Evidence map›Paper›PMID 25421929›Full record

ArticleJournal of the International Association of Providers of AIDS Care2016

Why Physicians Don't Ask: Interpersonal and Intrapersonal Barriers to HIV Testing-Making a Case for a Patient-Initiated Campaign.

Monisha Arya, Sajani Patel, Disha Kumar, Micha Yin Zheng, Michael A Kallen, Richard L Street, Kasisomayajula Viswanath, Thomas P Giordano

Abstract read
In one paragraph

Article in Journal of the International Association of Providers of AIDS Care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. High acceptability of point-of-care HIV testing at the colposcopy outpatient clinic in hospitals in the Netherlands.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
  3. Article
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  5. Observational
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  9. 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 · 2019
    Article
  10. Article
  11. Article
  12. Article
  13. Physician Preferences for Physician-Targeted HIV Testing Campaigns.Journal of the International Association of Providers of AIDS Care · 2016
    Article
  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Monisha AryaSection of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, TX, USA Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA.
Sajani PatelRice University, Houston, TX, USA Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Disha KumarRice University, Houston, TX, USA School of Medicine, Baylor College of Medicine, Houston, TX, USA disha.kumar@bcm.edu.
Micha Yin ZhengRice University, Houston, TX, USA School of Medicine, University of California San Francisco, San Francisco, CA, USA.
Michael A KallenNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Richard L StreetSection of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA.
Kasisomayajula ViswanathDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Thomas P GiordanoSection of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, TX, USA Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.

Funding

Virology CoreP30AI036211 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI KOZINETZ, CLAUDIA A. · 1994 to 2015
$21.7M
Designing a HIV Testing Campaign for Health Centers Serving African-AmericansK23MH094235 · NIMH · BAYLOR COLLEGE OF MEDICINE · PI ARYA, MONISHA · 2012 to 2016
$852k
NIAID NIH HHS P30 AI036211NIMH NIH HHS K23 MH094235
6 · The paper itself

Abstract

In 2006, the US Centers for Disease Control and Prevention recommended HIV testing for all adolescents and adults aged 13 to 64 in health care settings with a HIV prevalence of at least 0.1%. However, 55% of US adults have never been tested and therefore do not know their HIV status. To understand suboptimal HIV testing rates, this study sought to illuminate interpersonal and intrapersonal physician barriers to HIV testing. One hundred and eighty physicians from health centers in Houston completed a survey based on Cabana's Knowledge, Attitudes and Behaviors model. One-third of the physicians faced at least 1 interpersonal barrier to HIV testing, such as a difference in age or language. Many (41%) physicians faced at least 1 intrapersonal barrier, such as believing their patients would be feeling uncomfortable discussing HIV. Notably, 71% of physicians would prefer their patients ask for the test. A patient-engaging campaign may be an innovative solution to increasing HIV testing and reducing the number of undiagnosed persons.

Indexed as

Communication BarriersPhysician-Patient RelationsAdultAttitude of Health PersonnelCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMaleMass ScreeningPatient-Centered CarePhysiciansTexasYoung AdultHIV testingpatient-centered campaignpatient–physician communicationphysician barriers

Identifiers

PMID25421929
PMCPMC4441866

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.