TITLE:
Rates of receiving the result of an HIV test: data from the US
National Health Interview Survey.
AUTHORS:
Tao G; Kassler WJ; Branson BM; Peterman TA; Cohen RA
AUTHOR AFFILIATION:
National Center for Health Statisics, CDC, Hyattsville, MD,
USA.
SOURCE:
Int Conf AIDS. 1998;12:1064 (abstract no. 60354).
SECONDARY SOURCE ID:
ICA12/98408603
ABSTRACT:
BACKGROUND: HIV testing has several important benefits,
including risk reduction through prevention counseling and
referral of infected persons for medical and psychological
services. These benefits occur only if persons tested receive
their test results. METHODS: To determine the frequency and
predictors of receiving HIV test results (excluding blood
donations), we analyzed 19,127 adults in the 1994 US
National Health Interview Survey, a population-based,
probability sample household survey. We used multinomial
logit model to determine factors independently associated with
the rates of receiving HIV test results. RESULTS: HIV testing
was reported by 24.3% (+/- SE = 0.8%) of persons in the
survey (46 million US adults). Of those tested, 43.0% (+/-
0.9%) had primarily compulsory tests (military, employment,
insurance, immigration, or hospitalization); 26.5% (+/- 0.8)
had primarily self-initiated tests ("just to find out/I am worried
that I am infected"); 9.1% (+/- 0.5%) acted on advice of a
doctor, health department, or sex partner; and 21.4% (+/-
0.8%) were tested for other reasons. Of those tested, 78.6%
(+/- 0.7%) reported receiving their results; 12.0% (+/- 0.6%)
reported not receiving their results; and 9.4% (+/- 0.6%)
reported being told that they would be notified if their test
results were positive. The logit model revealed that persons
were more likely (p < .05) to receive their test results if they
believed they had good knowledge about AIDS, they lived
alone or with non-relatives, their tests were self-initiated, or
their tests were performed at public clinics, community health
centers, or private physician offices rather than at hospitals or
emergency rooms. Compared with those who did not receive
their test results, persons were more likely (p < .05) to report
being told they would be notified only of a positive result if
they believed they had good knowledge about AIDS, or if their
tests were performed at military, immigration, or private
physician settings. The rates of receiving the test results did
not differ by age, gender, race, education level, health status,
or the number of previous HIV tests. CONCLUSIONS: More
than one in ten persons tested for HIV did not receive their
test results. Measures to increase the number of tested persons
who receive their results, such as adding and enhancing
pre-test counseling, or using rapid HIV-screening tests that
provide results at the time of testing, are urgently needed.
MAIN MESH HEADINGS:
AIDS Serodiagnosis/*STANDARDS
HIV Infections/*DIAGNOSIS
Mandatory Testing/*STANDARDS
*Truth Disclosure
ADDITIONAL MESH
HEADINGS:
Adult
Health Care Surveys
Human
HIV Infections/PREVENTION & CONTROL
Knowledge, Attitudes, Practice
Logistic Models
Predictive Value of Tests
Questionnaires
United States
PUBLICATION TYPES:
ABSTRACT
LANGUAGES:
Eng
TITLE:
HIV test anxiety: public health vs. home test kits.
AUTHORS:
Kruzel KE; Frank AP; Branson BM; Boyd DK; Goldbaum GM;
Pryde JA; Wandell MG
AUTHOR AFFILIATION:
Home Access Health Corporation, Hoffman Estate, IL, USA.
SOURCE:
Int Conf AIDS. 1998;12:1062 (abstract no. 60343).
SECONDARY SOURCE ID:
ICA12/98408592
ABSTRACT:
OBJECTIVE: To compare the anxiety experienced by clients
testing for HIV at public health test sites with clients using
home test kits (Home Access HIV-1 Test System). METHODS:
Five health departments conducted a randomized controlled
trial of home HIV collection kits from January 1-December 31,
1997, in three distinct public health settings. After receiving
HIV test results clients from both groups were asked to
participate in a testing experience survey which evaluated the
causes of anxiety experienced during the testing process.
RESULTS: TABULAR DATA, SEE ABSTRACT VOLUME.
CONCLUSIONS: Participation in the Testing Experience
Survey was lower by persons testing in public health settings.
A larger proportion of kit users reported anxiety; most of this
difference was associated with self-collection of blood.
MAIN MESH HEADINGS:
Anxiety/*ETIOLOGY
AIDS Serodiagnosis/*METHODS
AIDS Serodiagnosis/*PSYCHOLOGY
*Public Health Practice
*Reagent Kits, Diagnostic
Self Care/*PSYCHOLOGY
ADDITIONAL MESH
HEADINGS:
Anxiety/DIAGNOSIS
Anxiety/PSYCHOLOGY
AIDS Serodiagnosis/ADVERSE EFFECTS
Blood Specimen Collection/PSYCHOLOGY
Comparative Study
Human
Test Anxiety Scale
PUBLICATION TYPES:
ABSTRACT
CLINICAL TRIAL
MULTICENTER STUDY
RANDOMIZED CONTROLLED TRIAL
LANGUAGES:
Eng
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