Yudin Mark H, Moravac Catherine, Shah Rajiv R
Department of Obstetrics and Gynecology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Obstet Gynecol. 2007 Jul;110(1):81-6. doi: 10.1097/01.AOG.0000267497.39041.06.
To estimate both human immunodeficiency virus (HIV) testing acceptance rates in pregnancy using an opt-out policy and patient characteristics influencing acceptance.
At the first prenatal visit, HIV testing was offered using an opt-out approach. Reasons for refusing testing were explored. Demographic information was collected on all study subjects.
In the prospective portion of the study, 1,140 of 1,233 women (92.5%) accepted testing. Race was predictive of accepting HIV testing, with Asian women significantly less likely (odds ratio [OR] 0.4; 95% confidence interval [CI] 0.3-0.6; P<.001) and Hispanic women significantly more likely (OR 6.9; 95% CI 2.2-22.0; P=.001) to be tested. Although English as a first language, country of birth, and insurance status were not significantly associated with acceptance, women who were fluent in English were more likely to be tested (OR 2.0; 95% CI 1.2-3.3; P=.01). Our testing rates were significantly higher than the provincial average.
Using an opt-out strategy, HIV testing rates in our clinic were significantly higher than the provincial average. Rates were influenced by race and fluency in English.
采用免告知同意策略评估孕期人类免疫缺陷病毒（HIV）检测接受率以及影响接受检测的患者特征。
在首次产前检查时，采用免告知同意方法提供HIV检测。探究拒绝检测的原因。收集所有研究对象的人口统计学信息。
在研究的前瞻性部分，1233名女性中有1140名（92.5%）接受了检测。种族可预测HIV检测接受情况，亚洲女性接受检测的可能性显著较低（优势比[OR]0.4；95%置信区间[CI]0.3 - 0.6；P <.001），西班牙裔女性接受检测的可能性显著较高（OR 6.9；95% CI 2.2 - 22.0；P =.001）。虽然以英语为第一语言、出生国家和保险状况与接受检测无显著关联，但英语流利的女性更有可能接受检测（OR 2.0；95% CI 1.2 - 3.3；P =.01）。我们的检测率显著高于省级平均水平。
采用免告知同意策略，我们诊所的HIV检测率显著高于省级平均水平。检测率受种族和英语流利程度影响。
