Document Detail

Moving from apprehension to action: HIV counseling and testing preferences in three at-risk populations.
MedLine Citation:
PMID:  11791784     Owner:  NLM     Status:  MEDLINE    
This study sought to identify factors influencing HIV testing decisions among clients at a sexually transmitted disease clinic, gay men, and injection drug users. Focus group and intensive interview data were collected from 100 individuals. The AIDS Risk Reduction Model was adapted to describe factors that affect test decisions. Testing barriers and facilitators were grouped as factors affected by "Individual" beliefs, "System" policies and programs, "Testing" technology, and "Counseling" options. Individual factors (fear of death and change), system factors (anonymous test availability, convenience), and counseling and testing factors (rapid results, counseling alternatives) interact to determine whether an individual does not test ("apprehension") or does test ("action"), and ultimately, tests routinely ("integration"). In conclusion, traditional HIV testing presents barriers to some populations at risk for HIV. These findings suggest several strategies to improve HIV test acceptance: acknowledge fears, address system barriers, utilize available test technologies, and expand counseling options.
F Spielberg; A Kurth; P M Gorbach; G Goldbaum
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  AIDS education and prevention : official publication of the International Society for AIDS Education     Volume:  13     ISSN:  0899-9546     ISO Abbreviation:  AIDS Educ Prev     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2002-01-15     Completed Date:  2002-03-27     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9002873     Medline TA:  AIDS Educ Prev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  524-40     Citation Subset:  IM; X    
Department of Family Medicine, School of Public Health and Community Medicine, University of Washington, USA.
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MeSH Terms
AIDS Serodiagnosis / psychology*
Decision Making
Focus Groups
HIV Infections / psychology*,  transmission
Health Services Accessibility
Homosexuality, Male / psychology*
Middle Aged
Models, Psychological
Patient Acceptance of Health Care / psychology*
Risk Factors
Substance Abuse, Intravenous / psychology*
Time Factors
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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