ArticleBMJ (Clinical research ed.)1998
Factors affecting uptake of antenatal HIV testing in London: results of a multicentre study.
Article in BMJ (Clinical research ed.), 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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.
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.
Who cites it
11 citing papers in PubMed, 60 citations in OpenAlex.
- Uptake of workplace HIV counselling and testing: a cluster-randomised trial in Zimbabwe.PLoS medicine · 2006Trial
- Acceptability of perinatal rapid point-of-care HIV testing in an area of low HIV prevalence in the UK.Archives of disease in childhood · 2007Article
- Advances in the prevention and treatment of paediatric HIV infection in the United Kingdom.Sexually transmitted infections · 2003Review
- Advances in the prevention and treatment of paediatric HIV infection in the United Kingdom.Archives of disease in childhood · 2002Article
- Screening for Down's syndrome: effects, safety, and cost effectiveness of first and second trimester strategies.BMJ (Clinical research ed.) · 2001Article
- The ethics of anonymized HIV testing of pregnant women: a reappraisal.Journal of medical ethics · 2000Review
- Reducing vertical transmission of HIV in the UK.BMJ (Clinical research ed.) · 1999Article
- Acceptability of voluntary HIV testing by pregnant women in developing countries: an international survey. Ghent International Working Group on Mother-to-Child Transmission of HIV.AIDS (London, England) · 1998Article
- Reducing the vertical transmission of HIV. Women should be tested at time of abortion.BMJ (Clinical research ed.) · 1998Article
- How to assess an article on economic evaluation.Sexually transmitted infections · 1998Review
- Screening for Chlamydia trachomatis. The case for screening is made, but much detail remains to be worked out.BMJ (Clinical research ed.) · 1998Article
Corrections and comments
- Commented on by
- Commented on by
- Commented on by
Authors and funding
6 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo measure the uptake of antenatal HIV testing and determine its relation to risk of HIV and to screening practices.
designMulticentre prospective questionnaire study. SUBJECTS: Pregnant women attending six maternity units.
settingInner London, 1995-6.
main outcome measuresUptake of testing by risk factors for HIV, ethnicity, and factors about the antenatal interview.
resultsAll units had a "universal offer" policy for HIV testing. In five units forms were completed for 18,791 (88%) of 21,247 pregnant women. The sixth unit, where the response rate was too low to assess uptake, was excluded from the analysis. Uptake ranged from 3.4% to 51.2% (overall 22.9%), in parallel with detection of previously undiagnosed infection in pregnant women (4.9-60%). Controlling for unit, uptake was higher among the 7% who disclosed risk factors. Among those at low risk, uptake varied by ethnic group (South Asian women 9%; Latin American and Mediterranean women 33%). The relation between uptake and HIV risk category varied greatly across units. Despite increased HIV seroprevalence in black African women, uptake was similar in this group to that among women at low risk (24%). Uptake increased 2.1-fold if HIV transmission was discussed. Midwives reported spending 7 (2-15) minutes discussing HIV issues.
conclusionsUptake of HIV testing was unacceptably low in all units, with maternity unit the strongest predictor. New approaches to antenatal HIV testing are urgently required and uptake should be audited routinely.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.