Feasibility of HIV Universal Voluntary Counseling and Testing in a Thai General Practice Clinic.
An HIV transmission prevention program incorporating universal voluntary counseling and testing (UVCT) was conducted in a general practice (GP) clinic of a Thai hospital. Of the 494 participating patients, 356 (72%) accepted HIV-UVCT. Independent factors associated with HIV-UVCT acceptance included participating in the program after office hours (4-8 pm; P < .001), living with domestic partner with no marriage (P = .01), and having primary school education or less (P = .02). The main reasons for declining HIV-UVCT were time constraint (38%) and perceiving self as no risk (35%). Among the 356 patients undergoing HIV-UVCT, having moderate to high HIV risk (P < .001) and male sex (P = .01) were independently associated with low HIV risk perception. By HIV-UVCT, the rate of new HIV infection was 4 (1.1%) of 356 patients. Of these 4 newly diagnosed HIV-infected patients, 3 (75%) were homosexual men. The findings suggest feasibility of HIV-UVCT in our GP clinic and factors to be considered for improving the program.
Division of Infectious Diseases, Faculty of Medicine, Thammasat University, Pathumthani, Thailand HIV/AIDS Care Unit of Thammasat University Hospital, Pathumthani, Thailand thanak30@yahoo.com.
Thana
T
Khawcharoenporn
Division of Infectious Diseases, Faculty of Medicine, Thammasat University, Pathumthani, Thailand HIV/AIDS Care Unit of Thammasat University Hospital, Pathumthani, Thailand.
Anucha
A
Apisarnthanarak
HIV/AIDS Care Unit of Thammasat University Hospital, Pathumthani, Thailand.
Krongtip
K
Chunloy
Section of Infectious Diseases, Rush University Medical Center, Chicago, IL, USA The Ruth M. Rothstein CORE Center, Chicago, IL, USA.
Kimberly
K
Smith
D000293:Adolescent; D000328:Adult; D000368:Aged; D003376:Counseling / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D058006:General Practice; D015658:HIV Infections / Q000175:diagnosis* / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D013785:Thailand; D055815:Young Adult
HIV; Thailand; feasibility; general practice; universal voluntary counseling and testing