Barriers to HIV Testing Among HIV/AIDS Concurrently Diagnosed Persons in New York City

Mills, Caroline W.; Sabharwal, Charulata J.; Udeagu, Chi-Chi N.; Bocour, Angelica; Bodach, Sara; Shepard, Colin W.; Begier, Elizabeth

doi:10.1097/olq.0b013e31820ead73

Cited by 22 publications

(15 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In fact, when HIV-infected patients were asked why they had not been tested earlier for HIV, the most common answer (69%) was that they did not feel that they were at risk for HIV infection. 43 Patients also expressed concerns about the confidentiality, access, and anonymity of HIV testing in a health care setting. Furthermore, a recent survey of patients in a health care setting demonstrated that most were unaware that 20% of people infected with HIV in the United States are unaware of their diagnosis and that the CDC recommends HIV screening without regard to risk, and they assumed that consent for HIV testing would be overwhelming or intimidating.…”

Section: Public Awareness and Perceptionmentioning

confidence: 99%

HIV Screening in the Health Care Setting: Status, Barriers, and Potential Solutions

Rizza

MacGowan

Purcell

et al. 2012

Mayo Clinic Proceedings

View full text Add to dashboard Cite

Thirty years into the human immunodeficiency virus (HIV) epidemic in the United States, an estimated 50,000 persons become infected each year: highest rates are in black and Hispanic populations and in men who have sex with men. Testing for HIV has become more widespread over time, with the highest rates of HIV testing in populations most affected by HIV. However, approximately 55% of adults in the United States have never received an HIV test. Because of the individual and community benefits of treatment for HIV, in 2006 the Centers for Disease Control and Prevention recommended routine screening for HIV infection in clinical settings. The adoption of this recommendation has been gradual owing to a variety of issues: lack of awareness and misconceptions related to HIV screening by physicians and patients, barriers at the facility and legislative levels, costs associated with testing, and conflicting recommendations concerning the value of routine screening. Reducing or eliminating these barriers is needed to increase the implementation of routine screening in clinical settings so that more people with unrecognized infection can be identified, linked to care, and provided treatment to improve their health and prevent new cases of HIV infection in the United States.

show abstract

Section: Public Awareness and Perceptionmentioning

confidence: 99%

HIV Screening in the Health Care Setting: Status, Barriers, and Potential Solutions

Rizza

MacGowan

Purcell

et al. 2012

Mayo Clinic Proceedings

View full text Add to dashboard Cite

show abstract

“…Research has identified a variety of health-care related barriers to testing, including limited access, lack of knowledge of rights and services, actual or expected costs, and perceived clinic-based impediments (Beattie et al, 2012; Deblonde et al, 2010; Flowers, Knussen, Li, & McDaid, 2013; Huang et al, 2012; Mills et al, 2011; Mimiaga et al, 2009; Prestage, Brown, & Keen, 2012; Schwarcz et al, 2011). Demographic circumstances, such as education and income, have also often been linked to HIV testing (Holt et al, 2011; Li et al, 2012; Mimiaga et al, 2009), including in Colombia (Galindo et al, 2011).…”

mentioning

confidence: 99%

HIV Testing Among MSM in Bogotá, Colombia: The Role of Structural and Individual Characteristics

Reisen

Zea²,

Bianchi³

et al. 2014

AIDS Education and Prevention

View full text Add to dashboard Cite

This study used mixed methods to examine characteristics related to HIV testing among men who have sex with men (MSM) in Bogotá, Colombia. A sample of 890 MSM responded to a computerized quantitative survey. Follow-up qualitative data included 20 in-depth interviews with MSM and 12 key informant interviews. Hierarchical logistic set regression indicated that sequential sets of variables reflecting demographic characteristics, insurance coverage, risk appraisal, and social context each added to the explanation of HIV testing. Follow-up logistic regression showed that individuals who were older, had higher income, paid for their own insurance, had had a sexually transmitted infection, knew more people living with HIV, and had greater social support were more likely to have been tested for HIV at least once. Qualitative findings provided details of personal and structural barriers to testing, as well as interrelationships among these factors. Recommendations to increase HIV testing among Colombian MSM are offered.

show abstract

“…15,16 Barriers to HIV testing fall within several well-described categories: individual level concerns including fear of results, internal and external stigma attached to testing, anxiety waiting for results, lack of recognition of risk status, and low HIV knowledge; provider level barriers such as lack of funding, limited awareness of testing guidelines, and discomfort; and system related barriers such as limited availability of rapid testing. [17][18][19][20] Although data regarding black non-U.S.-born individuals and HIV testing is limited, data from Europe indicate that black immigrants (primarily from sub-Saharan Africa) experience many of the same barriers as native born individuals, including fear of positive test results and its related personal and social consequences, lack of preventive health behavior, and denial of HIV risk. HIVrelated stigma, language barriers, and low HIV knowledge are also common.…”

mentioning

confidence: 99%

All Black People Are Not Alike: Differences in HIV Testing Patterns, Knowledge, and Experience of Stigma Between U.S.-Born and Non–U.S.-Born Blacks in Massachusetts

Ojikutu

Nnaji²,

Sithole

et al. 2013

AIDS Patient Care and STDs

View full text Add to dashboard Cite

Non-U.S.-born black individuals comprise a significant proportion of the new diagnoses of HIV in the United States. Concurrent diagnosis (obtaining an AIDS diagnosis in close proximity to an initial diagnosis of HIV) is common in this subpopulation. Although efforts have been undertaken to increase HIV testing among African Americans, little is known about testing patterns among non-U.S.-born black people. A cross-sectional survey was self-administered by 1060 black individuals in Massachusetts (57% non-U.S.-born) to assess self-reported rates of HIV testing, risk factors, and potential barriers to testing, including stigma, knowledge, immigration status, and access to health care. Bivariate analysis comparing responses by birthplace and multivariate logistic regression assessing correlates of recent testing were completed. Non-U.S.-born individuals were less likely to report recent testing than U.S.-born (41.9% versus 55.6%, p < 0.0001). Of those who recently tested, the majority did so for immigration purposes, not because of perceived risk. Stigma was significantly higher and knowledge lower among non-U.S.-born individuals. In multivariate analysis, greater length of time since immigration was a significant predictor of nontesting among non-U.S.-born (adjusted odds ratio [AOR] 0.56, 95% confidence interval [CI] 0.36-0.87). Poor health care access and older age were correlated to nontesting in both U.S.-and non-U.S.-born individuals. Our findings indicate that differences in HIV testing patterns exist by nativity. Efforts addressing unique factors limiting testing in non-U.S.-born black individuals are warranted.

show abstract

Barriers to HIV Testing Among HIV/AIDS Concurrently Diagnosed Persons in New York City

Abstract: A lack of perception of risk was the most common reason for not testing for HIV sooner among these concurrently diagnosed patients. The majority of these patients were accessing medical care, indicating that this population could have benefited from routine HIV testing.

Cited by 22 publications

References 30 publications

HIV Screening in the Health Care Setting: Status, Barriers, and Potential Solutions

HIV Screening in the Health Care Setting: Status, Barriers, and Potential Solutions

HIV Testing Among MSM in Bogotá, Colombia: The Role of Structural and Individual Characteristics

All Black People Are Not Alike: Differences in HIV Testing Patterns, Knowledge, and Experience of Stigma Between U.S.-Born and Non–U.S.-Born Blacks in Massachusetts

Contact Info

Product

Resources

About