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Decisional balance, perceived risk and HIV testing practices.

Jennifer L Lauby1, Lisa Bond, Dogan Eroğlu

  • 1Philadelphia Health Management Corporation, Philadelphia, Pennsylvania, 19102, USA. Jennifer@phmc.org

AIDS and Behavior
|December 3, 2005
PubMed
Summary

Understanding decisions for HIV testing is key. Perceived pros of testing positively influenced HIV testing history, while cons negatively impacted it, suggesting interventions should address these outcomes.

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Area of Science:

  • Public Health
  • Behavioral Science
  • Epidemiology

Background:

  • Understanding factors influencing human immunodeficiency virus (HIV) testing decisions is crucial for developing effective public health interventions.
  • Previous research indicates various psychosocial factors may influence HIV testing uptake, but the specific role of decisional balance requires further investigation.

Purpose of the Study:

  • To examine the relationship between decisional balance (perceived pros and cons) and perceived risk with HIV testing history.
  • To identify key psychological determinants that can inform strategies for increasing HIV testing rates.

Main Methods:

  • A cross-sectional community sample of 1523 HIV-negative individuals at risk (drug use or sexual behavior) was surveyed.
  • Validated scales measured perceived advantages (pros) and disadvantages (cons) of HIV testing, alongside perceived risk.

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  • Factor analysis and multivariate analyses were employed to assess relationships with HIV testing history.
  • Main Results:

    • Perceived pros of HIV testing were positively associated with ever testing and the number of tests taken.
    • Perceived cons of HIV testing were negatively associated with testing history.
    • Perceived risk of HIV infection was not significantly related to HIV testing practices in this sample.

    Conclusions:

    • Interventions aimed at increasing HIV testing should focus on enhancing the perceived benefits and mitigating the perceived drawbacks of testing.
    • Decisional balance, rather than perceived risk alone, appears to be a significant predictor of HIV testing behavior.