Document Detail


A comparison of voluntary counseling and testing uptake between a China CARES county and a county not designated for the china CARES program.
MedLine Citation:
PMID:  18462075     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A cross-sectional study employing two-stage cluster sampling was conducted between December 2005 and March 2006 to compare adults' knowledge of HIV/AIDS voluntary counseling and testing (VCT) and the attitudes toward and acceptance of VCT between a county in which a comprehensive HIV/AIDS program, China CARES (CC), was available, and a county where it was not. Information on HIV/AIDS knowledge, awareness of VCT, and attitudes was collected. All participants were given a coupon for free VCT after the cross-sectional interview. Uptake of VCT was measured within 2 months of the interview. More participants in the CC county knew someone infected with HIV, had participated in AIDS-related activities, and/or had heard about China CARES. In the control county, education and income levels were higher, there were fewer minorities, and there was a higher proportion of women. VCT uptake was low. Overall, no significant differences in uptake were found between the two counties. Urban residents of the CC county had higher HIV/AIDS knowledge levels than urban residents of the comparison county (p = 0.002). Residents of the CC county were more discriminative against HIV/AIDS and persons living with HIV/AIDS (PLWHA) and had lower perceptions of risk. The differences may be due to the higher proportion of rural residents in the CC county (p < 0.001). The China CARES program may have had a positive effect on urban areas of Guizhou Province in terms of improving HIV/AIDS and VCT knowledge and reducing discrimination, but had little impact in the rural areas. If the China CARES program is to be successful, it must implement a more effective education program and increase the acceptability of testing.
Authors:
Wei Ma; Zunyou Wu; Yi Qin; Roger Detels; Limei Shen; Yu Li; Taiming Liu; Fang Chen
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  AIDS patient care and STDs     Volume:  22     ISSN:  1557-7449     ISO Abbreviation:  AIDS Patient Care STDS     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-27     Completed Date:  2008-08-19     Revised Date:  2010-09-01    
Medline Journal Info:
Nlm Unique ID:  9607225     Medline TA:  AIDS Patient Care STDS     Country:  United States    
Other Details:
Languages:  eng     Pagination:  521-33     Citation Subset:  IM; X    
Affiliation:
Chinese Center for Disease Control and Prevention, National Center for AIDS/STD Control and Prevention, Beijing, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
China / epidemiology
Cluster Analysis
Counseling
Cross-Sectional Studies
Female
HIV Infections / diagnosis,  epidemiology*,  prevention & control
Health Knowledge, Attitudes, Practice*
Humans
Male
Middle Aged
Prevalence
Questionnaires
Social Class
Grant Support
ID/Acronym/Agency:
D43 TW000013/TW/FIC NIH HHS

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


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