June 27, 2011
HIV testing studies in the emergency department have found rates of testing refusal of 40 percent to 67 percent, noted authors of the current study. Walensky and colleagues examined factors associated with refusal to undergo routine rapid HIV testing in an academic ED in Boston.
Of the 1,959 subjects offered HIV testing by an HIV counselor, 577 (29 percent) refused. Data from a self-administered survey were used to determine independent correlates of refusal.
Participants more likely to refuse testing included women, those with annual household incomes of $50,000 or greater, those reporting no HIV risk behaviors, those previously tested, those who did not perceive a need for testing, and participants enrolled during the morning hours.
AIDS and Behavior
05.2011; Vol. 15; No. 4: P. 734-742; Mary L. Pisculli; William M. Reichmann; Elena Losina; Laurel A. Donnell-Fink; Christian Arbelaez; Jeffrey N. Katz; Rochelle P. Walensky
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