ArticleBMC public health2012
Understanding patient acceptance and refusal of HIV testing in the emergency department.
Article in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed.
- Increasing HIV testing engagement through provision of home HIV self-testing kits for patients who decline testing in the emergency department: a pilot randomisation study.Sexually transmitted infections · 2019Trial
- Factors Influencing Uptake of Rapid HIV and Hepatitis C Screening Among Drug Misusing Adult Emergency Department Patients: Implications for Future HIV/HCV Screening Interventions.AIDS and behavior · 2015Trial
- Brief intervention to increase emergency department uptake of combined rapid human immunodeficiency virus and hepatitis C screening among a drug misusing population.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2014Trial
- Missed opportunities: refusal to confirm reactive rapid HIV tests in the emergency department.PloS one · 2013Trial
- Delivering HIV-Positive Test Results via Phone: Who Never Answered? Correlates of Undelivered Reactive HIV Results in a U.S. National Cohort of Sexual and Gender Minority Individuals.AIDS and behavior · 2026Article
- Mobile Augmented Screening to Increase HIV Testing Among Emergency Department Patients as Young as 13 Years.Cureus · 2021Article
- HIV testing behaviors and willingness to receive oral rapid HIV testing among dental patients in Xi'an, China.PloS one · 2021Article
- Elective Surgery and COVID-19: A Framework for the Untested Patient.Annals of surgery · 2020Article
- Acceptance of Rapid Human Immunodeficiency Virus Testing in an Urban Emergency Department.Journal of community health · 2020Article
- Computer-Based Substance Use Reporting and Acceptance of HIV Testing Among Emergency Department Patients.AIDS and behavior · 2020Article
- Article
- Patient acceptance of HIV testing services in rural emergency departments in South Africa.Southern African journal of HIV medicine · 2020Article
- Patients' response to an emergency department-based HIV testing program and perception of their friends' attitudes on HIV testing among patients seeking care at an urban emergency department in Baltimore, Maryland, USA.Journal of infection and public health · 2020Article
- Article
- How well are U.S. primary care providers assessing whether their male patients have male sex partners?Preventive medicine · 2018Article
- Analysis of HIV testing refusal among patients aged less than 21 years in the Pediatric Emergency Department.HIV/AIDS (Auckland, N.Z.) · 2018Article
- Patient and doctor perspectives on HIV screening in the emergency department: A prospective cross-sectional study.PloS one · 2017Article
- Evaluation of the Utility of Point-of-Care HIV Testing on a Canadian Internal Medicine Inpatient Unit.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2017Article
- Investigating Barriers in HIV-Testing Oncology Patients: The IBITOP Study, Phase I.The oncologist · 2016Article
- Feasibility of a Computer-Based Intervention Addressing Barriers to HIV Testing Among Young Patients Who Decline Tests at Triage.Journal of health communication · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundDespite high rates of patient satisfaction with emergency department (ED) HIV testing, acceptance varies widely. It is thought that patients who decline may be at higher risk for HIV infection, thus we sought to better understand patient acceptance and refusal of ED HIV testing.
methodsIn-depth interviews with fifty ED patients (28 accepters and 22 decliners of HIV testing) in three ED HIV testing programs that serve vulnerable urban populations in northern California.
resultsMany factors influenced the decision to accept ED HIV testing, including curiosity, reassurance of negative status, convenience, and opportunity. Similarly, a number of factors influenced the decision to decline HIV testing, including having been tested recently, the perception of being at low risk for HIV infection due to monogamy, abstinence or condom use, and wanting to focus on the medical reason for the ED visit. Both accepters and decliners viewed ED HIV testing favorably and nearly all participants felt comfortable with the testing experience, including the absence of counseling. While many participants who declined an ED HIV test had logical reasons, some participants also made clear that they would prefer not to know their HIV status rather than face psychosocial consequences such as loss of trust in a relationship or disclosure of status in hospital or public health records.
conclusionsTesting for HIV in the ED as for any other health problem reduces barriers to testing for some but not all patients. Patients who decline ED HIV testing may have rational reasons, but there are some patients who avoid HIV testing because of psychosocial ramifications. While ED HIV testing is generally acceptable, more targeted approaches to testing are necessary for this subgroup.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.