Hyden Christel, Allegrante John P, Cohall Alwyn T
1Yeshiva University, New York, NY, USA.
Health Promot Pract. 2014 Mar;15(2):173-80. doi: 10.1177/1524839913499347. Epub 2013 Aug 21.
This study sought to evaluate HIV testing locations in New York City in terms of staff communication of confidentiality policies for adolescent clients.
Using the New York State Directory of HIV Counseling and Testing Resources as a sampling frame, this study made telephone contact with 164 public HIV testing locations in New York City and used a semistructured interview to ask questions about confidentiality, parental permission, and parent access to test results.
At 48% of locations, either HIV testing was not offered or we were unable to reach a staff member to ask questions about testing options and confidentiality. At the remaining sites, information provided regarding confidentiality, parental consent, and privacy of test results was correct only 69% to 85% of the time. Additionally, 23% of sites successfully contacted offered testing exclusively between 9:00 a.m. and 3:00 p.m. weekdays, when most adolescents are in school.
Our findings point to a need for increased training and quality control at the clinical level to ensure that consumers in need of HIV testing are provided with accurate information and accessible services. Furthermore, these results highlight the need for more "patient-centric" sites with enhanced accessibility for potential clients, particularly youth.
本研究旨在评估纽约市的艾滋病病毒检测地点在向青少年客户传达保密政策方面的情况。
以《纽约州艾滋病病毒咨询与检测资源名录》作为抽样框架，本研究与纽约市164个公共艾滋病病毒检测地点进行了电话联系，并使用半结构化访谈询问有关保密、家长许可以及家长获取检测结果的问题。
在48%的地点，要么不提供艾滋病病毒检测，要么我们无法联系到工作人员询问有关检测选项和保密的问题。在其余地点，关于保密、家长同意和检测结果隐私方面提供的信息仅有69%至85%的时间是正确的。此外，在成功联系到的地点中，23%仅在工作日上午9点至下午3点提供检测，而此时大多数青少年都在上学。
我们的研究结果表明，需要在临床层面加强培训和质量控制，以确保有艾滋病病毒检测需求的消费者能够获得准确信息和可及的服务。此外，这些结果凸显了需要更多“以患者为中心”的地点，为潜在客户，尤其是年轻人提供更高的可及性。
