title: Factors associated with a willingness to accept rapid HIV testing in an urban emergency department.
abstract: Emergency Departments (EDs) provide primary healthcare to many underserved persons without access to preventive healthcare elsewhere. We conducted a cross-sectional study to test the hypothesis that patients are more likely to express a willingness to accept rapid HIV testing in the ED if they lack access to preventive healthcare elsewhere. Medicaid insurance, younger age, lack of a usual place of healthcare, high perceived HIV risk, and actual HIV risk were associated with increased HIV test acceptance. These results support the need for and acceptability of rapid HIV testing in the ED particularly for individuals who may lack access to this preventive healthcare screening elsewhere.
authors.affiliation: Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA, lbamford@fight.org.
authors.forename: Laura
authors.initials: L
authors.lastname: Bamford
authors.forename: Jonas H
authors.initials: JH
authors.lastname: Ellenberg
authors.forename: Janet
authors.initials: J
authors.lastname: Hines
authors.forename: Christopher
authors.initials: C
authors.lastname: Vinnard
authors.forename: Arati
authors.initials: A
authors.lastname: Jasani
authors.forename: Robert
authors.initials: R
authors.lastname: Gross
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000458:organization & administration / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis*; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006801:Humans; D007348:Insurance, Health; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011314:Preventive Health Services / Q000706:statistics & numerical data; D011320:Primary Health Care; D014505:Urban Population
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