What Factors Influence Obstetrician-Gynecologists to Follow Recommended HIV Screening and Testing Guidelines?
What Factors Influence Obstetrician-Gynecologists to Follow Recommended HIV Screening and Testing Guidelines?
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DOI：
10.1089/jwh.2011.3222
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发表时间：
2012-07-01
影响因子：
3.5
通讯作者：
Schulkin, Jay
中科院分区：
文献类型：
--
作者：
Anderson, Britta L.;Carlson, Rebecca;Schulkin, Jay
背景资料：本研究的目的是确定哪些因素可能会影响妇产科医生的艾滋病毒检测的做法，并了解更多关于妇产科医生目前的艾滋病毒筛查和检测practice.Methods：调查问卷发送到1200美国大学的妇产科医生（学院）研究员和初级研究员在实践中2009年10月和2010年1月之间。四百收件人的成员的合作门诊研究网络（卡恩），和800收件人被随机选择的ACOG研究员和初级研究员在practice.Results：调查响应率为62.0%（248 400）为卡恩和31.1%（249 800）为非卡恩。近100%（99.7%）的研究样本报告建议所有孕妇在每次怀孕期间至少进行一次艾滋病毒检测，而报告的妊娠晚期重复检测率仍然很低（所有患者为20.1%，高危患者为42.6%）。三分之二（66.0%）的受访者建议对艾滋病毒状况未知或无记录的妇女进行分娩和分娩检测。不到22.0%的受访者报告说，他们经常建议所有非孕妇进行艾滋病毒筛查，最常见的原因是低风险人群。国家法律法规只有温和的影响妇产科医生的艾滋病毒检测的做法，做实践类型，位置，和setting.Conclusions：本研究的结果表明，供应商的看法，对患者的风险被感染，以及实践类型和位置是重要的影响因素妇产科医生的决定，筛选非怀孕妇女的HIV。
Background: The purpose of this study was to determine what factors may influence obstetrician-gynecologists' HIV testing practices and to learn more about obstetrician-gynecologists' current HIV screening and testing practices.Methods: Survey questionnaires were sent to 1200 American College of Obstetricians and Gynecologists (the College) Fellows and Junior Fellows in practice between October 2009 and January 2010. Four hundred of the recipients were members of the Collaborative Ambulatory Research Network (CARN), and 800 recipients were randomly selected from the ACOG Fellows and Junior Fellows in practice.Results: The survey response rate was 62.0% (248 of 400) for CARN and 31.1% (249 of 800) for non-CARN. Nearly 100% (99.7%) of the study sample report recommending HIV testing to all pregnant women at least once during each pregnancy, while reported rates for repeat testing in the third trimester remain low (20.1% for all patients and 42.6% for high-risk patients). Two thirds (66.0%) of respondents recommend labor and delivery testing to women with unknown or undocumented HIV status. Fewer than 22.0% of respondents report routinely recommending HIV screening to all non-pregnant women, citing a low-risk population as the most common reason. State laws and regulations have only moderate influence on obstetrician-gynecologists' HIV testing practice, as do practice type, location, and setting.Conclusions: The results of this study suggest that the provider's perception about the patients' risk for being infected as well as practice type and location are important factors influencing an obstetrician-gynecologist's decision to screen a nonpregnant woman for HIV.