Acceptance of Rapid HIV Screening in a Southeastern Emergency Department
Objectives: The objective was to assess the acceptance of an emergency department (ED) human immunodeficiency virus (HIV) screening program based on the Centers for Disease Control and Prevention (CDC) recommendations for routine HIV screening in health care settings. Methods: Rapid HIV screening...
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| Veröffentlicht in: | Academic emergency medicine 2009-11, Vol.16 (11), p.1156-1164 |
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| creator | Freeman, Arin E. Sattin, Richard W. Miller, Kelly M. Dias, James K. Wilde, James A. |
| description | Objectives: The objective was to assess the acceptance of an emergency department (ED) human immunodeficiency virus (HIV) screening program based on the Centers for Disease Control and Prevention (CDC) recommendations for routine HIV screening in health care settings.
Methods: Rapid HIV screening was offered on an opt‐out basis to patients aged 13 to 64 years presenting to the ED by trained HIV counselors. Patients were excluded if they had a history of HIV, were physically or mentally incapacitated, did not understand their right to opt‐out, or did not speak English or Spanish. Statistical analyses, including logistic regression, were performed to assess the associations between the demographics of patients offered testing and their test acceptance or refusal.
Results: From March 2008 to January 2009, a total of 5,080 (91%) of the 5,585 patients offered the HIV test accepted, and 506 (9%) refused. White and married patients were less likely to accept testing than those who were African American and unmarried (p |
| doi_str_mv | 10.1111/j.1553-2712.2009.00508.x |
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Methods: Rapid HIV screening was offered on an opt‐out basis to patients aged 13 to 64 years presenting to the ED by trained HIV counselors. Patients were excluded if they had a history of HIV, were physically or mentally incapacitated, did not understand their right to opt‐out, or did not speak English or Spanish. Statistical analyses, including logistic regression, were performed to assess the associations between the demographics of patients offered testing and their test acceptance or refusal.
Results: From March 2008 to January 2009, a total of 5,080 (91%) of the 5,585 patients offered the HIV test accepted, and 506 (9%) refused. White and married patients were less likely to accept testing than those who were African American and unmarried (p < 0.001). Adult patients were almost twice as likely to accept testing as pediatric patients (odds ratio [OR] = 1.95; 95% confidence interval [CI] = 1.50 to 2.53). As age increased among pediatric patients, testing refusal decreased (OR = 0.71; 95% CI = 0.59 to 0.85), and as age increased among adult patients, testing refusal increased (OR = 1.17; 95% CI = 1.12 to 1.22). Two percent of persons accepting the test were considered high risk. Males were more likely to report high‐risk behavior than females (OR = 1.83; 95% CI = 1.23 to 2.72).
Conclusions: The opt‐out approach results in high acceptance of routine HIV screening. Widespread adoption of the CDC’s recommendations, although feasible, will require significant increases in resources.</description><identifier>ISSN: 1069-6563</identifier><identifier>EISSN: 1553-2712</identifier><identifier>DOI: 10.1111/j.1553-2712.2009.00508.x</identifier><identifier>PMID: 20053236</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Acceptance ; acquired immunodeficiency syndrome ; Adolescent ; Adult ; Demographics ; Emergency medical care ; emergency medicine ; Emergency Service, Hospital ; Female ; Georgia ; Health behavior ; HIV ; HIV diagnosis ; HIV Infections - diagnosis ; HIV screening ; Human immunodeficiency virus ; Humans ; Logistic Models ; Male ; Mass Screening - utilization ; Medical screening ; Middle Aged ; Patient Acceptance of Health Care ; Statistical analysis ; Young Adult</subject><ispartof>Academic emergency medicine, 2009-11, Vol.16 (11), p.1156-1164</ispartof><rights>2009 by the Society for Academic Emergency Medicine</rights><rights>(c) 2009 by the Society for Academic Emergency Medicine.</rights><rights>Copyright Hanley & Belfus, Inc. Nov 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4458-90f98f054feff52e0f6a621305263d720679056c2f92fa144d05f49f0964a97c3</citedby><cites>FETCH-LOGICAL-c4458-90f98f054feff52e0f6a621305263d720679056c2f92fa144d05f49f0964a97c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1553-2712.2009.00508.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1553-2712.2009.00508.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20053236$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Freeman, Arin E.</creatorcontrib><creatorcontrib>Sattin, Richard W.</creatorcontrib><creatorcontrib>Miller, Kelly M.</creatorcontrib><creatorcontrib>Dias, James K.</creatorcontrib><creatorcontrib>Wilde, James A.</creatorcontrib><title>Acceptance of Rapid HIV Screening in a Southeastern Emergency Department</title><title>Academic emergency medicine</title><addtitle>Acad Emerg Med</addtitle><description>Objectives: The objective was to assess the acceptance of an emergency department (ED) human immunodeficiency virus (HIV) screening program based on the Centers for Disease Control and Prevention (CDC) recommendations for routine HIV screening in health care settings.
