Psychiatric patients' return for HIV/STI test results in mental health centers

Melo, Ana Paula Souto; McKinnon, Karen; Wainberg, Milton L.; César, Cibele Comini; Guimarães, Mark Drew Crosland

doi:10.1590/s0034-89102012005000017

Cited by 4 publications

(4 citation statements)

References 15 publications

(17 reference statements)

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“…Moreover, being employed was associated with a lower probability of having access to HIV/STI testing. Individuals with mental health conditions and physical disabilities are less likely to undergo these types of screening because of their health condition and prioritization of other types of care [ 44 ]. However, high-risk sexual practices have been described in both groups [ 45 , 46 ].…”

Section: Discussionmentioning

confidence: 99%

Access to HIV/STI testing among male and female Venezuelan migrants in Peru: evidence from a nationwide survey

Al-kassab-Córdova,

Mendez-Guerra,

Robles-Valcarcel

et al. 2024

BMC Public Health

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Background Human immunodeficiency virus (HIV) infection and sexually transmitted infections (STIs) are major global public health issues. Migrants represent a vulnerable group that faces multiple barriers to access to healthcare services, including HIV/STI testing. This study aimed to assess the factors associated with access to HIV/STI testing in male and female Venezuelan migrants in Peru. Methods This was a cross-sectional study involving secondary data analysis of the 2022 Venezuelan Population Residing in Peru Survey. The study was conducted in the eight most populated cities inhabited by Venezuelan migrants and refugees. For each city, the sampling design was probabilistic, stratified, and independent. The outcome variable was whether participants had access to HIV or other STI testing during their stay in Peru. Statistical analysis was stratified by sex owing to potential effect modification. Crude and adjusted prevalence ratios were calculated using generalized linear models Poisson family with log link function. Confidence intervals were calculated to 95%. Results A total of 3,723 male and 3,984 female migrants were included. Access to HIV/STI testing among male and female migrants was 19.85% and 25.16%, respectively. Among male migrants, being LGBTI, health insured, and married or cohabiting were associated with increased access to HIV/STI testing. Among females, those aged 18–44 years, those who were married or cohabiting and were health insured, and those residing for more than 1 year in Peru were significantly more likely to have access to HIV/STI testing. Moreover, physical/mental disability and unemployed status were associated with a lower probability of HIV/STI testing in females. Conclusions Only two in ten Venezuelan migrants and refugees in Peru were screened for HIV/STI, with fewer males than females. Sex-specific sociodemographic, health-related, and migration-related variables were independently associated with access to HIV/STI testing.

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Section: Discussionmentioning

confidence: 99%

Access to HIV/STI testing among male and female Venezuelan migrants in Peru: evidence from a nationwide survey

Al-kassab-Córdova,

Mendez-Guerra,

Robles-Valcarcel

et al. 2024

BMC Public Health

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“…Evidence suggestive of this influence includes the observation that patients in the pilot clinic already had a high rate (54.1%) of lifetime HIV testing relative to the rate of lifetime HIV testing among psychiatric patients in Brazil nationwide, which hovers around 27%, and in Rio de Janeiro, which is 19%. 27,28 Participants in the RCT had an even higher rate (62%) of lifetime HIV testing. Based on our experience, we would urge future studies to employ rapid ethnographic formative work to inform intervention development in order to reduce contamination.…”

Section: Discussionmentioning

confidence: 99%

Challenges and opportunities in the science of research to practice: lessons learned from a randomized controlled trial of a sexual risk-reduction intervention for psychiatric patients in a public mental health system

Wainberg

Mann

Norcini-Pala

et al. 2020

Braz. J. Psychiatry

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Objective: Human immunodeficiency virus (HIV) prevention efficacy trials with psychiatric patients have been conducted in research settings in high-resourced countries, establishing short-term efficacy for reducing sexual risk behavior. None has been implemented within systems of care. In the last decade, overcoming this research-to-practice gap has become a focus of implementation science. This paper describes the first and only HIV Prevention intervention trial for psychiatric patients conducted in real-world outpatient psychiatric settings facilitated by trained clinic-based providers. Methods: The HIV Prevention intervention, which uses the Information-Motivation-Behavioral Skills model to achieve sexual risk-reduction, was rigorously adapted to the local context and clinic services' needs. Participants from eight clinics were randomized to HIV Prevention or Health Promotion conditions. Results: HIV Prevention participants showed significant improvement in Information-Motivation-Behavioral domains; in this group, behavioral intentions were associated with significantly fewer unprotected sex occasions, but reduction of unprotected sex occasions was similar in both conditions. Conclusion: Our trial was conducted before implementation studies became widely funded. Transporting an intervention to a new culture or into real-world practice settings may require adaptations. Our results demonstrate that clear guidelines are needed regarding whether to conduct efficacy, effectiveness, and/or implementation research as the most appropriate next step. Clinical trial registration: NCT00881699

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“…Other studies also showed that clients prefer the centers where they can receive their results without delay on the same day [73–75]. However, it is also reported that when the testing center is linked with the treatment, the pretest counselling is done well, and there is distribution of condoms, this set of factors encourages people to return for their results [1, 7, 32, 53]. …”

Section: Discussionmentioning

confidence: 99%

Returning for HIV Test Results: A Systematic Review of Barriers and Facilitators

Ngangue

Bédard

Zomahoun³

et al. 2016

International Scholarly Research Notices

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This systematic review aims to identify factors that facilitate or hinder the return for HIV test results. Four electronic databases were searched. Two independent reviewers selected eligible publications based on inclusion/exclusion criteria. Quantitative studies published since 1985 were included. Thirty-six studies were included in the final review. Individual level barriers included sociodemographic characteristics, such as being a male, of young age and low education level, risk behaviours such as injecting drugs, having multiple sexual partners, and psychosocial factors. Older age, higher education level, being a woman, having high self-esteem, having coping skills, and holding insurance coverage were identified as facilitators. Interpersonal barriers and facilitators were linked to risk behaviours of sexual partners. Contextual barriers included essentially the HIV testing center and its characteristics. This review identified the most important factors that need to be addressed to ensure that people return for their HIV test results.

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Psychiatric patients' return for HIV/STI test results in mental health centers

Cited by 4 publications

References 15 publications

Access to HIV/STI testing among male and female Venezuelan migrants in Peru: evidence from a nationwide survey

Access to HIV/STI testing among male and female Venezuelan migrants in Peru: evidence from a nationwide survey

Challenges and opportunities in the science of research to practice: lessons learned from a randomized controlled trial of a sexual risk-reduction intervention for psychiatric patients in a public mental health system

Returning for HIV Test Results: A Systematic Review of Barriers and Facilitators

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