Evidence map›Paper›PMID 30607759›Full record

ArticleAIDS and behavior2019

Barriers to HIV Testing: Patient and Provider Perspectives in the Deep South.

Jenni M Wise, Corilyn Ott, Andres Azuero, Robin Gaines Lanzi, Susan Davies, Andrea Gardner, David E Vance, Mirjam-Colette Kempf

Abstract read
In one paragraph

Article in AIDS and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing 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

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

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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.

Jenni M WiseSchool of Nursing, University of Alabama at Birmingham, 1720 2nd Avenue South, 573H Nursing Building, Birmingham, AL, 35294, USA.
Corilyn OttSchool of Nursing, University of Alabama at Birmingham, 1720 2nd Avenue South, 573H Nursing Building, Birmingham, AL, 35294, USA.
Andres AzueroSchool of Nursing, University of Alabama at Birmingham, 1720 2nd Avenue South, 573H Nursing Building, Birmingham, AL, 35294, USA.
Robin Gaines LanziDepartment of Behavior Health, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Susan DaviesDepartment of Behavior Health, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Andrea GardnerSchool of Nursing, Troy University, Troy, AL, USA.
David E VanceSchool of Nursing, University of Alabama at Birmingham, 1720 2nd Avenue South, 573H Nursing Building, Birmingham, AL, 35294, USA.
Mirjam-Colette KempfSchool of Nursing, University of Alabama at Birmingham, 1720 2nd Avenue South, 573H Nursing Building, Birmingham, AL, 35294, USA. mkempf@uab.edu.

Funding

Virology CoreP30AI027767 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Latesha Ellen Elopre · 1988 to 2026
$84.1M
Research CoreU54MD008602 · NIMHD · BAYOUCLINIC, INC. · PI FOUAD, MONA N. · 2013 to 2017
$13.8M
Gulf States Collaborative Center for Health Policy Research U54MD008602NIAID NIH HHS P30 AI027767NIMHD NIH HHS U54 MD008602University of Alabama at Birmingham (UAB) Center for AIDS Research P30 AI027767
6 · The paper itself

Abstract

Although CDC guidelines call for universal, "opt-out" HIV testing, barriers to testing continue to exist throughout the United States, with the rural South particularly vulnerable to both HIV infection and decreased awareness of status. Therefore, the objectives of this study were to evaluate uptake of "opt-out" HIV testing and barriers to testing within the primary care setting in the South. A concurrent triangulation design guided the collection of quantitative data from patients (N = 250) and qualitative data from providers (N = 10) across three primary health clinics in Alabama. We found that 30% of patients had never been tested for HIV, with the highest ranked barrier among patients being perceived costs, access to specialty care, and not feeling at risk. Significant differences existed in perceived barriers between patients and providers. Increased provider-patient engagement and the routine implementation of "opt-out" HIV testing would effectively reveal and mitigate barriers to testing, thus, increasing awareness of status.

Indexed as

Attitude of Health PersonnelHealth Services AccessibilityPatient Acceptance of Health CareSocial StigmaAdultAIDS SerodiagnosisAlabamaDelivery of Health CareFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHIV InfectionsHumansMaleMass ScreeningMiddle AgedBarriersDelivery of health careHealth knowledge, attitudes, practiceHIVScreening

Identifiers

PMID30607759
PMCPMC6459728

What OpenQuestion holds

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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.