high uptake of hiv testing in pregnant women in ontario, canada高吸收的艾滋病毒检测孕妇在安大略省,加拿大.pdfVIP

High Uptake of HIV Testing in Pregnant Women in Ontario, Canada 1 1 1 1 2 Robert S. Remis *, Maraki Fikre Merid , Robert W. H. Palmer , Elaine Whittingham , Susan M. King , 1 1 3 3 Natasha S. Danson , Lee Vernich , Carol Swantee , Carol Major 1 Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada, 2 Division of Infectious Diseases, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada, 3 HIV Laboratory, Public Health Ontario, Etobicoke, Ontario, Canada Abstract In 1999, Ontario implemented a policy to offer HIV counseling and testing to all pregnant women and undertook measures to increase HIV testing. We evaluated the effectiveness of the new policy by examining HIV test uptake, the number of HIV- infected women identified and, in 2002, the HIV rate in women not tested during prenatal care. We analyzed test uptake among women receiving prenatal care from 1999 to 2010. We examined HIV test uptake and HIV rate by year, age and health region. In an anonymous, unlinked study, we determined the HIV rate in pregnant women not tested. Prenatal HIV test uptake in Ontario increased dramatically, from 33% in the first quarter of 1999 to 96% in 2010. Test uptake was highest in younger women but increased in all age groups. All health regions improved and experienced similar test uptake in recent years. The HIV rate among pregnant women tested in 2010 was 0.13/1,000; in Toronto, the rate was 0.28 per 1,000. In the 2002 unlinked study, the HIV rate was 0.62/1,000 among women not tested in pregnancy compared to 0.31/1,000 among tested women. HIV incidenc