Opt-Out HIV Testing of Inmates in North Carolina Prisons: Factors Associated with not Wanting a Test and not Knowing They Were Tested
Opt-out HIV testing is recommended for correctional settings but may occur without inmates’ knowledge or against their wishes. Through surveying inmates receiving opt-out testing in a large prison system, we estimated the proportion unaware of being tested or not wanting a test, and associations [pr...
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| Veröffentlicht in: | AIDS and behavior 2016-04, Vol.20 (4), p.859-869 |
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| creator | Grodensky, Catherine A. Rosen, David L. Hino, Sayaka Golin, Carol E. Wohl, David A. |
| description | Opt-out HIV testing is recommended for correctional settings but may occur without inmates’ knowledge or against their wishes. Through surveying inmates receiving opt-out testing in a large prison system, we estimated the proportion unaware of being tested or not wanting a test, and associations [prevalence ratios (PRs)] with inmate characteristics. Of 871 tested, 11.8 % were unknowingly tested and 10.8 % had unwanted tests. Not attending an educational HIV course [PR = 2.34, 95 % confidence interval (CI) 1.47–3.74], lower HIV knowledge (PR = 0.95, 95 % CI 0.91–0.98), and thinking testing is not mandatory (PR = 9.84, 95 % CI 4.93–19.67) were associated with unawareness of testing. No prior incarcerations (PR = 1.59, 95 % CI 1.03–2.46) and not using crack/cocaine recently (PR = 2.37, 95 % CI 1.21–4.64) were associated with unwanted testing. Residence at specific facilities was associated with both outcomes. Increased assessment of inmate understanding and enhanced implementation are needed to ensure inmates receive full benefits of opt-out testing: being informed and tested according to their wishes. |
| doi_str_mv | 10.1007/s10461-015-1203-y |
| format | Article |
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Through surveying inmates receiving opt-out testing in a large prison system, we estimated the proportion unaware of being tested or not wanting a test, and associations [prevalence ratios (PRs)] with inmate characteristics. Of 871 tested, 11.8 % were unknowingly tested and 10.8 % had unwanted tests. Not attending an educational HIV course [PR = 2.34, 95 % confidence interval (CI) 1.47–3.74], lower HIV knowledge (PR = 0.95, 95 % CI 0.91–0.98), and thinking testing is not mandatory (PR = 9.84, 95 % CI 4.93–19.67) were associated with unawareness of testing. No prior incarcerations (PR = 1.59, 95 % CI 1.03–2.46) and not using crack/cocaine recently (PR = 2.37, 95 % CI 1.21–4.64) were associated with unwanted testing. Residence at specific facilities was associated with both outcomes. 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Through surveying inmates receiving opt-out testing in a large prison system, we estimated the proportion unaware of being tested or not wanting a test, and associations [prevalence ratios (PRs)] with inmate characteristics. Of 871 tested, 11.8 % were unknowingly tested and 10.8 % had unwanted tests. Not attending an educational HIV course [PR = 2.34, 95 % confidence interval (CI) 1.47–3.74], lower HIV knowledge (PR = 0.95, 95 % CI 0.91–0.98), and thinking testing is not mandatory (PR = 9.84, 95 % CI 4.93–19.67) were associated with unawareness of testing. No prior incarcerations (PR = 1.59, 95 % CI 1.03–2.46) and not using crack/cocaine recently (PR = 2.37, 95 % CI 1.21–4.64) were associated with unwanted testing. Residence at specific facilities was associated with both outcomes. Increased assessment of inmate understanding and enhanced implementation are needed to ensure inmates receive full benefits of opt-out testing: being informed and tested according to their wishes.</description><subject>Acquired immune deficiency syndrome</subject><subject>AIDS</subject><subject>Cocaine</subject><subject>Confidence intervals</subject><subject>Correctional system</subject><subject>Diagnostic tests</subject><subject>Health behavior</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Psychology</subject><subject>HIV</subject><subject>HIV Infections - diagnosis</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - psychology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Informed Consent</subject><subject>Knowledge</subject><subject>Mandatory Testing</subject><subject>Mass Screening</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>North Carolina</subject><subject>Original Paper</subject><subject>Patient Acceptance of Health Care</subject><subject>Prevalence</subject><subject>Prisoners</subject><subject>Prisons</subject><subject>Public Health</subject><subject>Refusal to Participate</subject><subject>Residence</subject><subject>Surveying</subject><subject>Surveys and Questionnaires</subject><subject>Voluntary Programs</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkk9vFCEYxidGY2v1A3gxJF68oDD8GzyYNBtrNzauh9UeCTDMLs0sbGHGZj9Av3fZ2dpUExNPkPf5vQ8v8FTVa4zeY4TEh4wR5RgizCCuEYG7J9UxZoJAUjP6tOyRRFBgzo6qFzlfIYQkF_J5dVRz0nAm8XF1u9gOcDEO4Hz-EyxdHnxYgdiBedjowWXgA_gW07AGM51i74MG35PPMeSP4EzbIaYMTnOO1he6BTe-kCEO4FKHyUlPnkCHdip_DfFmX16u3Q5cuuQm2bUvq2ed7rN7db-eVD_OPi9n5_Bi8WU-O72AliEyQNtgI6WwlHBDW8KRRZLWnItWSNxaZy0hwhpjOstRZ1jDDJWNYawmrmtMTU6qTwff7Wg2rnSEIelebZPf6LRTUXv1pxL8Wq3iL8VoIwnDxeDdvUGK12OZXW18tq7vdXBxzAqLBrG6QaT5D1RQRjBlvKBv_0Kv4phCeYmJqsuvYVIofKBsijkn1z3MjZHa50Ed8qBKHtQ-D2pXet48vvBDx-8AFKA-ALlIYeXSo6P_6XoH9RPBVw</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Grodensky, Catherine A.