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Test offering, not additional information, may increase HIV testing uptake in a knowledgeable population.

C Lau1, A S Muula, R Kalanda

  • 1Department of Epidemiology, UCLA School of Public Health, Los Angeles, CA, USA. chuenyenlau@hotmail.com

The Central African Journal of Medicine
|January 18, 2006
PubMed
Summary

Many patients desire HIV testing but haven't been offered it. Offering tests more frequently could increase uptake, as informational handouts had no impact on HIV testing propensity.

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Behavior

Background:

  • A significant proportion of patients attending Blantyre Adventist Hospital Outpatient Clinic had never been tested for HIV.
  • Among those untested, a high percentage had never been offered an HIV test, yet a considerable number expressed a desire for testing.

Purpose of the Study:

  • To assess patient knowledge and testing experiences regarding HIV.
  • To evaluate the impact of an HIV informational handout on the propensity for HIV testing.

Main Methods:

  • Cross-sectional descriptive techniques were used to gather data on demographics, HIV knowledge, and testing history.
  • A randomized controlled trial component assessed the effect of an HIV information sheet on testing propensity.
  • Logistic regression analyzed the influence of demographics and written information on HIV testing propensity.

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Main Results:

  • Out of 490 participants, 57% had never undergone HIV testing, and 88% of these had never been offered a test.
  • Despite high HIV knowledge, the informational handout did not significantly impact HIV knowledge or the desire for testing.
  • Age and gender were significant predictors of HIV testing propensity.

Conclusions:

  • A substantial unmet demand for HIV testing exists among patients who have not been offered testing.
  • Increasing the frequency of HIV test offerings by clinicians is crucial for improving testing rates.
  • Alternative strategies beyond written information are needed to enhance HIV testing uptake, especially in populations with high existing knowledge.