Deciding where and how to be tested for HIV: What matters most?

Deciding where and how to be tested for HIV: What matters most?
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DOI:
10.1097/00126334-200107010-00013
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发表时间:
2001-07-01
期刊:
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
影响因子:
--
通讯作者:
Dilley, JW
Dilley, JW
中科院分区:
其他
文献类型:
--
作者:
Skolnik, HS;Phillips, KA;Dilley, JW

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这项研究调查了对特定类型艾滋病毒检测的偏好以及对成本、咨询和隐私等检测属性的偏好。对 354 名公共测试服务客户进行了一项调查。非参数检验和逻辑回归用于比较测试偏好和属性评级,并评估人口统计和风险群体的差异。近三分之二的受访者选择公共诊所检测作为首选,24%的受访者选择家庭自检,12%的受访者选择在医生办公室进行胸部检测,1%的受访者选择家庭样本采集检测。三个属性(准确性/及时性、测试披露的隐私性和测试结果的链接)被评为同等重要的。面对面咨询被认为是第四个最重要的属性。面对面咨询的可用性是对公共诊所测试“忠诚度”的最强预测因素——即使其他测试作为额外的免费选项提供,人们仍然偏爱此类测试。人们对家庭自测也很感兴趣。结果表明,测试的具体属性对于来自不同人口和风险背景的个人来说可能特别重要。
This study examined preferences for specific types of HIV tests as well as for test attributes such as cost, counseling, and privacy. A survey was administered to 354 clients of public testing services. Nonparametric tests and logistic regression were used to compare test preferences and attribute ratings, and to assess differences by demographic and risk groups. Nearly two thirds of respondents chose a public clinic test as their first choice, whereas 24% chose a home self-test, 12% chest a test at a doctor's office, and 1% chose a home specimen-collection test. Three attributes (accuracy/timeliness. privacy of test disclosure, and linking of test results) were rated equally-and most-important. In-person counseling was endorsed as the fourth most important attribute. Availability of in-person counseling was the strongest predictor of "loyalty" to public clinic tests-a consistent preference for that type of test even when the other tests were offered as additional no-cost options. There was also substantial interest in home self-tests. The results suggest specific attributes of testing that may be particularly important to individuals from diverse demographic and risk backgrounds.