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AIDS and Behavior
Published in: AIDS and Behavior 4/2011

Open Access 01-05-2011 | Original Paper

Factors Associated with Refusal of Rapid HIV Testing in an Emergency Department

Authors: Mary L. Pisculli, William M. Reichmann, Elena Losina, Laurel A. Donnell-Fink, Christian Arbelaez, Jeffrey N. Katz, Rochelle P. Walensky

Published in: AIDS and Behavior | Issue 4/2011

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Abstract

HIV screening studies in the emergency department (ED) have demonstrated rates of HIV test refusal ranging from 40–67%. This study aimed to determine the factors associated with refusal to undergo routine rapid HIV testing in an academic ED in Boston. HIV counselors offered routine testing to 1,959 patients; almost one-third of patients (29%) refused. Data from a self-administered survey were used to determine independent correlates of HIV testing refusal. In multivariate analysis, women and patients with annual household incomes of $50,000 or more were more likely to refuse testing, as were those who reported not engaging in HIV risk behaviors, those previously HIV tested and those who did not perceive a need for testing. Enrollment during morning hours was also associated with an increased risk of refusal. Increased educational efforts to convey the rationale and benefits of universal screening may improve testing uptake among these groups.
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Metadata
Title
Factors Associated with Refusal of Rapid HIV Testing in an Emergency Department
Authors
Mary L. Pisculli
William M. Reichmann
Elena Losina
Laurel A. Donnell-Fink
Christian Arbelaez
Jeffrey N. Katz
Rochelle P. Walensky
Publication date
01-05-2011
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2011
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-010-9837-2

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