6 Infectious Diseases in Obstetrics and Gynecology Table 2: Summary of precounseling reasons for choosing not to be tested for HSV-2 on Visit 1. Data are expressed as (%) of participants. Subgroup changing from willing to unwilling (n = 115) Subgroup unwilling to be tested (n = 169) Subgroup never willing (n = 52) Cost of the test Strongly disagree/disagree Agree/strongly agree Fear of results Strongly disagree/disagree Agree/strongly agree Knowing is not important to me Strongly disagree/disagree Agree/strongly agree Concern about what will be done with results Strongly disagree/disagree Agree/strongly agree No knowledge of genital herpes Strongly disagree/disagree Agree/strongly agree No knowledge of how genital herpes will aﬀect my baby Strongly disagree/disagree Agree/strongly agree Not at risk for genital herpes Strongly disagree/disagree Agree/strongly agree No beneﬁt to ﬁnding out results Strongly disagree/disagree Agree/strongly agree Test would take too much time Strongly disagree/disagree Agree/strongly agree Being tested is too personal Strongly disagree/disagree Agree/strongly agree Having to tell my partner the test results Strongly disagree/disagree Agree/strongly agree n = 72 100 0 n = 72 77 23 n = 72 99 1 n = 72 40 60 n = 72 100 0 n = 72 100 0 n = 71 9 91 n = 72 75 25 n = 72 4 53 n = 72 34 66 n = 72 83 17 11 49 51 5 98 2 85 22 n = 126 99 1 n = 126 73 27 n = 126 89 n = 126 n = 126 95 n = 126 n = 125 15 n = 126 78 n = 126 66 34 n = 125 47 53 n = 126 66 24 n = 52 67 33 n = 52 69 31 n = 52 77 23 n = 52 59 41 n = 52 95 10 n = 52 96 4 n = 52 22 78 n = 52 82 18 n = 52 92 8 n = 51 65 35 n = 52 65 35 to ﬁnding out results (22%). The Unwilling Subgroup did not diﬀer from those willing to be tested with respect to sexual history or demographic variables such as age, race, pretax income, or highest level of education. However, those willing to be tested were signiﬁcantly more likely than those unwilling to be tested to be married and to have private/employer-provided health insurance. These reasons for and demographic correlates of being unwilling to be tested do not point to speciﬁc issues or factors that determine the majority of participants’ willingness or unwillingness to be tested for HSV nor do they suggest a particular proﬁle of the individual willing or unwilling to be tested. Rather, the data are consistent with the presence of heterogeneous, patient-speciﬁc determinants of willingness to be tested for HSV among pregnant women. The proportion of the sample that actually provided a blood sample for determination of HSV serostatus (44%) was substantially lower than that initially indicating a willingness to be tested for HSV (82%). With those who initially were willing to be tested but changed to unwilling as with the Unwilling Subgroup as a whole, the most common reasons for being unwilling to be tested included not being at risk for genital herpes (90% of those providing reasons for being unwilling), being tested is too personal (63%), and