Time devoted to pre- and post-HIV test counselling in different health services according to participants of a rapid testing program in Madrid, Spain
Por:
Miller, JH, Fernandez-Balbuena, S, Egozcue, MJB, de Olalla, PG, Manzanero, JP, Sene, GM, de Hoz, LD
Publicada:
1 feb 2014
Resumen:
Introduction: The role of pre- and post-test counselling in new HIV testing strategies to reduce delayed diagnosis has been debated. Data on time devoted to counselling are scarce. One approach to this problem is to explore patients' views on the time devoted to counselling by venue of their last HIV test.
Methods: We analysed data from 1568 people with a previous HIV test who attended a mobile HIV testing program in Madrid between May and December 2008.
Results: The majority (71%) were men (48% had had sex with other men), 51% were <30 years, 40% were foreigners, 56% had a university degree, and 40% had the most recent HIV test within the last year. As regards pre-test counselling, 30% stated they were told only that they would receive the test; 26.3% reported <10 min; 20.4% about 10 min; and 24.2%, 15 min or more. For post-test counselling: 40.2% stated they were told only that the test was negative; 24.9% reported 2-6 min; 16.4% about 10 min; and 18.5%, 15 min or more. The percentage of participants who reported no counselling time was higher among those tested in general health services: primary care, hospital settings and private laboratories (over 40% in pre-test, over 50% in post-test counselling). Women received less counselling time than men in almost all settings.
Conclusion: Policies to expand HIV testing in general health services should take this current medical behaviour into account. Any mention of the need for counselling can be a barrier to expansion, because HIV is becoming less of a priority in developed countries. Oral consent should be the only requirement. (C) 2012 Elsevier Espana, S.L. All rights reserved.
Filiaciones:
Miller, JH:
Inst Salud Carlos III, Escuela Nacl Sanidad, Madrid, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Fernandez-Balbuena, S:
Inst Salud Carlos III, Escuela Nacl Sanidad, Madrid, Spain
Inst Salud Carlos III, Ctr Nacl Epidemiol, Madrid, Spain
Egozcue, MJB:
Inst Salud Carlos III, Escuela Nacl Sanidad, Madrid, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
de Olalla, PG:
Agencia Salut Publ Barcelona, Serv Epidemiol, Barcelona, Spain
Manzanero, JP:
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Salud Carlos III, Ctr Nacl Epidemiol, Madrid, Spain
Sene, GM:
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Salud Carlos III, Ctr Nacl Epidemiol, Madrid, Spain
de Hoz, LD:
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Salud Carlos III, Ctr Nacl Epidemiol, Madrid, Spain
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