학술논문

Patients’ response to an emergency department-based HIV testing program and perception of their friends’ attitudes on HIV testing among patients seeking care at an urban emergency department in Baltimore, Maryland, USA
Document Type
article
Source
Journal of Infection and Public Health, Vol 13, Iss 1, Pp 104-109 (2020)
Subject
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Language
English
ISSN
1876-0341
Abstract
Background: Little is known regarding the possible role of social network members and peer attitudes on emergency department (ED) patients’ willingness to be tested for HIV. Methods: We conducted mixed methods in-depth interview and quantitative survey with ED patients from November 2013 to June 2014 to assess peer and personal perceptions of ED-based HIV testing. Patients enrolled were asked about their own attitudes toward HIV testing as well as those of their friends. Interviews were transcribed and categories that captured free responses in the verbatim were independently coded by two reviewers. Results: Overall, 86 patients were enrolled including 22 HIV known positive. Among 64 HIV-negative participants, 50 were tested during the past 12 months and 4 had never been tested. The majority (82.5%) of participants thought that their friends were likely to accept HIV testing in EDs. Participants discussed their perceptions of friends’ attitudes toward HIV testing: the majority (60%) believed their friends held positive attitudes about HIV testing. The majority of participants believed that their friends had positive feelings about HIV testing and were likely to accept testing in ED settings. Conclusions: Interventions utilizing peer networks to promote HIV testing and increase testing acceptance could be designed and explored. Keywords: HIV testing, Emergency department, Peer’s perceptions and attitudes, HIV testing history