Healthcare Provider Attitudes, Practices, and Recommendations for Enhancing Routine HIV Testing and Linkage to Care in the Mississippi Delta Region

Sison, Nathan; Yolken, Annajane; Poceta, Joanna; Mena, Leandro; Chan, Philip A.; Barnes, Allan J.; Smith, Erin; Nunn, Amy

doi:10.1089/apc.2013.0169

Cited by 31 publications

(41 citation statements)

References 27 publications

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“…13,24,[37][38][39] Even if counseling and testing sites are close to a rural resident's home, rural residents may prefer to be tested in a different community to ensure anonymity, which can result in delayed testing. Rural providers have suggested that integrating HIV testing into other health services; rapid oral testing and community health education; outreach; and making HIV testing more convenient, accessible, and free are potential ways to decrease barriers.…”

Section: Discussionmentioning

confidence: 99%

Late HIV Diagnosis: Differences by Rural/Urban Residence, Florida, 2007–2011

Trepka

Fennie

Sheehan

et al. 2014

AIDS Patient Care and STDs

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The purpose of this retrospective cohort study was to identify individual-level demographic and communitylevel socioeconomic and health care resource factors associated with late diagnosis of HIV in rural and urban areas of Florida. Multilevel modeling was conducted with linked 2007-2011 Florida HIV surveillance, American Community Survey, Area Health Resource File, and state counseling and testing data. Late diagnosis (defined as AIDS diagnosis within 3 months of HIV diagnosis) was more common in rural than urban areas (35.8% vs. 27.4%) ( p < 0.0001). This difference persisted after controlling for age, sex, race/ethnicity, HIV transmission mode, country of birth, and diagnosis year (adjusted OR 1.39; 95% CI 1.17-1.66). In rural areas, older age and male sex were associated with late HIV diagnosis; zip code-level socioeconomic and county level health care resource variables were not associated with late diagnosis in rural areas. In urban areas only, Hispanic and non-Hispanic black race/ethnicity, foreign birth, and heterosexual mode of transmission were additionally associated with late HIV diagnosis. These findings suggest that, in rural areas, enhanced efforts are needed to target older individuals and men in screening programs and that studies of psychosocial and structural barriers to HIV testing in rural and urban areas be pursued.

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Section: Discussionmentioning

confidence: 99%

Late HIV Diagnosis: Differences by Rural/Urban Residence, Florida, 2007–2011

Trepka

Fennie

Sheehan

et al. 2014

AIDS Patient Care and STDs

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“…A letter by the HIV Testing Reimbursement Subcommittee of the HIV Health Care Access Working Group (affiliated with the Federal AIDS Policy Partnership) states that “due to the provisions of the [Affordable Care Act], all major payers will be either required to or incentivized to cover HIV Testing.” 17(pl) Furthermore, a recent study suggests providers are much more willing to provide HIV testing services when reimbursement is offered. 18 This again emphasizes how critical it is to understand the barriers that have thus far limited more universal physician-led implementation of routine HIV testing.…”

Section: Hiv Testing Recommendations and Policiesmentioning

confidence: 99%

Physician Barriers to Successful Implementation of US Preventive Services Task Force Routine HIV Testing Recommendations

Zheng

Suneja

Chou

et al. 2014

J Int Assoc Provid AIDS Care

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In 2006, the US Centers for Disease Control and Prevention issued recommendations supporting routine HIV testing in health care settings for all persons aged 13 to 64 years. Despite these recommendations, physicians are not offering HIV testing routinely. We apply a model that has previously identified 3 central, inter-related factors (knowledge-, attitude-, and behavior-related barriers) for why physicians do not follow practice guidelines in order to better understand why physicians are not offering HIV testing routinely. This model frames our review of the existing literature on physician barriers to routine HIV testing. Within the model, knowledge barriers include lack of familiarity or awareness of clinical recommendations, attitude barriers include lack of agreement with guidelines, while behavioral barriers include external barriers related to the guidelines themselves, to patients, or to environmental factors. Our review reveals that many physicians face these barriers with regards to implementing routine HIV testing. Several factors underscore the importance of determining how to best address physician barriers to HIV testing, including: provisions of the Affordable Care Act that are likely to require or incentivize major payers to cover HIV testing, evidence which suggests that a physician’s recommendation to test for HIV is a strong predictor of patient testing behavior, and data which reveals that nearly 20% of HIV-positive individuals may be unaware of their status. In April 2013, the US Preventive Services Task Force released a recommendation supporting routine HIV testing; strategies are needed to help address ongoing physician barriers to testing.

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“…The implementation of this service is dependent on the knowledge and motivation of the health care workers who provide the service (Sison et al 2013). Patients are required to provide verbal consent for testing to occur, with the results forming part of the patient's records in-order to make a correct diagnosis and provide the HIV positive patients with appropriate treatment.…”

Section: Introductionmentioning

confidence: 99%

Nurses perceptions about their behavioural counselling for HIV/AIDS, STIs and TB in eThekwini Municipality clinics KwAZulu-Natal, South Africa

Mntlangula

Khuzwayo

Taylor

2017

Health SA Gesondheid

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Background: HIV and AIDS, sexually transmitted infections (STIs) and tuberculosis (TB) are common co-infections in South Africa, and constitute major public health problems. Nurses have frequent contact with HIV positive and TB co-infected patients, their counselling behaviour being influenced by knowledge about counselling as well as their beliefs, attitudes and perceptions about barriers to counselling.Purpose: The purpose of the survey was to assess the knowledge, attitude and beliefs of nurses about behavioural counselling for HIV and AIDS, STIs and TB (HAST) in three areas of the eThekwini Municipality.Results: This was a quantitative descriptive cross sectional study, with stratified sampling being used to select 87 nurses from 24 PHC facilities who completed self-administered questionnaires. The most significant factors associated with the knowledge, attitude and beliefs of nurses about counselling behaviour were their age and level of education. Nurses were well informed about counselling behaviour (mean scores 4.1/5). However, the potential barriers to implementing effective counselling behaviour included their negative perceptions about counselling in HAST.Conclusion: There is an urgent need for further studies to explore barriers to counselling behaviour and how these can be addressed by the nurses and their managers.

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Healthcare Provider Attitudes, Practices, and Recommendations for Enhancing Routine HIV Testing and Linkage to Care in the Mississippi Delta Region

Cited by 31 publications

References 27 publications

Late HIV Diagnosis: Differences by Rural/Urban Residence, Florida, 2007–2011

Late HIV Diagnosis: Differences by Rural/Urban Residence, Florida, 2007–2011

Physician Barriers to Successful Implementation of US Preventive Services Task Force Routine HIV Testing Recommendations

Nurses perceptions about their behavioural counselling for HIV/AIDS, STIs and TB in eThekwini Municipality clinics KwAZulu-Natal, South Africa

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