Titre :
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Barriers to universal prenatal HIV testing in 4 US locations in 1997. (2001)
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Auteurs :
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Rachel-A ROYCE ;
Misabel Fernandez ;
Jeannette-R ICKOVICS ;
R.J. SIMONDS ;
Emmanuel-B WALTER ;
Tracey-E WILSON ;
Perinatal Guidelines Evaluation Project. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 91, n° 5, 2001)
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Pagination :
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727-733
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Langues:
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Anglais
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Mots-clés :
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Dépistage
;
Sida
;
Virose
;
Infection
;
Homme
;
Femme
;
Grossesse
;
Etats Unis
;
Amérique
;
Recommandation
;
Assurance maladie
;
Immunopathologie
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST PR0xbLCF. Diffusion soumise à autorisation]. Objectives. We determined rates of prenatal HIV testing and investigated barriers to testing. Methods. We surveyed 1362 representative parturient women from 7 hospitals in 4 locations of the United States. Results. Overall, 89.9% of women reported being offered HIV testing and 69.6% reported being tested. Proportions of women not offered testing differed by location (range=5.2% - 16.3%), as did proportions not tested (range=12.2% - 54.4%). Among women who perceived that their clinicians had not recommended testing, 41.7% were tested, compared with 92.8% of women who perceived a strong recommendation (P<. private insurance for prenatal care was also associated with not being tested. women gave multiple reasons tested most commonly at risk having been recently and the test offered or recommended cited by of respectively. conclusions. although parturient were a hiv got testing proportions did reach national goals differed significantly location payment status. concern about consequences major barrier. perception clinicians strongly influenced testing. changing provider practices will be essential to implementing universal>
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