title: Percentage and determinants of missed HIV testing in pregnancy: a survey of women delivering in the Lazio region, Italy.
abstract: HIV testing is recommended as part of routine preconception and prenatal care but some cases of vertical transmission still occur because of missed HIV testing in pregnancy. We estimated the percentage of women missing HIV testing before delivery, and we evaluated factors related with it. An anonymous survey was distributed to women giving birth during a two-week period in the maternity units of hospitals in the Lazio region of Italy in 2011. Among the 1568 women who filled out the questionnaire, only 33.6% had an HIV test prior to conception, while 88.2% were tested during pregnancy; main reasons reported for missed testing were: not requested by the gynaecologist (57.0%), performed previously (20.7%), requested by the gynaecologist but not done (13.3%) and structural/organisational barriers (4.4%). The percentage of women who missed the HIV test as part of preconception care or during pregnancy was 9.1% (95% confidence interval, CI: 7.7-10.6). Multivariate analysis showed that those with missed test were younger (p = 0.05), of lower education level (p < 0.01), with a lower HIV-knowledge score (p < 0.01) and with fewer visits during pregnancy (p < 0.01). Around 10% of delivering women were not tested for HIV during pregnancy or as part of preconception care. Absence of a specific request by the gynaecologist was the most frequent reason given. The association of missed HIV testing with poor sociocultural level and limited maternal HIV knowledge emphasise the importance of promoting HIV information among women and prenatal care providers. Strategies to increase routine testing may include the adoption of an opt-out approach. Finally, availability of rapid HIV testing in the delivery room should be encouraged.
authors.affiliation: a Laziosanità , Agenzia di Sanità Pubblica , Rome , Italy.
authors.forename: Sabrina
authors.initials: S
authors.lastname: Valle
authors.forename: Patrizio
authors.initials: P
authors.lastname: Pezzotti
authors.forename: Marco
authors.initials: M
authors.lastname: Floridia
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Pellegrini
authors.forename: Stefania
authors.initials: S
authors.lastname: Bernardi
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Puro
authors.forename: Enrica
authors.initials: E
authors.lastname: Tamburrini
authors.forename: Iolanda
authors.initials: I
authors.lastname: Rinaldi
authors.forename: Giorgio
authors.initials: G
authors.lastname: Vittori
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Perrelli
authors.forename: Alessandra
authors.initials: A
authors.lastname: Morelli
authors.forename: Enrico
authors.initials: E
authors.lastname: Girardi
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D000328:Adult; D017677:Age Distribution; D004522:Educational Status; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000517:prevention & control / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control; D007558:Italy; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010349:Patient Compliance / Q000706:statistics & numerical data*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000517:prevention & control; D011295:Prenatal Care / Q000379:methods / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
keywords: HIV testing; Italy; antenatal care; delivery; pregnancy