Prenatal Care; D055815:Young Adult