ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2013
A qualitative analysis of provider barriers and solutions to HIV testing for substance users in a small, largely rural southern state.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- A client-centered relational framework on barriers to the integration of HIV and substance use services: a systematic review.Harm reduction journal · 2019Pooled it
- A Systematic Review of Health Care Provider-Perceived Barriers and Facilitators to Routine HIV Testing in Primary Care Settings in the Southeastern United States.The Journal of the Association of Nurses in AIDS Care : JANACPooled it
- Article
- The Association Between Receiving Medications for Opioid Use Disorder and Human Immunodeficiency Virus Testing: Findings From the Rural Opioid Initiative.Journal of addiction medicine · 2026Article
- HIV Testing Program Activities and Challenges in Four U.S. Urban Areas.AIDS education and prevention : official publication of the International Society for AIDS Education · 2022Article
- Gender differences in HIV testing service visits and its related factors among adults: a cross-sectional study in Homa Bay, Kenya.The Pan African medical journal · 2021Article
- Timeliness of diagnosis of HIV in Newfoundland and Labrador, Canada: A mixed-methods study.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2019Article
- Missed Opportunities for HIV Testing Among STD Clinic Patients.Journal of community health · 2018Article
- Latent Risk Subtypes Based on Injection and Sexual Behavior Among People Who Inject Drugs in Rural Puerto Rico.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2018Article
- Acceptability of HIV Testing Sites Among Rural and Urban African Americans Who Use Cocaine.AIDS and behavior · 2017Article
- Data collection challenges in community settings: insights from two field studies of patients with chronic disease.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2015Article
- Correlates of HIV testing among rural African American cocaine users.Research in nursing & health · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
purposeIntegrating HIV testing programs into substance use treatment is a promising avenue to help increase access to HIV testing for rural drug users. Yet few outpatient substance abuse treatment facilities in the United States provide HIV testing. The purpose of this study was to identify barriers to incorporating HIV testing with substance use treatment from the perspectives of treatment and testing providers in Arkansas.
methodsWe used purposive sampling from state directories to recruit providers at state, organization, and individual levels to participate in this exploratory study. Using an interview guide, the first and second authors conducted semistructured individual interviews in each provider's office or by telephone. All interviews were recorded, transcribed verbatim, and entered into ATLAS.ti software (ATLAS.ti Scientific Software Development GmbH, Berlin, Germany). We used constant comparison and content analysis techniques to identify codes, categories, and primary patterns in the data.
findingsThe sample consisted of 28 providers throughout the state, 18 from the substance use system and 10 from the public/ community health system. We identified 7 categories of barriers: environmental constraints, policy constraints, funding constraints, organizational structure, limited inter- and intra-agency communication, burden of responsibility, and client fragility.
conclusionsThis study presents the practice-based realities of barriers to integrating HIV testing with substance use treatment in a small, largely rural state. Some system and/or organization leaders were either unaware of or not actively pursuing external funds available to them specifically for engaging substance users in HIV testing. However, funding does not address the system-level need for coordination of resources and services at the state level.
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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.