ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2014
Public attitudes towards opt-out testing for HIV in primary care: a qualitative study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- HIV Testing Uptake According to Opt-In, Opt-Out or Risk-Based Testing Approaches: a Systematic Review and Meta-Analysis.Current HIV/AIDS reports · 2022Pooled it
- HIV testing within general practices in Europe: a mixed-methods systematic review.BMC public health · 2018Pooled it
- Service evaluation of an educational intervention to improve sexual health services in primary care implemented using a step-wedge design: analysis of chlamydia testing and diagnosis rate changes.BMC public health · 2016Trial
- Staff perspectives on implementing opt-out blood-borne virus testing in English emergency departments: a qualitative study.Emergency medicine journal : EMJ · 2026Article
- Developing the PATH-GP (Prevention and Testing for HIV in General Practice) intervention: a person-based approach intervention development study to increase HIV testing and PrEP access.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Article
- Exploring the Acceptability of HIV Testing in the UK Dental Setting: A Qualitative Study.Dentistry journal · 2024Article
- Opt-in HIV testing in construction workplaces: an exploration of its suitability, using the socioecological framework.BMC public health · 2022Article
- A Cross-Sectional Study Comparing Two Opt-Out HIV Testing Strategies in the Out-Patient Setting.Frontiers in public health · 2021Article
- Article
- Qualitative impact assessment of an educational workshop on primary care practitioner attitudes to NICE HIV testing guidelines.BJGP open · 2018Article
- Chlamydia and HIV testing, contraception advice, and free condoms offered in general practice: a qualitative interview study of young adults' perceptions of this initiative.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- General practitioners' barriers and facilitators towards new provider-initiated HIV testing strategies: a qualitative study.International journal of STD & AIDS · 2017Article
- A novel strategy to reduce very late HIV diagnosis in high-prevalence areas in South-West England: serious incident audit.Journal of public health (Oxford, England) · 2017Article
- Provider-Initiated HIV Testing for Migrants in Spain: A Qualitative Study with Health Care Workers and Foreign-Born Sexual Minorities.PloS one · 2016Article
- Does general practice deliver safe primary care to people living with HIV? A case-notes review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledBACKGROUND; The rate of new HIV infections in the UK continues to rise, with one-quarter of cases undiagnosed. Opt-out HIV testing - in which tests are routinely offered to all patients, with the offer to decline - have proved effective in antenatal care. Pilot studies of HIV opt-out testing at GP registration and acute medical admission to hospital have described service-level issues and the clinician's perspective, but not the views of the general public.
aimTo further understand the public's perspective on opt-out testing for HIV in England. DESIGN AND
settingFocus groups (n = 9) with a total of 54 participants in Brighton, England, where HIV prevalence is high.
methodQuota sampling on sexual orientation, age, sex, and testing experience was applied to groups with high and low HIV prevalences, and analysed using framework analysis.
resultsOpt-out testing for HIV was acceptable. Testing on GP registration was regarded as a more appropriate setting than acute medical admission. Participants from groups in which HIV has a higher prevalence felt HIV testing required consideration that may not be possible during acute hospital admission. However, there was concern that screening would still be targeted at groups in which HIV prevalence is higher, based on clinicians' judgement of patients' behaviours, sexuality, or ethnicity.
conclusionThe opt-out method of testing for HIV must be routinely offered to all who are eligible, to increase test uptake and to prevent communities feeling targeted. Any pressure to test is likely to be poorly received. Inaccurate concerns about medical records being shared with financial services are a disincentive to test. Primary care should be an active setting for opt-out HIV testing.
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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.