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Related Experiment Videos

Do physicians discuss HIV testing during prenatal care?

G Ogilvie1, S Adsett, G Macdonald

  • 1Department of Family Medicine, McMaster University, Hamilton, Ont. ogilvieg@fhs.csu.mcmaster.ca

Canadian Family Physician Medecin De Famille Canadien
|August 1, 1997
PubMed
Summary
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Few Hamilton physicians discuss or offer human immunodeficiency virus (HIV) testing to all prenatal patients. While most understand their role, routine discussion and offering of HIV testing during early pregnancy care remain infrequent.

Area of Science:

  • Public Health
  • Obstetrics and Gynecology
  • Infectious Disease

Background:

  • Prenatal care offers a critical opportunity for human immunodeficiency virus (HIV) screening.
  • Understanding physician practices regarding HIV testing in pregnancy is essential for public health initiatives.

Purpose of the Study:

  • To assess the frequency of human immunodeficiency virus (HIV) testing discussions and offers by general practitioners and family physicians during prenatal care in Hamilton, Ontario.

Main Methods:

  • A cross-sectional mailed survey was conducted among general practitioners and family physicians in Hamilton.
  • Surveys were sent to 241 practitioners, with a 65% response rate (140 of 216).
  • The study measured the frequency of discussing and offering HIV testing to prenatal patients.

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Main Results:

  • Over 90% of clinicians felt knowledgeable about their role in HIV testing and had referred patients for testing.
  • However, only 8% of physicians consistently discussed HIV during pregnancy reviews.
  • Furthermore, a mere 5% always offered HIV testing to patients in the first trimester of pregnancy.

Conclusions:

  • A significant gap exists between physician understanding of their role and the actual practice of offering HIV testing to all prenatal patients.
  • Current practices indicate that few physicians routinely discuss or offer HIV testing during prenatal care.
  • This highlights a need for improved strategies to increase the uptake of HIV testing in this population.