Why individuals fail to collect HIV-test results: an exploratory study at a testing and counseling center in Mexico City

Abstract

Objective To identify the characteristics of clients at an HIV clinic in Mexico City who fail to collect their HIV test results and to explore the reasons for non-collection. Methods This was an exploratory, cross-sectional study that used 2016 program data from the HIV Testing and Counseling Center in Mexico City. Clients with a negative HIV-test result in 2016 were classified as collectors or non-collectors, and their sociodemographic and behavioral characteristics were compared by multivariate logistic regression. A telephone survey was conducted with individuals who failed to return for their results. Results In 2016, a total of 729 individuals obtained an HIV negative test result at the Center. Of these, 40% ( n = 299) failed to collect results. In multivariate analysis, having a test requested by a physician, instead of by the individual, was the main variable associated with non-collection. The main reasons reported for not collecting were: unawareness of the collection process (23.6%, n = 21), already knowing the result (22.5%, n = 20), and scheduling difficulties (13.5%, n = 12). In all, 35% of clients were reached by telephone and 50% then returned to collect results. Conclusion Modifications to the result-delivery system are needed to increase results collection. Improving communication with clients on the collection process and with physicians that request HIV testing could be viable strategies. Alternative ways of delivering results and using rapid HIV are other possible solutions, as long as risk reduction counseling and intervention are still effectively offered.

Suboptimal Follow-Up on HIV Test Results among Young Men Who Have Sex with Men: A Community-Based Study in Two U.S. Cities

“…Studies among MSM in other countries found that 5–11% of MSM had failure-to-return for HIV test results [ 19 , 22 ]. Prior literature reveals significant correlates of failure-to-return for HIV test results, including perceived risk of HIV infection, inconsistent condom use, and certain demographic characteristics such as male gender, young age, unemployment, rural residence, and low educational attainment [ 19 , 23 , 24 , 25 , 26 ]. Although these studies provide salient insights into factors associated with failure-to-return for HIV test results, few studies assessed relevant psychosocial determinants and their effects on HIV prevention uptake.…”