BACKGROUND AND OBJECTIVES: To determine the proportion of HIV-infected sexually transmitted disease (STD) clinic patients identified during routine, voluntary HIV counseling and testing and to characterize patients accepting and refusing counseling and testing, we linked data from a blinded HIV seroprevalence survey to data from the HIV counseling and testing program. GOAL OF THIS STUDY: This study characterizes patients accepting and refusing routine HIV counseling and testing in two public STD clinics. STUDY DESIGN: A cross-sectional, blinded HIV seroprevalence survey was conducted of 1,232 STD clinic patients offered HIV counseling and testing. RESULTS: HIV seroprevalence was higher among patients who refused voluntary testing (7.8% versus 3.6%, P = 0.001). Patients who refused testing were more likely to report a prior HIV test (45.6% versus 27.2%; P < 0.001). Among patients reporting a prior HIV test, differences were noted between reported prior results, both positive and negative, and blinded results. CONCLUSIONS: HIV-infected STD patients may not be detected by routine HIV testing, and self-reported HIV results should be confirmed.
BACKGROUND AND OBJECTIVES: To determine the proportion of HIV-infected sexually transmitted disease (STD) clinic patients identified during routine, voluntary HIV counseling and testing and to characterize patients accepting and refusing counseling and testing, we linked data from a blinded HIV seroprevalence survey to data from the HIV counseling and testing program. GOAL OF THIS STUDY: This study characterizes patients accepting and refusing routine HIV counseling and testing in two public STD clinics. STUDY DESIGN: A cross-sectional, blinded HIV seroprevalence survey was conducted of 1,232 STD clinic patients offered HIV counseling and testing. RESULTS: HIV seroprevalence was higher among patients who refused voluntary testing (7.8% versus 3.6%, P = 0.001). Patients who refused testing were more likely to report a prior HIV test (45.6% versus 27.2%; P < 0.001). Among patients reporting a prior HIV test, differences were noted between reported prior results, both positive and negative, and blinded results. CONCLUSIONS:HIV-infected STDpatients may not be detected by routine HIV testing, and self-reported HIV results should be confirmed.
Authors: F Uribe-Salas; M Hernández-Avila; C J Conde-González; L Juárez-Figueroa; B Allen; R Anaya-Ocampo; C Del Río-Chiriboga; P Uribe-Zúñiga; B de Zalduondo Journal: Am J Public Health Date: 1997-06 Impact factor: 9.308
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Authors: H Houweling; S H Heisterkamp; L G Wiessing; R A Coutinho; J K van Wijngaarden; H J Jager Journal: Eur J Epidemiol Date: 1998-10 Impact factor: 8.082
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Authors: Marieke J van der Werf; Olga B Yegorova; Nelly Chentsova; Yuriy Chechulin; Epco Hasker; Vasyl I Petrenko; Jaap Veen; Leonid V Turchenko Journal: Emerg Infect Dis Date: 2006-05 Impact factor: 6.883