Evidence map›Paper›PMID 12642422›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2003

Mandatory reporting of HIV infection and opt-out prenatal screening for HIV infection: effect on testing rates.

Gayatri C Jayaraman, Jutta K Preiksaitis, Bryce Larke

Open access · greenAbstract readComment
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 78 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
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  7. The changing demographics of women living with HIV/AIDS in southern Alberta from 1982 to 2006.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2012
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Testing for HIV infection in pregnancy.Paediatrics & child health · 2008
    Article
  13. Article
  14. Prenatal Screening for HIV in Nova Scotia: Survey of Postpartum Women and Audit of Current Prenatal Screening Practices.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2006
    Article
  15. Article
  16. Opt in or opt out: what is optimal for prenatal screening for HIV infection?CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2003
    Review
  17. Article
  18. Article
  19. Potential factors that may affect acceptance of routine prenatal HIV testing.Canadian journal of public health = Revue canadienne de sante publique
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Gayatri C JayaramanCentre for Infectious Disease Prevention and Control, Health Canada, Ottawa, Ont. gayatri_jayaraman@hc-sc.gc.ca
Jutta K Preiksaitis
Bryce Larke
Health Canada · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMandatory reporting of HIV infection to public health authorities, although now common, may deter people from undergoing testing. We examined HIV testing frequency in Alberta before and after mandatory reporting was implemented. We also examined the effect on testing rates among pregnant women when Alberta adopted an opt-out approach to prenatal HIV screening.

methodsUsing data from the Provincial Laboratory for Public Health, we determined the number of HIV tests done between Jan. 1, 1993, and Dec. 31, 2000, for males and females in Alberta. We used data from the Canadian Blood Services laboratories to obtain the number of tests conducted as part of the opt-out prenatal HIV testing program. Reporting of HIV infection became mandatory on May 1, 1998, and opt-out prenatal HIV testing was introduced on Sept. 1, 1998.

resultsAmong males, the average annual percent increase in the number of HIV tests was 4.0% for the period before mandatory testing, as compared with 4.3% for the period after mandatory reporting was implemented; the difference in yearly trend was significant (p < 0.001). Among females, the average annual percent increase in the number of HIV tests was 9.2% for the period before mandatory reporting. In the month immediately following the adoption of opt-out prenatal HIV testing, the rate increased by 28%. Between 1999 and 2000, the average annual percent increase in the number of HIV tests among females was 1.4%.

interpretationThe introduction of mandatory reporting of HIV infection did not appear to have a deterrent effect on rates of HIV testing. The implementation of an opt-out prenatal HIV testing policy resulted in a dramatic increase in the number of females being tested for HIV infection.

Indexed as

AIDS SerodiagnosisAlbertaDisease NotificationFemaleHealth PolicyHealth Services ResearchHIV InfectionsHumansMaleMass ScreeningPatient Acceptance of Health CarePractice Patterns, Physicians'PregnancyPregnancy Complications, InfectiousPrenatal DiagnosisPublic HealthEmpirical ApproachGenetics and ReproductionHealth Care and Public Health

Identifiers

PMID12642422
PMCPMC154912
OpenAlexW1862680390

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.