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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Rhonda Kropp, RN, MPH1, Elizabeth T. Montgomery, MHS2, David W. Hill, MPH2, Juan D. Ruiz, MD, DrPH3, and Yvonne A. Maldonado, MD2. (1) Department of Infectious Diseases, University of California, Berkeley, 250 Whitmore St. #305, Oakland, CA 94611, 510 658 1049, rkropp@hotmail.com, (2) Pediatric Infectious Diseases, Department of Pediatrics, Stanford University, Cypress Hall e-11, 550 Via Ortega, Stanford, CA 94034-4049, (3) HIV/AIDS Epidemiology Branch, Office of AIDS, California Department of Health Services, 611 North 7th St., Suite A, Sacramento, CA 95814
Objectives: To identify: 1) culturally specific needs of childbearing women in select California counties to guide perinatal HIV prevention interventions. 2) differences in perinatal HIV prevention opportunities for Hispanic versus non-Hispanic women. 3) factors associated with receiving HIV test offer and counseling by Hispanic women in prenatal care (PNC). Methods: 1) Semi-structured survey of a convenience sample of pregnant/recently delivered women (n=1363) 2) Birth certificate data analysis Results: Hispanic women (314/453) were less likely to report initiating PNC in the first trimester than non-Hispanic women (728/905) (69.3% versus 80.4%, p<.0001). The factors strongly associated with timely PNC initiation on multivariate analysis were private/HMO insurance (OR=10.7, p<.001), Medi-Cal insurance (OR=4.32, p<.001), being 25-30 years old (OR=3.0, p=.008), and completion of high school (OR=2.07, p=.01). Hispanic women without insurance coverage, under the age 18, or without a high school education were least likely to report timely PNC start. Hispanic women were less likely to be offered an HIV test in PNC as mandated by California law (69.5% versus 76.6%, p<0.01), although as likely to agree to testing once offered (89.5% versus 90.3%, p=.86). Low rates of HIV test counseling in PNC were reported by Hispanic (201/453, 44.5%) and non-Hispanic women (442/905, 48.8%). The odds of receiving a test offer and counseling were 1.98 and 2.66 times greater for Hispanic women with timely PNC initiation than those without on multivariate analysis (p=.003 and <.001). Conclusion: Hispanic women in California report receiving fewer perinatal HIV prevention opportunities than their non-Hispanic counterparts. Interventions focused on increasing timely PNC initiation may help to improve counseling and testing rates for this population.
Learning Objectives: Following this session, the participant will be able to
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.