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HIV testing and prevention issues for women attending termination assessment clinics.
Br J Fam Plann. 1999 Apr; 25(1):3-8.BJ

Abstract

The prevalence of HIV infection in London is nearly threefold in women who seek terminations compared to women who carry to term. Despite the higher prevalence, HIV testing is not systematically offered to women attending termination of pregnancy assessment clinics (TOPCs). The Department of Health has given clear guidance on HIV testing in antenatal clinics and most London antenatal clinics have implemented policies on HIV testing. No similar guidance exists for TOP clinics. This paper describes the results from a study examining HIV testing and prevention issues for women attending five TOPCs in North London. Data on risk disclosure, HIV testing intentions and awareness of HIV infection and testing were analysed for 141 women who completed a self-administered questionnaire. Women who expressed an intention to have an HIV test were more likely to be from ethnic minority origin, to report that their partner intends to have an HIV test and to perceive it as easier to talk to their partner about HIV testing, compared to women who did not report an intention to test for HIV The former group also were more likely to have had a previous HIV test and perceived their personal control for staying HIV negative as greater compared to others. Fifty six (39.8 per cent) women disclosed one or more potential risk factors for HIV Women with risks were more knowledgeable about HIV infection, perceived their personal chances of being HIV positive as greater and experienced greater worry about past risks, compared to women who disclosed no risks. However, women who disclosed risk factors were no more likely to intend to have an HIV test. Knowledge on HIV infection, testing and potential interventions to reduce mother-to-baby transmission was low, with fewer than one in four women being aware that transmission may be reduced by AZT, Caesarean section and bottle feeding. Given the findings about the level of risk disclosed and women's positive attitude towards information on HIV infection and testing, this client group should no longer be overlooked in the planning of future policies on HIV testing for populations at risk.

Authors+Show Affiliations

Department of Obstetrics and Gynaecology, St Bartholomews and Royal London School of Medicine and Dentistry, West Smithfield, London ECIA 7BE, UK.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10228241

Citation

Bergenstrom, A, and L Sherr. "HIV Testing and Prevention Issues for Women Attending Termination Assessment Clinics." The British Journal of Family Planning, vol. 25, no. 1, 1999, pp. 3-8.
Bergenstrom A, Sherr L. HIV testing and prevention issues for women attending termination assessment clinics. Br J Fam Plann. 1999;25(1):3-8.
Bergenstrom, A., & Sherr, L. (1999). HIV testing and prevention issues for women attending termination assessment clinics. The British Journal of Family Planning, 25(1), 3-8.
Bergenstrom A, Sherr L. HIV Testing and Prevention Issues for Women Attending Termination Assessment Clinics. Br J Fam Plann. 1999;25(1):3-8. PubMed PMID: 10228241.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - HIV testing and prevention issues for women attending termination assessment clinics. AU - Bergenstrom,A, AU - Sherr,L, PY - 1999/5/6/pubmed PY - 1999/5/6/medline PY - 1999/5/6/entrez KW - Abortion Centers KW - Abortion Seekers KW - Abortion, Induced KW - Acquired Immunodeficiency Syndrome--prevention and control KW - Acquired Immunodeficiency Syndrome--women KW - Behavior KW - Delivery Of Health Care KW - Demographic Factors KW - Developed Countries KW - Diseases KW - England KW - Europe KW - Evaluation KW - Examinations And Diagnoses KW - Family Planning KW - Fertility Control, Postconception KW - Health KW - Health Facilities KW - Hiv Infections--prevention and control KW - Hiv Infections--women KW - Hiv Serodiagnosis--women KW - Knowledge KW - Laboratory Examinations And Diagnoses KW - Northern Europe KW - Perception KW - Population KW - Population Characteristics KW - Psychological Factors KW - Research Report KW - Risk Assessment KW - Risk Behavior KW - Self-perception KW - United Kingdom KW - Urban Population KW - Viral Diseases KW - Women SP - 3 EP - 8 JF - The British journal of family planning JO - Br J Fam Plann VL - 25 IS - 1 N2 - The prevalence of HIV infection in London is nearly threefold in women who seek terminations compared to women who carry to term. Despite the higher prevalence, HIV testing is not systematically offered to women attending termination of pregnancy assessment clinics (TOPCs). The Department of Health has given clear guidance on HIV testing in antenatal clinics and most London antenatal clinics have implemented policies on HIV testing. No similar guidance exists for TOP clinics. This paper describes the results from a study examining HIV testing and prevention issues for women attending five TOPCs in North London. Data on risk disclosure, HIV testing intentions and awareness of HIV infection and testing were analysed for 141 women who completed a self-administered questionnaire. Women who expressed an intention to have an HIV test were more likely to be from ethnic minority origin, to report that their partner intends to have an HIV test and to perceive it as easier to talk to their partner about HIV testing, compared to women who did not report an intention to test for HIV The former group also were more likely to have had a previous HIV test and perceived their personal control for staying HIV negative as greater compared to others. Fifty six (39.8 per cent) women disclosed one or more potential risk factors for HIV Women with risks were more knowledgeable about HIV infection, perceived their personal chances of being HIV positive as greater and experienced greater worry about past risks, compared to women who disclosed no risks. However, women who disclosed risk factors were no more likely to intend to have an HIV test. Knowledge on HIV infection, testing and potential interventions to reduce mother-to-baby transmission was low, with fewer than one in four women being aware that transmission may be reduced by AZT, Caesarean section and bottle feeding. Given the findings about the level of risk disclosed and women's positive attitude towards information on HIV infection and testing, this client group should no longer be overlooked in the planning of future policies on HIV testing for populations at risk. SN - 0144-8625 UR - https://www.unboundmedicine.com/medline/citation/10228241/HIV_testing_and_prevention_issues_for_women_attending_termination_assessment_clinics_ L2 - http://www.diseaseinfosearch.org/result/9735 DB - PRIME DP - Unbound Medicine ER -