HIV Test Offers and Acceptance

Leung, Shu-Yin John; Sinclair, Amber H.; Battles, Haven; Swain, Carol-Ann; French, P Tyler; Anderson, Bridget J.; Sowizral, Mycroft J.; Ruberto, Rachael; Brissette, Ian; Lillquist, Patricia P.; Smith, Lou

doi:10.1097/qai.0000000000000421

Cited by 4 publications

(7 citation statements)

References 38 publications

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“…Specific demographic groups had disparate HIV screening rates in the past year in our deaf sample, with increased rates of recent HIV screening found among younger adults (18-34), nonCaucasian adults, and persons who identified as LGBQ. These results from our study were like other studies that identified MSM, Black, and younger adults as more likely to have received screening [9-12]. This suggests that hearing status or language use did not change the pattern of other sociodemographic factors contributing to HIV screening uptake likelihood.…”

Section: Discussionsupporting

confidence: 87%

“…Prior research has explored demographic characteristics associated with HIV screening uptake [9-13], as well as the potential of using the internet and social networking sites as outreach avenues to increase HIV screening, particularly among high risk groups [16,19,22,33,34]. Our study expands such research to US-based deaf adults who use ASL, estimates the prevalence of HIV screening uptake in this medically underserved group, and investigates the role of social media as a predictor of HIV screening uptake among deaf adults.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the USPSTF recommendation, many physicians screen based on risk stratification or by patient request [6-8]. Factors found to increase the likelihood that a person receives an HIV test include: being MSM [9,10], a young adult [11], black [10,12], having recent STD testing or an STD diagnosis [13], and having access to HIV screening [13]. Gender has been found to indicate both higher and lower likelihood of receiving HIV screening [9-11,13].…”

Section: Introductionmentioning

confidence: 99%

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Social Media Use and HIV Screening Uptake Among Deaf Adults in the United States: Cross-Sectional Survey Study

Argenyi¹,

Kushalnagar²

2019

JMIR Public Health Surveill

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Background About 46% of US adults obtain recommended HIV screening at least once during their lifetime. There is little knowledge of screening rates among deaf and hard-of-hearing adults who primarily use American Sign Language (ASL), or of social media as a potentially efficacious route for HIV prevention outreach, despite lower HIV/AIDS-specific health literacy and potentially higher HIV seropositivity rates than hearing peers. Objective We investigated both the likelihood of HIV screening uptake among deaf adults in the past year and over one year ago, and the relationship between social media use and HIV screening uptake among deaf adult ASL users. Methods The Health Information National Trends Survey in ASL was administered to 1340 deaf US adults between 2015-2018. Modified Poisson with robust standard errors was used to assess the relationship between social media usage as a predictor and HIV screening as an outcome (screened more than one year ago, screened within the past year, and never been screened), after adjusting for sociodemographics and sexually transmitted disease (STD) covariates. Results The estimated lifetime prevalence of HIV screening uptake among our sample was 54% (719/1340), with 32% (429/1340) in the past year. Being of younger age, male gender, black, lesbian, gay, bisexual, or queer, or having some college education or a prior STD were associated with HIV screening uptake. Adjusting for correlates, social media use was significantly associated with HIV screening in the past year, compared to either lifetime or never. Conclusions Screening falls well short of universal screening targets, with gaps among heterosexual, female, Caucasian, or older deaf adults. HIV screening outreach may not be effective because of technological or linguistic inaccessibility, rendering ASL users an underrecognized minority group. However, social media is still a powerful tool, particularly among younger deaf adults at risk for HIV.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Social Media Use and HIV Screening Uptake Among Deaf Adults in the United States: Cross-Sectional Survey Study

Argenyi¹,

Kushalnagar²

2019

JMIR Public Health Surveill

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“…Data regarding the implementation of the New York testing law suggest that the frequency of HIV testing is improving [ 15–19 ]. Survey data from 2011 to 2012 showed that only 25% of New York residents aged 18–64 years who had sought medical care in the past year were offered an HIV test at that visit, with 60% of those accepting the offer [ 17 ]. By the end of our study, we found substantial increases in HIV testing.…”

Section: Discussionmentioning

confidence: 99%

Missed Opportunities for HIV Testing of Patients Tested for Sexually Transmitted Infections at a Large Urban Health Care System From 2010 to 2015

