Routine HIV Testing in Primary Care Clinics: A Study Evaluating Patient and Provider Acceptance

Valenti, S; Szpunar, Susan; Saravolatz, Louis D.; Johnson, Leonard B.

doi:10.1016/j.jana.2011.06.005

Cited by 7 publications

(6 citation statements)

References 8 publications

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“…Similar to adult and pediatric ED data, in community-based and urban hospital-based adolescent HIV screening, a higher acceptance of HIV testing was observed among black populations. [21,24,31,32] In contrast to other adult and adolescent HIV screening data, there was no gender difference in the acceptance of the test, although as in other adolescent studies, more females were approached for screening than males in our EDs [24,25,30,31,33,34].…”

Section: Discussioncontrasting

confidence: 69%

“…The higher acceptance of HIV screening among urban versus suburban populations observed in our study has been reported in adults from Michigan and South Carolina [33,35]. Given the heightened attention regarding the HIV epidemic in DC in recent years, including a widely publicized HIV testing campaign and ongoing HIV screening in most adult EDs in the area, where the number of HIV tests has tripled during 2007e2011 [26], it is possible that there is more knowledge and less stigma associated with HIV testing in DC.…”

Section: Discussioncontrasting

confidence: 43%

See 1 more Smart Citation

Factors Affecting Acceptance of Routine Human Immunodeficiency Virus Screening by Adolescents in Pediatric Emergency Departments

Rakhmanina

Messenger

Phillips

et al. 2014

Journal of Adolescent Health

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Section: Discussioncontrasting

confidence: 69%

Section: Discussioncontrasting

confidence: 43%

Factors Affecting Acceptance of Routine Human Immunodeficiency Virus Screening by Adolescents in Pediatric Emergency Departments

Rakhmanina

Messenger

Phillips

et al. 2014

Journal of Adolescent Health

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“…The Kaiser Family Foundation (KFF, 2011), 2009 Survey of Americans on HIV/AIDS , showed that younger adults were more likely to undergo testing than older adults. Younger age has been associated with higher test acceptance rates in other studies (Brown et al, 2007; Cunningham et al, 2009; Valenti et al, 2012; Weis et al, 2009), and age has been shown to be negatively associated with HIV testing in at-risk African American women in particular (Akers, Bernstein, Henderson, Doyle, & Corbie-Smith, 2007). …”

Section: Discussionmentioning

confidence: 83%

“…Lack of time has been cited in the literature as a barrier to routine testing (Demarco, Gallagher, Bradley-Springer, Jones, & Visk, 2012; Thornton et al, 2012). In a recent study of routine HIV testing in a primary care clinic that reported a low rate of HIV testing (8.75%), a survey of health care workers who participated in testing revealed that busy days or days when the clinic was short-staffed resulted in fewer tests being offered (Valenti, Szpunar, Saravolatz, & Johnson, 2012). …”

Section: Discussionmentioning

confidence: 99%

Integrating Routine HIV Screening Into a Primary Care Setting in Rural North Carolina

Harmon

Collins-Ogle

Bartlett

et al. 2014

Journal of the Association of Nurses in AIDS Care

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African Americans living in the southern United States are disproportionately affected by HIV infection. Identifying and treating those who are infected is an important strategy for reducing HIV transmission. A model for integrating rapid HIV screening into community health centers was modified and used to guide implementation of a testing program in a primary care setting in a small North Carolina town serving a rural African American population. Anonymous surveys were completed by 138 adults who were offered an HIV test; of the 100 (72%) who accepted an HIV test, 61% were female and 89.9% were African American. Among those African American survey respondents who accepted an offer of testing, 58% were women. The most common reason for declining an HIV test was lack of perceived risk; younger patients were more likely to get tested. Implementation of the testing model posed challenges with time, data collection, and clinic flow.

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“…While users in our study appreciated the offer of the test and were generally not concerned about “being targeted”, it is important to identify potential negative impacts on rates of acceptance of HIV test offers that may result from broader implementation of PITC approaches, and to monitor perceptions amongst other migrant populations whose views may differ. In some settings the offer of the test is generally accepted by migrant and ethnic minorities [ 54 , 62 ] but in others the suitability of the approach to reach ethnic minorities has been questioned. In a community health centre of the Bronx in New York, for example, 65% of the patients that had been offered a test—mostly black and Hispanic—declined the offer [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Provider-Initiated HIV Testing for Migrants in Spain: A Qualitative Study with Health Care Workers and Foreign-Born Sexual Minorities

et al. 2016

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IntroductionProvider-initiated HIV testing (PITC) is increasingly adopted in Europe. The success of the approach at identifying new HIV cases relies on its effectiveness at testing individuals most at risk. However, its suitability to reach populations facing overlapping vulnerabilities is under researched. This qualitative study examined HIV testing experiences and perceptions amongst Latin-American migrant men who have sex with men and transgender females in Spain, as well as health professionals’ experiences offering HIV tests to migrants in Barcelona and Madrid.MethodsWe conducted 32 in-depth interviews and 8 discussion groups with 38 Latin-American migrants and 21 health professionals. We imported verbatim transcripts and detailed field work notes into the qualitative software package Nvivo-10 and applied to all data a coding framework to examine systematically different HIV testing dimensions and modalities. The dimensions analysed were based on the World Health Organization “5 Cs” principles: Consent, Counselling, Connection to treatment, Correctness of results and Confidentiality.ResultsHealth professionals reported that PITC was conceptually acceptable for them, although their perceived inability to adequately communicate HIV+ results and resulting bottle necks in the flow of care were recurrent concerns. Endorsement and adherence to the principles underpinning the rights-based response to HIV varied widely across health settings. The offer of an HIV test during routine consultations was generally appreciated by users as a way of avoiding the embarrassment of asking for it. Several participants deemed compulsory testing as acceptable on public health grounds. In spite of—and sometimes because of—partial endorsement of rights-based approaches, PITC was acceptable in a population with high levels of internalised stigma.ConclusionPITC is a promising approach to reach sexual minority migrants who hold high levels of internalised stigma but explicit extra efforts are needed to safeguard the rights of the most vulnerable.

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Routine HIV Testing in Primary Care Clinics: A Study Evaluating Patient and Provider Acceptance

Cited by 7 publications

References 8 publications

Factors Affecting Acceptance of Routine Human Immunodeficiency Virus Screening by Adolescents in Pediatric Emergency Departments

Factors Affecting Acceptance of Routine Human Immunodeficiency Virus Screening by Adolescents in Pediatric Emergency Departments

Integrating Routine HIV Screening Into a Primary Care Setting in Rural North Carolina

Provider-Initiated HIV Testing for Migrants in Spain: A Qualitative Study with Health Care Workers and Foreign-Born Sexual Minorities

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