ArticleAmerican journal of public health2009
Effects of written informed consent requirements on HIV testing rates: evidence from a natural experiment.
Article in American journal of public health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Projected survival gains from revising state laws requiring written opt-in consent for HIV testing.Journal of general internal medicine · 2011Trial
- "How much more on the nurse?:" a qualitative analysis of inpatient nurses' perspectives on offering HIV testing.BMC nursing · 2025Article
- National HIV and HCV Screening Rates for Hospitalized People who Use Drugs Are Suboptimal and Heterogeneous Across 11 US Hospitals.Open forum infectious diseases · 2024Article
- Systematic Review: Strategies for Improving HIV Testing and Detection Rates in European Hospitals.Microorganisms · 2024Review
- Expanding Hospital Human Immunodeficiency Virus Testing in the Bronx, New York and Washington, District of Columbia: Results From the HPTN 065 Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018Article
- Article
- HIV testing trends: Southeastern Pennsylvania, 2002-2010.AIDS patient care and STDs · 2014Article
- Factors associated with human immunodeficiency virus screening of women during pregnancy, labor and delivery, United States, 2005-2006.Maternal and child health journal · 2014Article
- HIV testing implementation in two urban cities: practice, policy, and perceived barriers.PloS one · 2014Article
- [PMTCT in Benin: Is the pregnant women's consent free and informed?]Ethique & sante · 2011Article
- HIV testing: the cornerstone of HIV prevention efforts in the USA.Future virology · 2011Article
- Human immunodeficiency virus testing behaviors among US adults: the roles of individual factors, legislative status, and public health resources.Sexually transmitted diseases · 2011Article
- Need to improve routine HIV testing of U.S. Veterans in care: results of an Internet survey.Journal of community health · 2010Article
- Simplifying consent increases HIV testing and new case detection: the San Francisco experience.American journal of public health · 2009Article
- Comparing Routine HIV and Hepatitis C Virus Screening to Estimate the Effect of Required Consent on HIV Screening Rates Among Hospitalized Patients.Public health reports (Washington, D.C. : 1974)Article
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1 author.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesI evaluated the effects of written informed consent requirements on HIV testing rates in New York State to determine whether such consent creates barriers that discourage HIV testing.
methodsNew York streamlined its HIV testing consent procedures on June 1, 2005. If written informed consent creates barriers to HIV testing, then New York's streamlining exercise should have reduced such barriers and increased HIV testing rates. I used logistic regression to estimate the effects of New York's policy change.
resultsNew York's streamlined consent procedures led to a 31.4% (95% confidence interval [CI] = 20.9%, 41.9%) increase in the state's HIV testing rate. In absolute terms, 7% of the state's population had been tested for HIV in the preceding 6 months under the streamlined procedures, whereas only 5.3% would have been tested under the original procedures. These estimates imply that the streamlined consent procedures accounted for approximately 328 000 additional HIV tests in the 6 months after the policy change.
conclusionsWritten informed consent requirements are a substantial barrier to HIV testing in the United States.There may be a trade-off between efforts to increase HIV testing rates and efforts to improve patient awareness.
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