High uptake of HIV testing in pregnant women in Ontario, Canada.

In 1999, Ontario implemented a policy to offer HIV counseling and testing to all pregnant women and undertook measures to increase HIV testing. We evaluated the effectiveness of the new policy by examining HIV test uptake, the number of HIV-infected women identified and, in 2002, the HIV rate in wom...

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Autores principales:	Robert S Remis, Maraki Fikre Merid, Robert W H Palmer, Elaine Whittingham, Susan M King, Natasha S Danson, Lee Vernich, Carol Swantee, Carol Major
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4723a4a6039d4f288bfd87690f4d7c92
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spelling	oai:doaj.org-article:4723a4a6039d4f288bfd87690f4d7c922021-11-18T08:09:16ZHigh uptake of HIV testing in pregnant women in Ontario, Canada.1932-620310.1371/journal.pone.0048077https://doaj.org/article/4723a4a6039d4f288bfd87690f4d7c922012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23152762/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203In 1999, Ontario implemented a policy to offer HIV counseling and testing to all pregnant women and undertook measures to increase HIV testing. We evaluated the effectiveness of the new policy by examining HIV test uptake, the number of HIV-infected women identified and, in 2002, the HIV rate in women not tested during prenatal care. We analyzed test uptake among women receiving prenatal care from 1999 to 2010. We examined HIV test uptake and HIV rate by year, age and health region. In an anonymous, unlinked study, we determined the HIV rate in pregnant women not tested. Prenatal HIV test uptake in Ontario increased dramatically, from 33% in the first quarter of 1999 to 96% in 2010. Test uptake was highest in younger women but increased in all age groups. All health regions improved and experienced similar test uptake in recent years. The HIV rate among pregnant women tested in 2010 was 0.13/1,000; in Toronto, the rate was 0.28 per 1,000. In the 2002 unlinked study, the HIV rate was 0.62/1,000 among women not tested in pregnancy compared to 0.31/1,000 among tested women. HIV incidence among women who tested more than once was 0.05/1,000 person-years. In response to the new policy in Ontario, prenatal HIV testing uptake improved dramatically among women in all age groups and health regions. A reminder to physicians who had not ordered a prenatal HIV test appeared to be very effective. In 2002, the HIV rate in women who were not tested was twice that of tested women: though 77% of pregnant women had been tested, only 63% of HIV-infected women were tested. HIV testing uptake was estimated at 98% in 2010.Robert S RemisMaraki Fikre MeridRobert W H PalmerElaine WhittinghamSusan M KingNatasha S DansonLee VernichCarol SwanteeCarol MajorPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 11, p e48077 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Robert S Remis Maraki Fikre Merid Robert W H Palmer Elaine Whittingham Susan M King Natasha S Danson Lee Vernich Carol Swantee Carol Major High uptake of HIV testing in pregnant women in Ontario, Canada.
description	In 1999, Ontario implemented a policy to offer HIV counseling and testing to all pregnant women and undertook measures to increase HIV testing. We evaluated the effectiveness of the new policy by examining HIV test uptake, the number of HIV-infected women identified and, in 2002, the HIV rate in women not tested during prenatal care. We analyzed test uptake among women receiving prenatal care from 1999 to 2010. We examined HIV test uptake and HIV rate by year, age and health region. In an anonymous, unlinked study, we determined the HIV rate in pregnant women not tested. Prenatal HIV test uptake in Ontario increased dramatically, from 33% in the first quarter of 1999 to 96% in 2010. Test uptake was highest in younger women but increased in all age groups. All health regions improved and experienced similar test uptake in recent years. The HIV rate among pregnant women tested in 2010 was 0.13/1,000; in Toronto, the rate was 0.28 per 1,000. In the 2002 unlinked study, the HIV rate was 0.62/1,000 among women not tested in pregnancy compared to 0.31/1,000 among tested women. HIV incidence among women who tested more than once was 0.05/1,000 person-years. In response to the new policy in Ontario, prenatal HIV testing uptake improved dramatically among women in all age groups and health regions. A reminder to physicians who had not ordered a prenatal HIV test appeared to be very effective. In 2002, the HIV rate in women who were not tested was twice that of tested women: though 77% of pregnant women had been tested, only 63% of HIV-infected women were tested. HIV testing uptake was estimated at 98% in 2010.
format	article
author	Robert S Remis Maraki Fikre Merid Robert W H Palmer Elaine Whittingham Susan M King Natasha S Danson Lee Vernich Carol Swantee Carol Major
author_facet	Robert S Remis Maraki Fikre Merid Robert W H Palmer Elaine Whittingham Susan M King Natasha S Danson Lee Vernich Carol Swantee Carol Major
author_sort	Robert S Remis
title	High uptake of HIV testing in pregnant women in Ontario, Canada.
title_short	High uptake of HIV testing in pregnant women in Ontario, Canada.
title_full	High uptake of HIV testing in pregnant women in Ontario, Canada.
title_fullStr	High uptake of HIV testing in pregnant women in Ontario, Canada.
title_full_unstemmed	High uptake of HIV testing in pregnant women in Ontario, Canada.
title_sort	high uptake of hiv testing in pregnant women in ontario, canada.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/4723a4a6039d4f288bfd87690f4d7c92
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High uptake of HIV testing in pregnant women in Ontario, Canada.

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