</creator><creator>Rosen, David L.</creator><creator>Hino, Sayaka</creator><creator>Golin, Carol E.</creator><creator>Wohl, David A.</creator><general>Springer US</general><general>Springer Nature B.V</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>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T2</scope><scope>7U3</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AM</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>BHHNA</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HEHIP</scope><scope>K7.</scope><scope>K9.</scope><scope>KB0</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>7U2</scope><scope>5PM</scope></search><sort><creationdate>20160401</creationdate><title>Opt-Out HIV Testing of Inmates in North Carolina Prisons: Factors Associated with not Wanting a Test and not Knowing They Were Tested</title><author>Grodensky, Catherine A. ; Rosen, David L. ; Hino, Sayaka ; Golin, Carol E. ; Wohl, David A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-c81b997c436b4d360c0942667d791dcecc337cbbbfc60fb585b498b5523ef8b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>AIDS</topic><topic>Cocaine</topic><topic>Confidence intervals</topic><topic>Correctional system</topic><topic>Diagnostic tests</topic><topic>Health behavior</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Psychology</topic><topic>HIV</topic><topic>HIV Infections - 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Academic</collection><collection>Safety Science and Risk</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grodensky, Catherine A.</au><au>Rosen, David L.</au><au>Hino, Sayaka</au><au>Golin, Carol E.</au><au>Wohl, David A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Opt-Out HIV Testing of Inmates in North Carolina Prisons: Factors Associated with not Wanting a Test and not Knowing They Were Tested</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>20</volume><issue>4</issue><spage>859</spage><epage>869</epage><pages>859-869</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><coden>AIBEFC</coden><abstract>Opt-out HIV testing is recommended for correctional settings but may occur without inmates’ knowledge or against their wishes. Through surveying inmates receiving opt-out testing in a large prison system, we estimated the proportion unaware of being tested or not wanting a test, and associations [prevalence ratios (PRs)] with inmate characteristics. Of 871 tested, 11.8 % were unknowingly tested and 10.8 % had unwanted tests. Not attending an educational HIV course [PR = 2.34, 95 % confidence interval (CI) 1.47–3.74], lower HIV knowledge (PR = 0.95, 95 % CI 0.91–0.98), and thinking testing is not mandatory (PR = 9.84, 95 % CI 4.93–19.67) were associated with unawareness of testing. No prior incarcerations (PR = 1.59, 95 % CI 1.03–2.46) and not using crack/cocaine recently (PR = 2.37, 95 % CI 1.21–4.64) were associated with unwanted testing. Residence at specific facilities was associated with both outcomes. Increased assessment of inmate understanding and enhanced implementation are needed to ensure inmates receive full benefits of opt-out testing: being informed and tested according to their wishes.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>26386591</pmid><doi>10.1007/s10461-015-1203-y</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acquired immune deficiency syndrome AIDS Cocaine Confidence intervals Correctional system Diagnostic tests Health behavior Health Knowledge, Attitudes, Practice Health Psychology HIV HIV Infections - diagnosis HIV Infections - prevention & control HIV Infections - psychology Human immunodeficiency virus Humans Infectious Diseases Informed Consent Knowledge Mandatory Testing Mass Screening Medicine Medicine & Public Health Middle Aged North Carolina Original Paper Patient Acceptance of Health Care Prevalence Prisoners Prisons Public Health Refusal to Participate Residence Surveying Surveys and Questionnaires Voluntary Programs |
| title | Opt-Out HIV Testing of Inmates in North Carolina Prisons: Factors Associated with not Wanting a Test and not Knowing They Were Tested |
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