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American adults' knowledge of HIV testing availability

R O Valdiserri1, D R Holtgrave, R M Brackbill

  • 1National Center for Prevention Services, Centers for Disease Control and Prevention, Atlanta, Ga. 30333.

American Journal of Public Health
|April 1, 1993
PubMed
Summary

Many Americans know doctors offer human immunodeficiency virus (HIV) testing, but a significant portion are unaware of public testing sites. Knowledge of HIV testing availability varies by age, education, and income.

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Services Research

Background:

  • Understanding client needs is crucial for accessible human immunodeficiency virus (HIV) counseling and testing programs.
  • Knowledge of HIV testing availability is a key factor in program accessibility.

Purpose of the Study:

  • To assess American adults' knowledge of where human immunodeficiency virus (HIV) testing is available.
  • To identify sociodemographic factors associated with knowledge of HIV testing locations.

Main Methods:

  • A national telephone survey was conducted in 1990 among American adults.
  • Data were collected from 81,557 respondents across 44 states and the District of Columbia.

Main Results:

  • Two-thirds of respondents identified medical doctors as a source for HIV testing.

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  • 14% knew about public sites, while 12% were unaware of any testing locations.
  • Older, less educated, and lower-income individuals were less likely to know where to access testing.

    • Conclusions:

    • Physicians are expected to play a larger role in providing HIV counseling and testing.
    • Additional training may be needed for healthcare providers to deliver effective risk-reduction messages.
    • Sociodemographic factors influence preferences for HIV testing services, even when availability is known.