       Document 0068
 DOCN  M9640068
 TI    Risk factors for HIV infection overlooked in routine antenatal care.
 DT    9604
 AU    Hawken J; Chard T; Costeloe K; Jeffries DJ; Hudson CN; Department of
       Obstetrics & Gynaecology, Medical College of St; Bartholomew's Hospital,
       London, England.
 SO    J R Soc Med. 1995 Nov;88(11):634-6. Unique Identifier : AIDSLINE
       MED/96138230
 AB    We have ascertained the extent to which risk factors for HIV infection
       may escape detection by standard history-taking procedures in an
       antenatal clinic. This study was based on 1264 women from a multi-ethnic
       population in an inner London health district (City and Hackney). All
       had agreed to undergo attributable HIV testing and a detailed personal
       interview. Thirty-nine per cent (494 of 1264 women) reported risk
       factors contributed personally or by a partner. Most of these risk
       factors had not been earlier disclosed by routine history taking. In
       most cases the risk was residence and risk activity in a World Health
       Organization (WHO) Pattern 2 country. [HIV spread WHO categories:
       Pattern 1--principally homosexual/bisexual males and i.v. drug use
       (areas = North America, Western Europe, Australasia, parts of South
       America) with male to female ratio 10/1; Pattern 2--Heterosexual (areas
       = Sub Saharan Africa, Caribbean and part South America) with male to
       female 1/1.] Thirty-one subjects (2.4%) were aware that their partners
       had participated in bisexual activity. Only six subjects perceived
       themselves at risk through their own or partner's drug injecting
       activity. The frequency of risk factors was substantially greater than
       that ascertained by the routine history. The findings highlight the
       potential risk of heterosexual spread resulting from travel to or
       residence in high prevalence territories. The contribution by male
       partners is significant and is particularly difficult to detect during a
       routine interview. These data support the recommendation that voluntary
       HIV serum testing should be universal rather than a selective offer
       based on risk factors determined at a routine history.
 DE    Female  Human  *HIV Infections/PREVENTION & CONTROL/TRANSMISSION  London
       Mass Screening/*METHODS  Medical History Taking  Pregnancy  *Pregnancy
       Complications, Infectious/PREVENTION & CONTROL  Prenatal Care/*METHODS
       Risk Factors  Support, Non-U.S. Gov't  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

