Why Women Decline Rapid HIV Test at Delivery

Women with an undocumented HIV status at time of labor who declined a rapid HIV test via informed consent were more likely to have had prenatal care than those who consented. This declination may result from a prior offer of HIV testing during routine prenatal care or discussions via informed consent that may have negatively affected the decision to accept a rapid HIV test. Researchers recommend an opt-out approach to testing to minimize these effects as well as comprehensive documentation of any prior HIV test performed during prenatal care.

Citation:
Tan KR, Lampe MA, Danner SP, Kissinger P, Webber MP, Cohen MH, O'Sullivan MJ, Nesheim S, Jamieson DJ. Factors associated with declining a rapid human immunodeficiency virus tests in labor and delivery. Matern Child Health J. 2011 Jan;15(1):115-21.

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Abstract