Is Self-Perceived HIV Risk Congruent with Reported HIV Risk Among Traditionally Lower HIV Risk and Prevalence Adult Emergency Department Patients? Implications for HIV Testing
Is Self-Perceived HIV Risk Congruent with Reported HIV Risk Among Traditionally Lower HIV Risk and Prevalence Adult Emergency Department Patients? Implications for HIV Testing
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DOI：
10.1089/apc.2013.0013
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发表时间：
2013-10-01
影响因子：
4.9
通讯作者：
Clark, Melissa A.
中科院分区：
文献类型：
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作者：
Pringle, Kimberly;Merchant, Roland C.;Clark, Melissa A.
由于依赖患者自我感知的HIV风险可能会误导急诊科（艾德）临床医生对HIV检测的需要，我们的目的是衡量自我感知和报告的HIV风险之间的一致性，在传统的低流行率，低风险队列。随机抽样的18- 64岁的患者在一个大型的学术城市艾德谁是自我报告的不是男男性行为者（MSM）或注射毒品使用者（IDUs）进行了调查，他们的自我感知和报告的艾滋病毒的风险。62%的参与者是非西班牙裔的白色人，13.8%的黑人和21.2%的西班牙裔; 66.9%的人以前接受过艾滋病毒检测。线性回归模型比较自我感知报告艾滋病毒的风险。在329名女性艾德患者中，50.5%的人认为自己没有感染HIV的风险，但只有10.9%的人报告没有HIV风险行为;而在175名男性艾德患者中，50.9%的人认为自己没有感染HIV的风险，但只有12.6%的人报告没有HIV风险行为。只有16.9%的女性和15.7%的男性没有自我感知的艾滋病毒风险，也没有报告艾滋病毒风险行为。多变量线性回归表明，自我感知和报告的风险之间的关系较弱。在这些非MSM、非IDU艾德患者中，自我感知风险与报告的HIV风险之间的一致性较低。
Because reliance on patients' self-perceived risk for HIV might mislead emergency department (ED) clinicians on the need for HIV testing, we aimed to measure congruency between self-perceived and reported HIV risk in a traditional lower prevalence, lower-risk cohort. A random sample of 18- to 64-year-old patients at a large academic urban ED who were by self-report not men-who-have-sex-with-men (MSM) or injection-drug users (IDUs) were surveyed regarding their self-perceived and reported HIV risk. Sixty-two percent of participants were white non-Hispanic, 13.8% Black, and 21.2% Hispanic; and 66.9% previously had been tested for HIV. Linear regression models were constructed comparing self-perceived to reported HIV risk. Among the 329 female ED patients, 50.5% perceived that they were not at risk for HIV, yet only 10.9% reported no HIV risk behaviors, while among the 175 male ED patients, 50.9% perceived that they were not at risk for HIV, yet only 12.6% reported no HIV risk behaviors. Only 16.9% of women and 15.7% of men who had no self-perceived risk for HIV also reported no HIV risk behaviors. Multivariable linear regression demonstrated a weak relationship between self-perceived and reported risk. Congruency between self-perceived risk and reported HIV risk was low among these non-MSM, non-IDU ED patients.