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Factors related to the offer of HIV testing and known HIV status in persons with tuberculosis
Descriptive
TitleInfo
Title
Factors related to the offer of HIV testing and known HIV status in persons with tuberculosis
Name
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(type = family)
Bhavaraju
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Rajita
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1972-
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Rajita Bhavaraju
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(authority = RULIB)
author
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(type = family)
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(type = given)
Marian
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Marian Passannante
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Advisory Committee
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chair
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Delnevo
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(type = given)
Cristine
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Cristine Delnevo
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Advisory Committee
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co-chair
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(type = personal)
NamePart
(type = family)
Lewis
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(type = given)
Jane
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Jane Lewis
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Advisory Committee
Role
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(authority = RULIB)
internal member
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(type = personal)
NamePart
(type = family)
Pevzner
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(type = given)
Eric
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Eric Pevzner
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Advisory Committee
Role
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(authority = RULIB)
outside member
Name
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NamePart
Rutgers University
Role
RoleTerm
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degree grantor
Name
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NamePart
Graduate School - New Brunswick
Role
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school
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Text
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theses
OriginInfo
DateCreated
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2017
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2017-05
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2017
Place
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xx
Language
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eng
Abstract
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Objective: 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.
Subject
(authority = RUETD)
Topic
Public Health
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TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
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ETD
Identifier
ETD_7944
PhysicalDescription
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electronic resource
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application/pdf
InternetMediaType
text/xml
Extent
1 online resource (x, 157 p. : ill.)
Note
(type = degree)
Ph.D.
Note
(type = bibliography)
Includes bibliographical references
Subject
(authority = ETD-LCSH)
Topic
Tuberculosis
Subject
(authority = ETD-LCSH)
Topic
HIV infections
Note
(type = statement of responsibility)
by Rajita Bhavaraju
RelatedItem
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TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
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rucore19991600001
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NjNbRU
Identifier
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doi:10.7282/T36M39M3
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
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The author owns the copyright to this work.
RightsHolder
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Name
FamilyName
Bhavaraju
GivenName
Rajita
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
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2017-04-05 19:59:18
AssociatedEntity
Name
Rajita Bhavaraju
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Affiliation
Rutgers University. Graduate School - New Brunswick
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License
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime
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2017-05-31
DateTime
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2018-05-31
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2018.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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windows xp
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2017-04-19T14:51:47
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2017-04-19T14:51:47
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