Document 0034
 DOCN  M9460034
 TI    Characterization of patients accepting and refusing routine, voluntary
       HIV antibody testing in public sexually transmitted disease clinics.
 DT    9404
 AU    Groseclose SL; Erickson B; Quinn TC; Glasser D; Campbell CH; Hook EW
       3rd; Baltimore City Health Department, MD 21202.
 SO    Sex Transm Dis. 1994 Jan-Feb;21(1):31-5. Unique Identifier : AIDSLINE
       MED/94188782
 AB    BACKGROUND AND OBJECTIVES: To determine the proportion of HIV-infected
       sexually transmitted disease (STD) clinic patients identified during
       routine, voluntary HIV counseling and testing and to characterize
       patients accepting and refusing counseling and testing, we linked data
       from a blinded HIV seroprevalence survey to data from the HIV counseling
       and testing program. GOAL OF THIS STUDY: This study characterizes
       patients accepting and refusing routine HIV counseling and testing in
       two public STD clinics. STUDY DESIGN: A cross-sectional, blinded HIV
       seroprevalence survey was conducted of 1,232 STD clinic patients offered
       HIV counseling and testing. RESULTS: HIV seroprevalence was higher among
       patients who refused voluntary testing (7.8% versus 3.6%, P = 0.001).
       Patients who refused testing were more likely to report a prior HIV test
       (45.6% versus 27.2%; P < 0.001). Among patients reporting a prior HIV
       test, differences were noted between reported prior results, both
       positive and negative, and blinded results. CONCLUSIONS: HIV-infected
       STD patients may not be detected by routine HIV testing, and
       self-reported HIV results should be confirmed.
 DE    Adult  *AIDS Serodiagnosis  Baltimore/EPIDEMIOLOGY  Cross-Sectional
       Studies  Female  Human  HIV Seropositivity/*PSYCHOLOGY  HIV
       Seroprevalence  Male  Patient Acceptance of Health Care  Sex Behavior
       Sexually Transmitted Diseases/EPIDEMIOLOGY  Support, U.S. Gov't, P.H.S.
       *Treatment Refusal  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).