rss
Sex Transm Infect 80:247-248 doi:10.1136/sti.2003.007682
  • Letter

Barriers to HIV testing: a survey of GUM clinic attendees

Table 1

Variations in reporting of being offered an HIV test and HIV test uptake*

Patient characteristics Reported being offered an HIV test p Value Offered a test and having an HIV test p Value
n/N† (%) n/N† (%)
*Patients who reported an HIV risk in the past 3 months, an HIV test in the past year, or that their reason for not testing was that they had tested recently, were excluded from the analysis. This was to ensure that only individuals in whom HIV testing would be unequivocally appropriate in terms of risks and resources were included in our analysis.
†Base (N) excludes patients who did not report a valid response (“yes”, “no,” “don’t know”) to whether or not they had been offered an HIV test, as well as item non-response.
‡Heterosexual and/or homosexual anal sex.
§Base (N) excludes 151 patients for whom data on their clinician’s characteristics could not be obtained, in addition to 25 patients who did not report whether or not they had been offered an HIV test and whether or not they were having an HIV test, as well as item non-response.
¶Consultants and clinical assistants are considered as those who had completed their training, while specialist registrars, senior house officers, and gynaecological staff are considered as being in training.
All patients 327/419 (78.0) 160/319 (50.2)
Sociodemographics
Sex 0.387 0.613
    Male 138/170 (81.2) 66/133 (49.6)
    Female 187/245 (76.3) 94/184 (51.1)
Ethnicity 0.005 0.372
    White 186/223 (83.4) 93/181 (51.4)
    Not white 136/189 (72.0) 65/133 (48.9)
Among non-white patients: 0.073 0.283
    Black Caribbean 63/82 (76.8) 28/61 (45.9)
    Black African 15/20 (75.0) 9/15 (60.0)
    Black British 29/40 (72.5) 11/28 (39.3)
    Asian 6/9 (66.7) 2/6 (33.3)
    Other ethnicity 23/38 (60.5) 15/23 (65.2)
English is first language 0.360 0.014
    Yes 280/353 (79.3) 129/274 (47.1)
    No 43/59 (72.9) 29/41 (70.7)
Sexuality 0.497 0.060
    Heterosexual 293/378 (77.5) 148/286 (51.7)
    Homosexual/bisexual 29/34 (85.3) 9/28 (32.1)
Sexual behaviour
Number of heterosexual partners, past year 0.667 <0.001
    0/1 114/147 (77.6) 43/113 (38.1)
    2+ 184/227 (81.1) 108/181 (59.7)
Number of homosexual partners, past year 0.586 0.151
    0/1 93/117 (79.5) 46/91 (50.5)
    2+ 19/25 (76.0) 6/19 (31.6)
New partner(s) while abroad in past 5 years 0.152 0.097
    No 156/205 (76.1) 70/154 (45.5)
    Yes 82/99 (82.8) 48/82 (58.5)
Unprotected vaginal sex with 2+partners in past year 0.847 0.002
    No 162/210 (77.1) 72/161 (44.7)
    Yes 122/156 (78.2) 74/120 (61.7)
Unprotected anal sex with 2+partners in past year‡ 0.729 0.103
    No 172/228 (75.4) 83/170 (48.8)
    Yes 13/18 (72.2) 9/11 (81.8)
GUM clinic history
Previous STI diagnosis 0.029 0.007
    No 180/218 (82.6) 100/177 (56.5)
    Yes 112/157 (71.3) 44/112 (39.3)
Last HIV test 0.207 0.093
    1–5 years ago 77/97 (79.4) 47/76 (61.8)
    More than 5 years ago 18/24 (75.0) 6/18 (33.3)
    Never 226/291 (77.7) 104/220 (47.3)
Intention to have an HIV test <0.001 <0.001
    No, not intention/don’t know 231/314 (73.6) 70/225 (31.1)
    Yes, intention 95/103 (92.2) 90/93 (96.8)
Clinician seen for consultation
Clinician’s training status§¶ 0.079 0.536
    Completed training 103/143 (72.0) 50/99 (50.5)
    In training 96/115 (83.5) 56/96 (58.3)
Clinician’s sex§ 0.392 0.082
    Male 88/119 (73.9) 46/86 (53.5)
    Female 107/132 (81.1) 60/105 (57.1)
Clinician also runs an HIV clinic§ 0.684 0.770
    No 121/158 (76.6) 64/118 (54.2)
    Yes 74/93 (79.6) 42/73 (57.5)
Drug use
Used cocaine/heroin/speed/ecstasy/LSD in past year 0.028 0.722
    No 202/270 (74.8) 99/200 (49.5)
    Yes 105/121 (86.8) 53/103 (51.5)

This Article

Latest from STI blog

Latest from STI blog

Free sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of STI.
View free sample issue >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.