title: A comparison of voluntary counseling and testing uptake between a China CARES county and a county not designated for the china CARES program.
abstract: A cross-sectional study employing two-stage cluster sampling was conducted between December 2005 and March 2006 to compare adults' knowledge of HIV/AIDS voluntary counseling and testing (VCT) and the attitudes toward and acceptance of VCT between a county in which a comprehensive HIV/AIDS program, China CARES (CC), was available, and a county where it was not. Information on HIV/AIDS knowledge, awareness of VCT, and attitudes was collected. All participants were given a coupon for free VCT after the cross-sectional interview. Uptake of VCT was measured within 2 months of the interview. More participants in the CC county knew someone infected with HIV, had participated in AIDS-related activities, and/or had heard about China CARES. In the control county, education and income levels were higher, there were fewer minorities, and there was a higher proportion of women. VCT uptake was low. Overall, no significant differences in uptake were found between the two counties. Urban residents of the CC county had higher HIV/AIDS knowledge levels than urban residents of the comparison county (p = 0.002). Residents of the CC county were more discriminative against HIV/AIDS and persons living with HIV/AIDS (PLWHA) and had lower perceptions of risk. The differences may be due to the higher proportion of rural residents in the CC county (p < 0.001). The China CARES program may have had a positive effect on urban areas of Guizhou Province in terms of improving HIV/AIDS and VCT knowledge and reducing discrimination, but had little impact in the rural areas. If the China CARES program is to be successful, it must implement a more effective education program and increase the acceptability of testing.
authors.affiliation: Chinese Center for Disease Control and Prevention, National Center for AIDS/STD Control and Prevention, Beijing, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Ma
authors.forename: Zunyou
authors.initials: Z
authors.lastname: Wu
authors.forename: Yi
authors.initials: Y
authors.lastname: Qin
authors.forename: Roger
authors.initials: R
authors.lastname: Detels
authors.forename: Limei
authors.initials: L
authors.lastname: Shen
authors.forename: Yu
authors.initials: Y
authors.lastname: Li
authors.forename: Taiming
authors.initials: T
authors.lastname: Liu
authors.forename: Fang
authors.initials: F
authors.lastname: Chen
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D016000:Cluster Analysis; D003376:Counseling; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012923:Social Class; D011795:Surveys and Questionnaires