{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T05:26:30Z","timestamp":1730870790289,"version":"3.28.0"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>\n                  Objective\u2003This article aims to assess statewide uptake of HIV repeat testing in the first 2 years after the implementation of an amendment to the Illinois Perinatal HIV Prevention Act (IPHPA) mandating universal repeat HIV testing in the third trimester.<\/jats:p><jats:p>\n                  Study Design\u2003This is a retrospective, population-based study of all birthing individuals in Illinois (2018\u20132019). Data were collected using the state-mandated closed system of perinatal HIV test reporting. We evaluated the incidence of mother\u2013infant pairs with negative early tests and repeat third-trimester tests (RTTTs) performed in adherence with the law, as well as the timing of the performance of the RTTTs (outpatient vs. inpatient). Chi-square tests of trend by quarter were performed to ascertain sustainability.<\/jats:p><jats:p>\n                  Results\u2003Of 138,805 individuals delivered in 2018, 80.6% presented with early test and RTTTs. In 2018, outpatient RTTTs improved from 71.8% (quarter 1) to 85.1% (quarter 4; p\u2009&lt;\u20090.001). In 2018, the proportion of mother\u2013infant dyads who received testing that was adherent to the IPHPA Amendment was 92.1, 95.5, 96.7, and 96.4% in quarters 1 through 4, respectively (p\u2009&lt;\u20090.001). In 2019, outpatient RTTTs performance remained high (87.4%) and stable (p\u2009=\u20090.06). In 2019, 99.9% of mother\u2013infant dyads had testing adherent to the mandate in quarters 1 through 4 (p\u2009=\u20090.39). Of individuals who presented without RTTTs, 93.5% (2018) and 98.8% (2019) underwent inpatient testing before delivery.<\/jats:p><jats:p>\n                  Conclusion\u2003Implementation of RTTTs in Illinois was rapid, successful, and sustained in its first 2 years. Public health methodologies from Illinois may benefit other states implementing RTTT programs.<\/jats:p><jats:p>\n                  Key Points\n               <\/jats:p>","DOI":"10.1055\/s-0043-1775974","type":"journal-article","created":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T22:47:49Z","timestamp":1697669269000},"page":"241-247","source":"Crossref","is-referenced-by-count":0,"title":["Statewide Implementation of Universal Third-Trimester Repeat HIV Testing in Illinois"],"prefix":"10.1055","volume":"41","author":[{"given":"Lynn M.","family":"Yee","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois"},{"name":"24\/7 Illinois Perinatal HIV Hotline, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurie D.","family":"Ayala","sequence":"additional","affiliation":[{"name":"24\/7 Illinois Perinatal HIV Hotline, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis M.","family":"Roach","sequence":"additional","affiliation":[{"name":"Mother and Child Alliance (MACA), Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Statton","sequence":"additional","affiliation":[{"name":"Mother and Child Alliance (MACA), Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sukhdeep","family":"Randhawa","sequence":"additional","affiliation":[{"name":"Mother and Child Alliance (MACA), Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia M.","family":"Garcia","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois"},{"name":"24\/7 Illinois Perinatal HIV Hotline, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily S.","family":"Miller","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois"},{"name":"24\/7 Illinois Perinatal HIV Hotline, Chicago, Illinois"},{"name":"Mother and Child Alliance (MACA), Chicago, Illinois"},{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, The Warren Alpert Medical School, Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,10,18]]},"reference":[{"issue":"22","key":"ref3","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1056\/NEJM199611283352201","article-title":"Maternal viral load, zidovudine treatment, and the risk of transmission of human immunodeficiency virus type 1 from mother to infant. 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