Prevalence of HIV in a largely indigent obstetric population of Tarrant County, Texas.

D. L. Berry, S. J. LoCoco, D. S. Branch, R. A. Kinch

Research output: Contribution to journalArticle

Abstract

To establish the seroprevalence of the human immunodeficiency virus (HIV) in our county hospital obstetric patients, and to assess the predictive value of screening questionnaires for high-risk behaviors attributing to HIV infection, we conducted written surveys and blinded HIV testing over a 4-month period ending February 1993. Blinded HIV antibody testing was performed on 1348 patients upon admission to labor and delivery. The coded blood samples were matched to similarly coded surveys of patient demographics and behaviors implicated in HIV transmission. The overall HIV prevalence in our regional population remains virtually unchanged at a rate of 0.22% (2.2 per 1000 patients). Questionnaires regarding health history were not predictive for HIV infection in our patients. Universal screening questionnaires cannot predict HIV infection. Similarly, routine mandatory testing for HIV performed on obstetric patients on the day of delivery are not cost-effective and do not provide clinically meaningful information needed to alter management protocols.

Original languageEnglish (US)
Pages (from-to)72-75
Number of pages4
JournalTexas medicine
Volume92
Issue number3
StatePublished - Mar 1996
Externally publishedYes

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Poverty
Obstetrics
HIV
Population
Virus Diseases
Mandatory Testing
County Hospitals
Patient Admission
Seroepidemiologic Studies
Risk-Taking
Demography
Costs and Cost Analysis
Surveys and Questionnaires
Antibodies
Health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Prevalence of HIV in a largely indigent obstetric population of Tarrant County, Texas. / Berry, D. L.; LoCoco, S. J.; Branch, D. S.; Kinch, R. A.

In: Texas medicine, Vol. 92, No. 3, 03.1996, p. 72-75.

Research output: Contribution to journalArticle

Berry, D. L. ; LoCoco, S. J. ; Branch, D. S. ; Kinch, R. A. / Prevalence of HIV in a largely indigent obstetric population of Tarrant County, Texas. In: Texas medicine. 1996 ; Vol. 92, No. 3. pp. 72-75.
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