ArticleArchives of public health = Archives belges de sante publique2023
Rapid qualitative analysis approach to stakeholder and client interviews to inform mobile-based HIV testing in the U.S. Deep South.
Article in Archives of public health = Archives belges de sante publique, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Streamlining Qualitative Research: Rapid Analysis Innovations in Expanding the Crisis Care Continuum Through Community-Based Implementation Science.Journal of community health · 2026Article
- Balancing Trade-Offs in Patient and Public Involvement and Engagement in Rapid Evaluation: Reflections and Lessons.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Opportunities for Low-Barrier HIV Testing in the U.S. Deep South: Findings from a Survey in Alabama.AIDS and behavior · 2026Article
- "They'll Talk About Everything Else… But Suicidal Ideation": Clinician Experiences Addressing Non-Disclosure of Suicidal Ideation Among Military-Affiliated Clients.Journal of general internal medicine · 2025Article
- Stakeholder considerations on acceptability and implementation of a novel rapid test for acute HIV infection: A qualitative study in Indiana.PLOS global public health · 2025Article
- Stakeholder-engaged development of a rapid test for detection of acute HIV infection.Research square · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe severity of the HIV epidemic in the United States' rural South highlights geographic, socioeconomic, and racial disparities that disproportionately affect poor Black Americans. Approximately 16% of Alabamians living with HIV remain undiagnosed and just 37% of rural Alabamians have ever been tested for HIV.
methodsWe conducted in-depth interviews with 22 key stakeholders involved in HIV prevention, testing, treatment, or community health initiatives, and 10 adults living in rural communities across Alabama to explore HIV testing challenges and opportunities. We utilized a rapid qualitative analysis approach and engaged community partners for feedback and discussion. This analysis will inform the implementation of a mobile HIV testing service in rural Alabama.
resultsThe following themes were identified: (1) Cultural norms, racism, poverty, and rurality impair access to healthcare. (2) Lack of sex education, low knowledge of HIV and perception of risk reinforce stigmas. (3) Messaging about "Undetectable = Untransmissible" (U = U) is not well understood in communities. (4) Community involvement may promote communication and trust between communities and testing advocates. (5) Novel testing strategies are acceptable and may diminish barriers.
conclusionsWorking with community "gatekeepers" may be a key strategy to understand and promote acceptability of interventions new to rural Alabama and ameliorate stigma within communities. The implementation of new HIV testing strategies requires building and maintaining relationships with advocates, especially faith-based leaders, who engage people across many demographics.
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