Methods: Rapid HIV screening was offered on an opt‐out basis to patients aged 13 to 64 years presenting to the ED by trained HIV counselors. Patients were excluded if they had a history of HIV, were physically or mentally incapacitated, did not understand their right to opt‐out, or did not speak English or Spanish. Statistical analyses, including logistic regression, were performed to assess the associations between the demographics of patients offered testing and their test acceptance or refusal.
Results: From March 2008 to January 2009, a total of 5,080 (91%) of the 5,585 patients offered the HIV test accepted, and 506 (9%) refused. White and married patients were less likely to accept testing than those who were African American and unmarried (p < 0.001). Adult patients were almost twice as likely to accept testing as pediatric patients (odds ratio [OR] = 1.95; 95% confidence interval [CI] = 1.50 to 2.53). As age increased among pediatric patients, testing refusal decreased (OR = 0.71; 95% CI = 0.59 to 0.85), and as age increased among adult patients, testing refusal increased (OR = 1.17; 95% CI = 1.12 to 1.22). Two percent of persons accepting the test were considered high risk. Males were more likely to report high‐risk behavior than females (OR = 1.83; 95% CI = 1.23 to 2.72).
Conclusions: The opt‐out approach results in high acceptance of routine HIV screening. Widespread adoption of the CDC’s recommendations, although feasible, will require significant increases in resources.</description><subject>Acceptance</subject><subject>acquired immunodeficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Demographics</subject><subject>Emergency medical care</subject><subject>emergency medicine</subject><subject>Emergency Service, Hospital</subject><subject>Female</subject><subject>Georgia</subject><subject>Health behavior</subject><subject>HIV</subject><subject>HIV diagnosis</subject><subject>HIV Infections - diagnosis</subject><subject>HIV screening</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Mass Screening - utilization</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Patient Acceptance of Health Care</subject><subject>Statistical analysis</subject><subject>Young Adult</subject><issn>1069-6563</issn><issn>1553-2712</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1P3DAQhi3Uiq_2LyCLS09JJ_5KfOCw2m5ZJFAloL1axjuGrDZOsBOV_ff1dimHnpjLjOTnfWU9hNAKyirP13VZSckLVlesZAC6BJDQlC8H5Pjt4UO-QelCScWPyElKa8hUretDcpQzkjOujsly5hwOow0Oae_prR3aFV1e_aJ3LiKGNjzSNlBL7_ppfEKbRoyBLjqMjxjcln7DwcaxwzB-Ih-93ST8_LpPyc_vi_v5srj-cXk1n10XTgjZFBq8bjxI4dF7yRC8sopVHCRTfFUzULUGqRzzmnlbCbEC6YX2oJWwunb8lHzZ9w6xf54wjaZrk8PNxgbsp2RqzhueC0Umz_8j1_0UQ_6cYQwaobSsMtTsIRf7lCJ6M8S2s3FrKjA712ZtdkrNTqnZuTZ_XZuXHD177Z8eOly9Bf_JzcDFHvjdbnD77mIzmy9u8sX_AKPniic</recordid><startdate>200911</startdate><enddate>200911</enddate><creator>Freeman, Arin E.</creator><creator>Sattin, Richard W.</creator><creator>Miller, Kelly M.</creator><creator>Dias, James K.</creator><creator>Wilde, James A.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>200911</creationdate><title>Acceptance of Rapid HIV Screening in a Southeastern Emergency Department</title><author>Freeman, Arin E. ; Sattin, Richard W. ; Miller, Kelly M. ; Dias, James K. ; Wilde, James A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4458-90f98f054feff52e0f6a621305263d720679056c2f92fa144d05f49f0964a97c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Acceptance</topic><topic>acquired immunodeficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Demographics</topic><topic>Emergency medical care</topic><topic>emergency medicine</topic><topic>Emergency Service, Hospital</topic><topic>Female</topic><topic>Georgia</topic><topic>Health behavior</topic><topic>HIV</topic><topic>HIV diagnosis</topic><topic>HIV Infections - diagnosis</topic><topic>HIV screening</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Mass Screening - utilization</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Patient Acceptance of Health Care</topic><topic>Statistical analysis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Freeman, Arin E.