Low acceptance of HSV-2 testing among high-risk women

Roth, Alexis M.; Dodge, Brian; Pol, B Van Der; Reece, Michael; Zimet, Gregory D.

doi:10.1258/ijsa.2010.010399

Cited by 6 publications

(7 citation statements)

References 11 publications

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“…19–21 However, patients may not be as accepting of POCTs for other STIs if the test costs too much, as reported in a study evaluating the acceptability of herpes simplex virus type 2 POCTs among at-risk women in Indiana. 22 Although provider satisfaction with POCTs is, most likely, the first step towards the successful introduction of such protocols into clinical practice, 1,14 patient satisfaction with point-of-care testing forms an important part of the assessment of introducing this technology into general practice and may improve the patients’ satisfaction with their overall healthcare and personal disease control. For example, as part of a large multicentre randomised controlled trial assessing the use of POCTs in Australian general practice, satisfaction was measured for patients having pathology testing performed by POCT devices or pathology laboratories.…”

Section: Discussionmentioning

confidence: 99%

Point-of-care tests for sexually transmissible infections: what do ‘end users' want?

Rompalo

Hsieh²,

Hogan

et al. 2013

Sex. Health

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Background Clinicians and developers identify sensitivity as an important quality in a point-of-care test (POCT) for sexually transmissible infections (STIs). Little information exists regarding what patients want for STI POCTs. Methods A qualitative study, encompassing five focus groups among attendees of STI and adolescent health centres in Baltimore, Maryland, and Cincinnati, Ohio, were conducted between March 2008 and April 2009. Discussion topics included advantages and disadvantages of having a POCT, perceived barriers to using POCTs in the clinic setting and at home, priorities for the development of new POCTs for STIs, and envisioned characteristics of an ideal POCT. All discussions were recorded and transcribed. A qualitative content analysis was performed to examine frequencies or patterns of recurring codes, which were regrouped and indexed to identify salient themes. Results Patients attending STI and adolescent outpatient clinics are in favour of diagnostic tests that are rapid, easy to read and simple to use. Home testing options for POCTs were acceptable and provided better confidentiality, privacy and convenience, but clinic-based POCTs were also acceptable because they offer definitive results and ensure immediate treatment. Barriers to home POCTs centred on cost and the ability to read and perform the test correctly at home. Opinions did not differ by patient ethnicity, except that Hispanic participants questioned the reliability of home test results, wanted high sensitivity and desired bilingual instructions. Conclusions Patients attending STI and adolescent medical centres are in favour of STI POCTs if they are affordable, rapid, easy to read and simple to use.

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Section: Discussionmentioning

confidence: 99%

Point-of-care tests for sexually transmissible infections: what do ‘end users' want?

Rompalo

Hsieh²,

Hogan

et al. 2013

Sex. Health

View full text Add to dashboard Cite

show abstract

“…Utilizing serological testing to detect HSV infections has been controversial among STI practitioners and willingness to pay appears to drive uptake by patients, with acceptance being high when the test was offered free, but low among high-risk women who were charged US$10 [96,97]. …”

Section: Evaluation Of Hsv Tests Currently Availablementioning

confidence: 99%

Point of care diagnostics for sexually transmitted infections: perspectives and advances

Gaydos

Hardick

2014

Expert Review of Anti-infective Therapy

120

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Accurate and inexpensive point-of-care (POC) tests are urgently needed to control sexually transmitted infection (STI) epidemics, so that patients can receive immediate diagnoses and treatment. Current POC assays for Chlamydia trachomatis and Neisseria gonorrhoeae perform inadequately and require better assays. Diagnostics for Trichomonas vaginalis rely on wet preparation, with some notable advances. Serological POC assays for syphilis can impact resource-poor settings, with many assays available, but only one available in the U.S. HIV POC diagnostics demonstrate the best performance, with excellent assays available. There is a rapid assay for HSV lesion detection; but no POC serological assays are available. Despite the inadequacy of POC assays for treatable bacterial infections, application of technological advances offers the promise of advancing POC diagnostics for all STIs.

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“…20, 21 Women at high-risk for HSV underestimate their risk. 12 Additional research is needed to examine the relationship between perceived and actual HSV prevalence.…”

Section: Discussionmentioning

confidence: 99%

“…11 Finally, in an investigation of women who were at high-risk for HSV (yet did not perceive themselves to be at high-risk) it was reported that their knowledge of HSV was high, yet the specific items assessing HSV knowledge were not reported. 12 …”

Section: Introductionmentioning

confidence: 99%

Genital Herpes Beliefs: Implications for Sexual Health

Royer

Falk

Heidrich

2013

Journal of Pediatric and Adolescent Gynecology

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Study objective Genital herpes (HSV) is exceedingly common in the United States and women are disproportionally affected. This study aims to describe young women’s beliefs about HSV and examine the correlates of those beliefs. Design A 40 item Herpes Representation measure (HSV- RoSTD) and a demographic questionnaire were administered to a convenience sample of young women. Data analysis included descriptive statistics, t-tests and Pearson’s correlations. Setting Four women’s health clinics and one large state university. Participants 302 women aged 18–24. Interventions None. Main outcome measures Four dimensions of HSV representations (cause, identity, future perspective and psychosocial consequences), age and STD testing history. Results Nearly all (98%) believed that HSV would result in genital sores and 68% believed they could tell if their sexual partner had HSV. Most (89%) understood the longevity of HSV, however 30% believed that they could take a pill to get rid of the infection, and 15% indicated that it was likely they would die from HSV. Negative beliefs about the psychosocial impact of HSV were common as 95% indicated they would be depressed and 90% indicated concern about sex and partner notification. Those who were younger and those who had never been tested for STDs believed a genital herpes infection is highly symptomatic. Finally, negative beliefs about the psychosocial consequences of HSV were associated with beliefs about HSV being symptomatic, having a negative impact on future health, and being associated with sexual risk behaviors. Conclusions Young women have misconceptions about HSV, particularly regarding the symptomatology and the role of HSV medication. Noteworthy concerns about the negative psychosocial consequences of an HSV diagnosis were also raised, all of which have implications for young women’s sexual health.

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Low acceptance of HSV-2 testing among high-risk women

Cited by 6 publications

References 11 publications

Point-of-care tests for sexually transmissible infections: what do ‘end users' want?

Point-of-care tests for sexually transmissible infections: what do ‘end users' want?

Point of care diagnostics for sexually transmitted infections: perspectives and advances

Genital Herpes Beliefs: Implications for Sexual Health

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