Factors related to the offer of HIV testing and known HIV status in persons with tuberculosis
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Bhavaraju, Rajita.
Factors related to the offer of HIV testing and known HIV status in persons with tuberculosis. Retrieved from
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TitleFactors related to the offer of HIV testing and known HIV status in persons with tuberculosis
Date Created2017
Other Date2017-05 (degree)
Extent1 online resource (x, 157 p. : ill.)
DescriptionObjective: Describe how year of report, substance use, residential setting, demographic characteristics, and provider type are related to the offer of HIV testing and known HIV status in persons with tuberculosis (TB) in New Jersey. Methods: 1) Surveillance data (2000-2013) were analyzed for persons with TB, and associations with offer of HIV testing and known HIV status by the study variables. Models, stratified by provider type, were developed with two HIV outcomes. Interactions by year were added. 2) Thirty-one providers were interviewed about HIV testing in persons with TB. Transcripts were coded and themes identified. Results: 1) HIV testing was offered to 70.4% and HIV status was known in 62.7% of individuals with TB. The odds of HIV testing offer and known HIV status increased two-four times (p<0.0001) after 2006, when opt-out HIV testing was recommended. Differences in HIV testing offer and known HIV status were identified in all age groups compared to 25-44 year olds (OR=0.11-0.81; p<0.0010). Females had lower odds of HIV testing offer and known HIV status than males (OR=0.67-0.73; p<0.0002). Substance users had greater odds of HIV testing offer and known HIV status than non-users (OR=1.85-2.62; p<0.0001). Homeless persons had higher odds of known HIV status (OR=2.49; p=0.0432) than non-homeless person under community care. Black, non-Hispanics (OR=2.07-3.13; p<0.0001) had higher odds of HIV testing offer and known HIV status than White, non-Hispanics. Hispanics under community care (OR=1.62; p=0.0026) had higher known HIV status and Asians under community care had lower odds of known HIV status and offer of HIV testing (OR=0.69-0.71, p<0.0051) compared to White, non-Hispanic. 2) Interview codes fell under four themes: basis of provider’s testing decision, perceived patient barriers, provider testing barriers, and provider testing opportunities. Providers corroborated that the opt-out recommendation has made it easier for offering HIV testing. Barriers to HIV testing included limited time, patient stigma, low access to testing facilities, not knowing/remembering to test, and hesitation to test all persons with TB without risk factors. Conclusion: Interventions are needed to educate providers about HIV testing recommendations for all persons with TB, as well as training on patient support for the process and results.
NotePh.D.
NoteIncludes bibliographical references
Noteby Rajita Bhavaraju
Genretheses, ETD doctoral
Languageeng
CollectionGraduate School - New Brunswick Electronic Theses and Dissertations
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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