</creatorcontrib><creatorcontrib>Sattin, Richard W.</creatorcontrib><creatorcontrib>Miller, Kelly M.</creatorcontrib><creatorcontrib>Dias, James K.</creatorcontrib><creatorcontrib>Wilde, James A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Academic emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Freeman, Arin E.</au><au>Sattin, Richard W.</au><au>Miller, Kelly M.</au><au>Dias, James K.</au><au>Wilde, James A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acceptance of Rapid HIV Screening in a Southeastern Emergency Department</atitle><jtitle>Academic emergency medicine</jtitle><addtitle>Acad Emerg Med</addtitle><date>2009-11</date><risdate>2009</risdate><volume>16</volume><issue>11</issue><spage>1156</spage><epage>1164</epage><pages>1156-1164</pages><issn>1069-6563</issn><eissn>1553-2712</eissn><abstract>Objectives: The objective was to assess the acceptance of an emergency department (ED) human immunodeficiency virus (HIV) screening program based on the Centers for Disease Control and Prevention (CDC) recommendations for routine HIV screening in health care settings.
Methods: Rapid HIV screening was offered on an opt‐out basis to patients aged 13 to 64 years presenting to the ED by trained HIV counselors. Patients were excluded if they had a history of HIV, were physically or mentally incapacitated, did not understand their right to opt‐out, or did not speak English or Spanish. Statistical analyses, including logistic regression, were performed to assess the associations between the demographics of patients offered testing and their test acceptance or refusal.
Results: From March 2008 to January 2009, a total of 5,080 (91%) of the 5,585 patients offered the HIV test accepted, and 506 (9%) refused. White and married patients were less likely to accept testing than those who were African American and unmarried (p < 0.001). Adult patients were almost twice as likely to accept testing as pediatric patients (odds ratio [OR] = 1.95; 95% confidence interval [CI] = 1.50 to 2.53). As age increased among pediatric patients, testing refusal decreased (OR = 0.71; 95% CI = 0.59 to 0.85), and as age increased among adult patients, testing refusal increased (OR = 1.17; 95% CI = 1.12 to 1.22). Two percent of persons accepting the test were considered high risk. Males were more likely to report high‐risk behavior than females (OR = 1.83; 95% CI = 1.23 to 2.72).
Conclusions: The opt‐out approach results in high acceptance of routine HIV screening. Widespread adoption of the CDC’s recommendations, although feasible, will require significant increases in resources.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20053236</pmid><doi>10.1111/j.1553-2712.2009.00508.x</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acceptance acquired immunodeficiency syndrome Adolescent Adult Demographics Emergency medical care emergency medicine Emergency Service, Hospital Female Georgia Health behavior HIV HIV diagnosis HIV Infections - diagnosis HIV screening Human immunodeficiency virus Humans Logistic Models Male Mass Screening - utilization Medical screening Middle Aged Patient Acceptance of Health Care Statistical analysis Young Adult |
| title | Acceptance of Rapid HIV Screening in a Southeastern Emergency Department |
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