Kapadia

Singh

Jones

et al. 2018

Open Forum Infectious Diseases

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BackgroundAppropriate testing of people at risk for HIV is an important piece of the HIV care continuum. We analyzed HIV testing patterns of patients tested for gonorrhea and chlamydia (GC/CT) at a large urban health care system in New York City.MethodsWe retrospectively studied HIV and GC/CT testing from 2010 to 2015. Data were collected from a clinical laboratory database and linked to electronic health records. Patients were older than age 13 years, not known to be HIV positive, and had had a GC/CT test. The main outcome was the proportion of patients who had both HIV and GC/CT testing performed at the same encounter.ResultsWe analyzed 85 768 patients with 139 404 GC/CT testing encounters. Most of the testing encounters (88% for men and 94% for women) were in the outpatient setting. Same-day HIV testing improved from 59% in 2010 to 70% in 2015 for male patients, and from 41% to 51% for female patients. In multivariate regression, male sex was associated with receipt of an HIV test (odds ratio [OR], 2.49; P < .001). Emergency department (OR, 0.22; P < .0001) and inpatient (OR, 0.10; P < .0001) locations were negatively associated with receipt of HIV testing. Among patients with HIV and GC/CT testing at the same encounter, 37 were HIV positive.ConclusionsConcurrent HIV testing of patients being evaluated for GC/CT increased from 2010 to 2015. However, many patients failed to receive HIV testing, especially in emergency and inpatient settings. There continue to be missed opportunities for diagnosis of HIV among individuals with ongoing high-risk behavior.

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“…Despite the USPSTF recommendation, many physicians screen based on risk stratification or by patient request [6][7][8]. Factors found to increase the likelihood that a person receives an HIV test include: being MSM [9,10], a young adult [11], black [10,12], having recent STD testing or an STD diagnosis [13], and having access to HIV screening [13]. Gender has been found to indicate both higher and lower likelihood of receiving HIV screening [9][10][11]13].…”

Section: Introductionmentioning

confidence: 99%

Social Media Use and HIV Screening Uptake Among Deaf Adults in the United States: Cross-Sectional Survey Study (Preprint)

Argenyi¹,

Kushalnagar²

2019

Preprint

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BACKGROUND About 46% of US adults obtain recommended HIV screening at least once during their lifetime. There is little knowledge of screening rates among deaf and hard-of-hearing adults who primarily use American Sign Language (ASL), or of social media as a potentially efficacious route for HIV prevention outreach, despite lower HIV/AIDS-specific health literacy and potentially higher HIV seropositivity rates than hearing peers. OBJECTIVE We investigated both the likelihood of HIV screening uptake among deaf adults in the past year and over one year ago, and the relationship between social media use and HIV screening uptake among deaf adult ASL users. METHODS The Health Information National Trends Survey in ASL was administered to 1340 deaf US adults between 2015-2018. Modified Poisson with robust standard errors was used to assess the relationship between social media usage as a predictor and HIV screening as an outcome (screened more than one year ago, screened within the past year, and never been screened), after adjusting for sociodemographics and sexually transmitted disease (STD) covariates. RESULTS The estimated lifetime prevalence of HIV screening uptake among our sample was 54% (719/1340), with 32% (429/1340) in the past year. Being of younger age, male gender, black, lesbian, gay, bisexual, or queer, or having some college education or a prior STD were associated with HIV screening uptake. Adjusting for correlates, social media use was significantly associated with HIV screening in the past year, compared to either lifetime or never. CONCLUSIONS Screening falls well short of universal screening targets, with gaps among heterosexual, female, Caucasian, or older deaf adults. HIV screening outreach may not be effective because of technological or linguistic inaccessibility, rendering ASL users an underrecognized minority group. However, social media is still a powerful tool, particularly among younger deaf adults at risk for HIV.

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HIV Test Offers and Acceptance

Abstract: We found evidence of partial and increasing implementation of the HIV testing law. Importantly, these studies demonstrated New Yorkers' willingness to accept an offered HIV test as part of routine care in health care settings.

Cited by 4 publications

References 38 publications

Social Media Use and HIV Screening Uptake Among Deaf Adults in the United States: Cross-Sectional Survey Study

Social Media Use and HIV Screening Uptake Among Deaf Adults in the United States: Cross-Sectional Survey Study

Missed Opportunities for HIV Testing of Patients Tested for Sexually Transmitted Infections at a Large Urban Health Care System From 2010 to 2015

Social Media Use and HIV Screening Uptake Among Deaf Adults in the United States: Cross-Sectional Survey Study (Preprint)

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