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Prediction of HIV-1 Coreceptor Usage (Tropism) by Sequence Analysis using a Genotypic Approach
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Risk behavior disclosure during HIV test counseling.

Elizabeth Ann Torrone1, James C Thomas, Suzanne Maman

  • 1Department of Epidemiology, University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, North Carolina, USA. ETorrone@cdc.gov

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Summary

Many young men undergoing HIV testing did not accurately disclose risk behaviors during assessments. Understanding and communicating the purpose of risk assessments can improve data accuracy for prevention programs.

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Area of Science:

  • Public Health
  • Behavioral Science
  • Epidemiology

Background:

  • Individualized risk assessments are crucial for HIV testing and prevention counseling.
  • Accurate risk behavior disclosure informs HIV prevention programs and resource allocation.

Purpose of the Study:

  • To assess the accuracy of client-reported risk behaviors during HIV testing.
  • To identify barriers and facilitators to complete risk behavior disclosure among young men.

Main Methods:

  • Mixed-methods study involving audio and computer-assisted self-interviews (N=203) and qualitative interviews (N=25).
  • Data collected from young men accessing HIV testing services in a southeastern US city (August 2007-April 2008).

Main Results:

  • Over 30% of participants reported inaccurate risk assessment disclosure.
  • Interpersonal factors facilitated disclosure, but many participants misunderstood the assessment's purpose.
  • Qualitative interviews revealed a lack of understanding regarding the risk assessment's role.

Conclusions:

  • Risk assessments during HIV test counseling may be incomplete.
  • Improving the explanation of the risk assessment's purpose in prevention counseling can enhance data validity.
  • Modifications to the risk assessment process are needed to improve accuracy.