NDLI: The relationship of reported HIV risk and history of HIV testing among emergency department patients.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Merchant, Roland C. Freelove, Sarah M. Langan, Thomas J. Clark, Melissa A. Mayer, Kenneth H. Seage, George R. DeGruttola, Victor G.
Spatial Coverage	New England
Description	Country affiliation: United States Author Affiliation: Merchant RC ( Department of Emergency Medicine, Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903, USA. rmerchant@lifespan.org)
Abstract	OBJECTIVE: Among a random sample of emergency department (ED) patients, we sought to determine the extent to which reported risk for human immunodeficiency virus (HIV) is related to ever having been tested for HIV. METHODS: A random sample of patients (aged 18-64 years) from an adult, urban, northeastern United States, academic ED were surveyed about their history of ever having been tested for HIV and their reported HIV risk behaviors. A reported HIV risk score was calculated from the survey responses and divided into 4 levels, based on quartiles of the risk scores. Pearson's X(2) testing was used to compare HIV testing history and level of reported HIV risk. Logistic regression models were created to investigate the association between level of reported HIV risk and the outcome of ever having been tested for HIV. RESULTS: Of the 557 participants, 62.1% were female. A larger proportion of females than males (71.4% vs 60.6%; P < 0.01) reported they had been tested for HIV. Among the 211 males, 11.4% reported no HIV risk, and among the 346 females, 10.7% reported no HIV risk. The proportion of those who had been tested for HIV was greater among those reporting any risk compared with those reporting no risk for females (75.4% vs 37.8%; P < 0.001), but not for males (59.9% vs 66.7%; P < 0.52). However, certain high-risk behaviors, such as a history of injection-drug use, were associated with prior HIV testing for both genders. In the logistic regression analyses, there was no relationship between increasing level of reported HIV risk and a history of ever having been tested for HIV for males. For females, a history of ever having been tested was related to increasing level of reported risk, but not in a linear fashion. CONCLUSIONS: The relationship between reported HIV risk and history of testing among these ED patients was complex and differed by gender. Among these patients, having greater risk did not necessarily mean a higher likelihood of ever having been tested for HIV.
File Format	HTM / HTML
ISSN	00325481
e-ISSN	19419260
DOI	10.3810/pgm.2010.01.2100
Journal	Postgraduate Medicine
Issue Number	1
Volume Number	122
Language	English
Publisher	Taylor & Francis
Publisher Date	2010-01-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline medicine Emergency Service, Hospital Statistics & Numerical Data Hiv Infections Diagnosis Adolescent Epidemiology Health Status Indicators Health Surveys Logistic Models Mass Screening Odds Ratio Patient Acceptance Of Health Care Risk Factors Questionnaires Urban Population Comparative Study Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Medicine

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