دورية أكاديمية

Factors Associated with Refusal of Rapid HIV Testing in an Emergency Department.

التفاصيل البيبلوغرافية
العنوان: Factors Associated with Refusal of Rapid HIV Testing in an Emergency Department.
المؤلفون: Pisculli, Mary L., Reichmann, William M., Losina, Elena, Donnell-Fink, Laurel A., Arbelaez, Christian, Katz, Jeffrey N., Walensky, Rochelle P.
المصدر: AIDS & Behavior; May2011, Vol. 15 Issue 4, p734-742, 9p, 3 Charts
مصطلحات موضوعية: DIAGNOSIS of HIV infections, COMPUTER software, CONFIDENCE intervals, HOSPITAL emergency services, MEDICAL screening, MULTIVARIATE analysis, PARTICIPATION, POISSON distribution, RESEARCH funding, RISK-taking behavior, SERODIAGNOSIS, STATISTICS, DATA analysis, RELATIVE medical risk, HEALTH literacy
مصطلحات جغرافية: MASSACHUSETTS
مستخلص: HIV screening studies in the emergency department (ED) have demonstrated rates of HIV test refusal ranging from 40-67%. This study aimed to determine the factors associated with refusal to undergo routine rapid HIV testing in an academic ED in Boston. HIV counselors offered routine testing to 1,959 patients; almost one-third of patients (29%) refused. Data from a self-administered survey were used to determine independent correlates of HIV testing refusal. In multivariate analysis, women and patients with annual household incomes of $50,000 or more were more likely to refuse testing, as were those who reported not engaging in HIV risk behaviors, those previously HIV tested and those who did not perceive a need for testing. Enrollment during morning hours was also associated with an increased risk of refusal. Increased educational efforts to convey the rationale and benefits of universal screening may improve testing uptake among these groups. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:10907165
DOI:10.1007/s10461-010-9837-2