Expanding provider-initiated HIV testing at STI clinics in China

Joseph D. Tucker, Rochelle P. Walensky, Li Gang Yang, Bin Yang, David Bangsberg, Xiang Sheng Chen, Myron S. Cohen

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Despite expanding sexually transmitted epidemics in South China, the majority of patients presenting to sexually transmitted infection (STI) clinics are not routinely screened for HIV infection. Identifying barriers to offering HIV testing among STI care providers is an important public health priority. The aim of this study was to investigate the frequency of offering HIV testing among STI care providers in South China and reported physician barriers to offering HIV testing. More detailed operational data regarding HIV test offer frequency and barriers to testing may enhance routine HIV testing at STI clinics. A sample of 62 STI care providers within the Pearl River Delta Region of South China completed a survey including socio-demographic and training background information (including sex, age, medical education, year of terminal medical degree, and HIV-specific training), reasons for not offering HIV testing routinely, and physical examination and sexual history taking practices. Frequency of offering HIV testing was calculated based on reports from research assistants and operational data. STI care providers offered HIV testing to 3011/10,592 (28.4%) of their patients. There was substantial variability across providers in the frequency of offering testing, ranging from 3 to 100%. None of the identified physician factors were associated with offering HIV testing 100% of the time in the multivariate model. The most commonly physician reported barriers to HIV testing included: (1) low perceived prevalence of disease and (2) not recommended by current guidelines. Forty-seven providers (76%) reported asking about same sex behaviors rarely or never. Further research on HIV screening practices of STI care providers may help scale up HIV provider-initiated testing and counseling programs.

Original languageEnglish (US)
Pages (from-to)1316-1319
Number of pages4
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume24
Issue number10
DOIs
StatePublished - Oct 1 2012
Externally publishedYes

Fingerprint

Sexually Transmitted Diseases
China
HIV
physician
sex behavior
assistant
counseling
Physicians
public health
Disease
examination
Health Priorities
education
Medical Education
Research
Rivers
Sexual Behavior
Physical Examination
HIV Infections
Counseling

Keywords

  • China
  • HIV
  • implementation
  • physician
  • STI

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Social Psychology

Cite this

Expanding provider-initiated HIV testing at STI clinics in China. / Tucker, Joseph D.; Walensky, Rochelle P.; Yang, Li Gang; Yang, Bin; Bangsberg, David; Chen, Xiang Sheng; Cohen, Myron S.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 24, No. 10, 01.10.2012, p. 1316-1319.

Research output: Contribution to journalArticle

Tucker, Joseph D. ; Walensky, Rochelle P. ; Yang, Li Gang ; Yang, Bin ; Bangsberg, David ; Chen, Xiang Sheng ; Cohen, Myron S. / Expanding provider-initiated HIV testing at STI clinics in China. In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2012 ; Vol. 24, No. 10. pp. 1316-1319.
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