title: Integrating routine HIV screening into a primary care setting in rural North Carolina.
abstract: Blacks living in the southern United States are disproportionately affected by HIV infection. Identifying and treating those who are infected is an important strategy for reducing HIV transmission. A model for integrating rapid HIV screening into community health centers was modified and used to guide implementation of a testing program in a primary care setting in a small North Carolina town serving a rural Black population. Anonymous surveys were completed by 138 adults who were offered an HIV test; of these, 61% were female and 89.9% were Black. One hundred patients (72%) accepted the test. Among those Black survey respondents who accepted an offer of testing, 58% were women. The most common reason for declining an HIV test was lack of perceived risk; younger patients were more likely to get tested. Implementation of the testing model posed challenges with time, data collection, and patient flow.
authors.forename: James L
authors.initials: JL
authors.lastname: Harmon
authors.forename: Michelle
authors.initials: M
authors.lastname: Collins-Ogle
authors.forename: John A
authors.initials: JA
authors.lastname: Bartlett
authors.forename: Julie
authors.initials: J
authors.lastname: Thompson
authors.forename: Julie
authors.initials: J
authors.lastname: Barroso
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D003151:Community Health Centers / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated / Q000379:methods*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000208:ethnology; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods; D009657:North Carolina; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000458:organization & administration; D012424:Rural Population
keywords: African American; Black; HIV; South; primary care; rural; screening