Reliability, sensitivity and specificity of self-report of HIV test results

Fisher, Dennis G.; Reynolds, Grace L.; Jaffe, Adi; Johnson, Mark

doi:10.1080/09540120601087004

Cited by 45 publications

(35 citation statements)

References 22 publications

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“…IDU's self-reports have demonstrated acceptable reliability and validity across a range of issues [5], including HIV status [6,7]. Nevertheless, inappropriate reliance on self-report data with respect to HBV infection and/or vaccination history has the potential to adversely impact both public health and the welfare of individual IDU, along with their sexual and injecting partners.…”

Section: Introductionmentioning

confidence: 97%

Poor criterion validity of self‐reported hepatitis B infection and vaccination status among injecting drug users: A review

Topp

Day

Dore

et al. 2009

Drug and Alcohol Review

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Self-reported histories should not be used in lieu of serological testing when assessing infection history or immunisation status. Poor criterion validity also indicates that self-reports of HBV infection status should not be used to estimate the prevalence and incidence of this infection. Due to their low sensitivity, self-reports of HBV infection should at best be considered only as a lower bound prevalence estimate.

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Section: Introductionmentioning

confidence: 97%

Poor criterion validity of self‐reported hepatitis B infection and vaccination status among injecting drug users: A review

Topp

Day

Dore

et al. 2009

Drug and Alcohol Review

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“…Although A-CASI methodology has been associated with more candid responding than face-to-face interviews (Tourangeau, Rasinski, Jobe, Smith, & Pratt, 1997;Tourangeau & Smith, 1996), self-reported serostatus can underestimate the true prevalence of HIV (e.g., Fisher, Reynolds, Jaffe, & Johnson, 2007). This underestimation is thought to be smaller in populations of gay men than of drug users, however, due to the high proportion of MSM who get tested regularly (Xia et al, 2006).…”

Section: Methodsmentioning

confidence: 99%

Male Circumcision and HIV Status Among Latino Immigrant MSM in New York City

Reisen

Zea

Poppen

et al. 2007

Journal of LGBT Health Research

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This study investigated protective effects of circumcision in a sample of immigrant Latino men who have sex with men (MSM). A survey in Portuguese, Spanish, or English was administered with computer-assisted self-interview technology with audio enhancement (A-CASI) to 482 MSM from Brazil (n = 146), Colombia (n = 169), and the Dominican Republic (n = 167), living in the New York metropolitan area. Logistic regression revealed that after controlling for age, income, education, having had syphilis, having done sex work, and preferring the receptive role in anal intercourse, uncircumcised men were almost twice as likely to be HIV-positive as circumcised men. Follow-up analyses revealed, however, that the protective effects occurred only among the group of Colombian men. Keywords HIV; circumcision; MSM; LatinoResearch conducted in areas of Africa with generalized HIV epidemics has provided strong evidence for a protective effect of male circumcision relative to heterosexual HIV infection and has raised the possibility of public health initiatives to promote male circumcision (Williams et al., 2006). Although the extent to which results would be similar in other contexts is not yet clear, the research has potential relevance for other populations in which the epidemic is concentrated (National Institute of Allergy and Infectious Diseases [NIAID], 2006). This study examines circumcision in a population with a high prevalence of HIV in the United States-Latino men who have sex with men (MSM).A link between male circumcision and HIV protection was first supported by observational studies showing lower HIV prevalence in areas of Africa where circumcision was practiced. A meta-analysis of 27 studies found reduced risk of HIV among circumcised men, with even greater effects for men at high risk (Weiss, Quigley, & Hayes, 2000). Marked differences in the magnitude of the effect in different studies, however, suggested that other factors, such as prevalence of ulcerative sexually transmitted infections (STIs), may moderate the degree of risk reduction afforded by circumcision.Three recent randomized control trials conducted in areas of Africa with generalized HIV epidemics have provided stronger evidence that men who are circumcised are less likely to become infected with HIV from their female partners (Auvert et al., 2005;Bailey et al., 2007;Gray et al., 2007). All three studies were terminated early due to the clarity of findings Address correspondence to: Carol A. Reisen, PhD, Department of Psychology, George Washington University, 2125 G Street NW, Washington, DC 20052 (E-mail: creisen@gwu.edu (Auvert et al., 2005;Bailey et al., 2007;Gray et al., 2007). The first study, conducted in Orange Farm Township, South Africa, found a 60% protection from circumcision. Additional analyses that controlled for behavioral factors, such as sexual activity and condom use, resulted in a similar, but slightly higher, estimate (61%). Furthermore, in a study in Rakai, Uganda (Gray et al., 2007), HIV infection was reduced 51% in the...

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“…Studies in HIV-positive patient populations have examined concordance between self-report and medical record data on HIV test results, 23 health care utilization, 24 and stimulant drug use. 25 In a sample of 628 HIV-positive persons in New York City, Patel and colleagues 26 found consistency between the medical concerns expressed and the actual health care situation and health status of these individuals.…”

Section: Awareness Of Non-hiv-related Medical Comorbidities In Hiv-pomentioning

confidence: 99%

Prevalence and Patient Awareness of Medical Comorbidities in an Urban AIDS Clinic

Weiss

Osorio

Ryan

et al. 2010

AIDS Patient Care and STDs

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Mortality in HIV-positive persons is increasingly due to non-HIV-related medical comorbidities. There are limited data on the prevalence and patient awareness of these comorbid conditions. Two hundred subjects at an urban HIV clinic were interviewed in 2005 to assess their awareness of 15 non-HIV-related medical comorbidities, defined as medical problems that are neither AIDS-defining by standard definitions, nor a direct effect of immune deficiency. Medical charts were subsequently reviewed to establish prevalence and concordance between selfreport and chart documentation. Eighty-four percent of subjects self-reported at least 1 of 15 medical comorbidities and 92% had at least 1 condition chart-documented. The top 5 chart-documented conditions were hepatitis C (51.5%), pulmonary disease (28.5%), high blood pressure (27%), high cholesterol (24.5%), and obesity (22.5%). In multivariate analysis, higher number of non-HIV-related medical comorbidities was associated with older age, female gender, and intravenous drug use as route of HIV transmission. Across self-reported non-HIV-related medical comorbidities, the absolute concordance rate ranged from 67% to 96%, the sensitivity ranged from 0% to 79%; the positive predictive value ranged from 0% to 100%. While the vast majority of largely urban minority HIVpositive subjects were diagnosed with non-HIV-related medical comorbidities, there is significant room for improvement in patient awareness. In order to help patients optimally access and adhere to medication and medical care for these non-HIV-related medical comorbidities, interventions and educational campaigns to improve patient awareness that take cultural background, literacy, and educational level into account should be developed, implemented, and evaluated.

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Reliability, sensitivity and specificity of self-report of HIV test results

Cited by 45 publications

References 22 publications

Poor criterion validity of self‐reported hepatitis B infection and vaccination status among injecting drug users: A review

Poor criterion validity of self‐reported hepatitis B infection and vaccination status among injecting drug users: A review

Male Circumcision and HIV Status Among Latino Immigrant MSM in New York City

Prevalence and Patient Awareness of Medical Comorbidities in an Urban AIDS Clinic

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