Comparison of HIV-Antibody Prevalence in Patients Consenting to and Declining HIV-Antibody Testing in an STD Clinic
Hull, Harry F.
Bettinger, Carl J.
Gallaher, Margaret M.
Keller, Nick M.
Mertz, Gregory J.
JAMA. 1988 Aug 19; 260(7): 935-938.
Results of voluntary, anonymous human immunodeficiency virus (HIV) antibody testing and counseling offered to all patients attending a sexually transmitted disease (STD) clinic showed that men who refused testing were 5.3 times more likely to be infected than men who accepted testing, and that male homosexuals and black and Hispanic men who refused testing were even more likely to be infected than their counterparts who accepted testing. The prevalence of HIV infection in persons refusing HIV testing was determined in a retrospective, blinded study using stored serum specimens originally drawn for syphilis testing. It is recommended that HIV testing and counseling should be routinely offered to STD clinic patients; male STD clinic patients who refuse voluntary HIV testing should be counseled about reducing their risk for HIV transmission. (KIE abstract)
Aids; Aids Serodiagnosis; American Indians; Attitudes; Counseling; Disease; Females; Health; Health Facilities; Hispanic Americans; Homosexuals; Institutional Policies; Males; Mass Screening; Patients; Prevalence; Risk; Sexually Transmitted Diseases; Socioeconomic Factors; Survey; Syphilis; Voluntary Programs;
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