OBJECTIVES: We report on the rates of patient acceptance and their perceptions of routine emergency department (ED) human immunodeficiency virus (HIV) testing in a high-prevalence area. METHODS: We analyzed the race/ethnicity of patients who either accepted or declined a routine HIV test that was offered to all patients in the ED of a large academic center. We also distributed a patient perception survey about ED HIV testing. RESULTS: During the study period, an HIV screening test was offered to 9,826 patients. Of these, 5,232 patients (53%) accepted the test. The acceptance rate of HIV testing was highest among African American patients (55%), followed by 52% for white, 50% for Hispanic, and 42% for Asian patients. A total of 1,519 completed surveys were returned for analysis. The most common reasons for declining a test were that patients did not perceive themselves to be at risk for HIV (49%) or they had recently been tested for HIV (18%). Overall, 84% of patients stated they would recommend to a friend to get an HIV test in the ED. When analyzed by ethnicity, 89% of African American patients stated they would recommend to a friend to get an HIV test if the friend went to the ED, but only 74% of white patients would do so. CONCLUSIONS: The Centers for Disease Control and Prevention's 2006 recommendations on HIV screening are well accepted by the target populations. Further work at explaining the risk of HIV infection to ED patients should be undertaken and may boost the acceptance rate of ED HIV screening.
OBJECTIVES: We report on the rates of patient acceptance and their perceptions of routine emergency department (ED) human immunodeficiency virus (HIV) testing in a high-prevalence area. METHODS: We analyzed the race/ethnicity of patients who either accepted or declined a routine HIV test that was offered to all patients in the ED of a large academic center. We also distributed a patient perception survey about ED HIV testing. RESULTS: During the study period, an HIV screening test was offered to 9,826 patients. Of these, 5,232 patients (53%) accepted the test. The acceptance rate of HIV testing was highest among African American patients (55%), followed by 52% for white, 50% for Hispanic, and 42% for Asian patients. A total of 1,519 completed surveys were returned for analysis. The most common reasons for declining a test were that patients did not perceive themselves to be at risk for HIV (49%) or they had recently been tested for HIV (18%). Overall, 84% of patients stated they would recommend to a friend to get an HIV test in the ED. When analyzed by ethnicity, 89% of African American patients stated they would recommend to a friend to get an HIV test if the friend went to the ED, but only 74% of white patients would do so. CONCLUSIONS: The Centers for Disease Control and Prevention's 2006 recommendations on HIV screening are well accepted by the target populations. Further work at explaining the risk of HIV infection to EDpatients should be undertaken and may boost the acceptance rate of ED HIV screening.
Authors: Richard E Rothman; Kerunne S Ketlogetswe; Teresa Dolan; Peter C Wyer; Gabor D Kelen Journal: Acad Emerg Med Date: 2003-03 Impact factor: 3.451
Authors: Bernard M Branson; H Hunter Handsfield; Margaret A Lampe; Robert S Janssen; Allan W Taylor; Sheryl B Lyss; Jill E Clark Journal: MMWR Recomm Rep Date: 2006-09-22
Authors: Rebecca V Liddicoat; Elena Losina; Minhee Kang; Kenneth A Freedberg; Rochelle P Walensky Journal: AIDS Patient Care STDS Date: 2006-02 Impact factor: 5.078
Authors: Andrea P Sitlinger; Christopher J Lindsell; Andrew H Ruffner; D Beth Wayne; Kimberly W Hart; Alexander T Trott; Carl J Fichtenbaum; Michael S Lyons Journal: Ann Emerg Med Date: 2011-07 Impact factor: 5.721
Authors: Andrew C Voetsch; James D Heffelfinger; Juliet Yonek; Pragna Patel; Steven F Ethridge; Gretchen W Torres; Margaret A Lampe; Bernard M Branson Journal: Public Health Rep Date: 2012 Sep-Oct Impact factor: 2.792
Authors: Naushad M Khakoo; Christopher J Lindsell; Kimberly W Hart; Andrew H Ruffner; D Beth Wayne; Michael S Lyons Journal: J Int Assoc Provid AIDS Care Date: 2014-02-12
Authors: Cassie Wicken; Ama Avornu; Carl A Latkin; Melissa A Davey-Rothwell; Jim Kim; Raza Zaidi; Richard Rothman; Yu-Hsiang Hsieh Journal: J Infect Public Health Date: 2019-08-01 Impact factor: 3.718
Authors: Anuj V Patel; Samuel M Abrams; Charlotte A Gaydos; Mary Jett-Goheen; Carl A Latkin; Richard E Rothman; Yu-Hsiang Hsieh Journal: Sex Transm Infect Date: 2018-06-14 Impact factor: 3.519