{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:56:46Z","timestamp":1777553806245,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["AIDS Patient Care and STDs"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:p>\n                    HIV testing is an effective intervention that is used for reducing perinatal HIV transmission. Centers for Disease Control and Prevention recommends a second HIV test during the third trimester of pregnancy for women in settings with an elevated HIV incidence (\u226517 cases per 100,000 person-years). We conducted a retrospective cohort study at a single hospital in Baltimore, Maryland, to determine whether a second HIV test was done and to compare HIV retesting with mandated syphilis retesting. Of women who delivered at this hospital, 98.8% received prenatal care. Descriptive, bivariate, and multivariable analyses were performed. Among 1632 women, mean age was 27.6 years (standard deviation: 6.3), 59.6% were black, and 55.5% were single. HIV retesting was done in 28.4% of women, which was significantly less often compared with the state-mandated syphilis retesting (78.7%,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001). The odds of having an HIV retest were 15 times higher among women who received prenatal care at a teaching clinic [adjusted odds ratio (aOR): 15.58; 95% confidence interval (CI): 11.12\u201321.81], and they were lower among women with private insurance (aOR: 0.54, 95% CI: 0.34\u20130.86). The odds of having a syphilis retest were twice as high among women who received prenatal care at a faculty practice (aOR: 2.17; 95% CI: 1.53\u20133.09), and they were lower among women with private insurance (aOR: 0.61, 95% CI: 0.43\u20130.88). Emphasizing an \u201copt-out\u201d HIV retesting approach through state laws may minimize risk perception, and this is one strategy that can be considered in areas of high HIV incidence to reach the goal of eliminating perinatal HIV transmission in the United States.\n                  <\/jats:p>","DOI":"10.1089\/apc.2016.0204","type":"journal-article","created":{"date-parts":[[2016,12,12]],"date-time":"2016-12-12T10:24:04Z","timestamp":1481538244000},"page":"20-26","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Missed Opportunities for Repeat HIV Testing in Pregnancy: Implications for Elimination of Mother-to-Child Transmission in the United States"],"prefix":"10.1177","volume":"31","author":[{"given":"Caiyun","family":"Liao","sequence":"first","affiliation":[{"name":"Johns Hopkins University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William Christopher","family":"Golden","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean R.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenell S.","family":"Coleman","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,1,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199411033311801"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2010.09.002"},{"key":"e_1_3_3_4_2","first-page":"585","article-title":"Twenty-five years of HIV\/AIDS\u2014United States, 1981\u20132006","volume":"55","author":"Centers for Disease Control and Prevention","year":"2006","unstructured":"Centers for Disease Control and Prevention. 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Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR. MMWR Recomm Rep, 2006; 55(RR-14):1\u201317; quiz CE11-14.","journal-title":"MMWR Recomm Rep"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-008-9519-5"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2015.1071769"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2005.19.247"},{"key":"e_1_3_3_19_2","first-page":"753","article-title":"Prenatal screening for infectious diseases and opportunities for prevention","volume":"102","author":"Schrag SJ","year":"2003","unstructured":"Schrag SJ, , Arnold KE, , Mohle-Boetani JC, et al. Prenatal screening for infectious diseases and opportunities for prevention. 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