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Is self-perceived HIV risk congruent with reported HIV risk among traditionally lower HIV risk and prevalence adult emergency department patients? Implications for HIV testing.
- Source :
-
AIDS patient care and STDs [AIDS Patient Care STDS] 2013 Oct; Vol. 27 (10), pp. 573-84. - Publication Year :
- 2013
-
Abstract
- Because reliance on patients' self-perceived risk for HIV might mislead emergency department (ED) clinicians on the need for HIV testing, we aimed to measure congruency between self-perceived and reported HIV risk in a traditional lower prevalence, lower-risk cohort. A random sample of 18- to 64-year-old patients at a large academic urban ED who were by self-report not men-who-have-sex-with-men (MSM) or injection-drug users (IDUs) were surveyed regarding their self-perceived and reported HIV risk. Sixty-two percent of participants were white non-Hispanic, 13.8% Black, and 21.2% Hispanic; and 66.9% previously had been tested for HIV. Linear regression models were constructed comparing self-perceived to reported HIV risk. Among the 329 female ED patients, 50.5% perceived that they were "not at risk" for HIV, yet only 10.9% reported no HIV risk behaviors, while among the 175 male ED patients, 50.9% perceived that they were "not at risk" for HIV, yet only 12.6% reported no HIV risk behaviors. Only 16.9% of women and 15.7% of men who had no self-perceived risk for HIV also reported no HIV risk behaviors. Multivariable linear regression demonstrated a weak relationship between self-perceived and reported risk. Congruency between self-perceived risk and reported HIV risk was low among these non-MSM, non-IDU ED patients.
- Subjects :
- Adult
Cross-Sectional Studies
Female
HIV Infections epidemiology
HIV Infections psychology
Humans
Logistic Models
Male
Middle Aged
Multivariate Analysis
New England epidemiology
Perception
Prevalence
Risk Factors
Risk-Taking
Self Concept
Surveys and Questionnaires
Urban Population
Young Adult
Emergency Service, Hospital statistics & numerical data
HIV Infections diagnosis
Mass Screening statistics & numerical data
Sexual Behavior psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1557-7449
- Volume :
- 27
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- AIDS patient care and STDs
- Publication Type :
- Academic Journal
- Accession number :
- 24093811
- Full Text :
- https://doi.org/10.1089/apc.2013.0013