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Barriers to HIV Testing: Patient and Provider Perspectives in the Deep South.
- Source :
-
AIDS and behavior [AIDS Behav] 2019 Apr; Vol. 23 (4), pp. 1062-1072. - Publication Year :
- 2019
-
Abstract
- Although CDC guidelines call for universal, "opt-out" HIV testing, barriers to testing continue to exist throughout the United States, with the rural South particularly vulnerable to both HIV infection and decreased awareness of status. Therefore, the objectives of this study were to evaluate uptake of "opt-out" HIV testing and barriers to testing within the primary care setting in the South. A concurrent triangulation design guided the collection of quantitative data from patients (Nā=ā250) and qualitative data from providers (Nā=ā10) across three primary health clinics in Alabama. We found that 30% of patients had never been tested for HIV, with the highest ranked barrier among patients being perceived costs, access to specialty care, and not feeling at risk. Significant differences existed in perceived barriers between patients and providers. Increased provider-patient engagement and the routine implementation of "opt-out" HIV testing would effectively reveal and mitigate barriers to testing, thus, increasing awareness of status.
- Subjects :
- Adult
Alabama epidemiology
Delivery of Health Care organization & administration
Female
HIV Infections prevention & control
HIV Infections psychology
Health Personnel
Humans
Male
Mass Screening
Middle Aged
Perception
AIDS Serodiagnosis statistics & numerical data
Attitude of Health Personnel
HIV Infections diagnosis
HIV Infections ethnology
Health Knowledge, Attitudes, Practice ethnology
Health Services Accessibility
Patient Acceptance of Health Care psychology
Primary Health Care organization & administration
Social Stigma
Subjects
Details
- Language :
- English
- ISSN :
- 1573-3254
- Volume :
- 23
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- AIDS and behavior
- Publication Type :
- Academic Journal
- Accession number :
- 30607759
- Full Text :
- https://doi.org/10.1007/s10461-018-02385-5