Knowledge Item:
CA-Cook County Perinatal Study-04
Changes in HIV Testing Practices as Reported
in a Post-Partum Survey of Women in Cook County (Chicago) Delivery
Rooms in 1997 and 1999 as a Function of Whether the Delivery Hospital
had Developed HIV/AIDS Perinatal ZDV Guidelines and had Developed
a Perinatal HIV/AIDS Task Force
This Knowledge Item shows the
results of post-partum survey conducted with 22,216 women in 64 Cook
County (Chicago), Illinois hospitals in 1997 and 1999. Between the
baseline year (1997) and the follow-up year (1999), the Cook County
Perinatal Task Force was formed by the Cook County/Hektoen Institute
HRSA SPNS project, and trainings and infrastructure development
activities were offered to 67 hospitals which are part of six Maternal
and Child Health Perinatal Networks (of affiliated hospitals).
This Knowledge Item presents the
results of the survey in terms of whether or not the delivery hospital
had developed guidelines for the handling of perinatal HIV/AIDS
issues, and the usage of ZDV (AZT) during pregnancy. Also
simultaneously studied was the issue of whether the hospital had
developed a Perinatal HIV/AIDS Task Force. The relationships between
the development of the guidelines and changes in behavior are complex,
but the relationship to the development of a Task Force is fairly
simple. Having an HIV/AIDS Task Force changed the ways the the women
were treated by an estimated 3%.
Note that all survey responses are
self-reports of the women. The survey is shown in the Data
Source section of this Knowledge Item.
The data for this
Knowledge Item derives from the work of the Hektoen Institute/Cook
County SPNS Cooperative Agreement. The survey study was designed by
Mary Driscoll, R.N., M.P.H., and Deane Taylor, R.N., and the staff of
their project as well as the Cook County Perinatal Task Force and the
Illinois Department of Health. Data were made available for use here
by Mary Driscoll and Deane Taylor, and this Knowledge Item was authored in collaboration with Ms. Driscoll and Ms.
Taylor. Click
here for more information about the Hektoen Institute/Cook County
SPNS Project.
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More Information:
CHAID and CHAID Diagram
Knowledge Item Citation:
Huba, G. J., Melchior, L. A., Panter, A. T., and the HRSA/HAB SPNS Cooperative Agreement Steering Committee (1998-2001). Knowledge Item:
CA-Cook County Perinatal Study-04 from
HRSA/HAB's SPNS Cooperative Agreements on Innovative Models of Care, The Measurement Group Knowledge Base on HIV/AIDS Care, Online at
www.TheMeasurementGroup.com.
Last Updated:
March 25, 2005; data through June 15, 1999; analyses conducted
June 2000.
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