The Johns Hopkins University, Baltimore, MD, USA.
The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
BMC Public Health. 2020 Jul 6;20(1):1066. doi: 10.1186/s12889-020-09170-x.
Transmission of HIV in South Africa continues to be high due to a large proportion of individuals living with undiagnosed HIV. Uptake of HIV testing is influenced by a multitude of factors including the patient's knowledge and beliefs about HIV.
This study sought to quantify the impact of knowledge and attitudes on HIV testing acceptance in an emergency department by co-administering a validated HIV knowledge and attitudes survey to patients who were subsequently offered HIV testing.
During the study period 223 patients were interviewed and offered HIV testing. Individuals reporting more negative overall attitudes (p = 0.006), higher levels of stigma to HIV testing (p < 0.001), and individuals who believed their test was confidential (p < 0.001) were more likely to accept an HIV test.
Interventions focused on improving patient perceptions around testing confidentiality will likely have the greatest impact on testing acceptance in the emergency department.
由于大量艾滋病毒感染者未被诊断，南非的艾滋病毒传播率仍然很高。接受艾滋病毒检测的意愿受到多种因素的影响，包括患者对艾滋病毒的知识和信念。
本研究通过对随后接受艾滋病毒检测的患者同时进行经过验证的艾滋病毒知识和态度调查，来定量评估知识和态度对急诊科艾滋病毒检测接受率的影响。
在研究期间，共对 223 名患者进行了访谈并提供了艾滋病毒检测。报告总体态度更消极的个体（p=0.006）、对艾滋病毒检测的污名化程度更高（p<0.001）以及认为自己的检测是保密的个体（p<0.001）更有可能接受艾滋病毒检测。
专注于改善患者对检测保密性的看法的干预措施可能会对急诊科检测接受率产生最大影响。
