HIV/AIDS-related stigma is a
key factor impeding patient utilization of HIV testing services. To
destigmatize HIV testing, the Centers for Disease Control and Prevention
recommended an 'opt-out' screening strategy aimed at all patients in all
clinical settings, regardless of HIV risk.
This study assessed whether opt-out
screening as compared to opt-in screening was associated with increased uptake
of HIV testing among patients with HIV/AIDS-related stigma concerns. This study
included 374 patients attending two Los Angeles ambulatory care clinics.
Stigma
items were grouped into three constructs: Blame/isolation, abandonment, and
contagion. Individuals endorsing the blame/isolation subscale and
abandonment subscale were significantly less likely to accept an HIV test.
Additionally, the opt-out model did not counter the negative effects of stigma
on HIV test acceptance.
These findings indicate that stigma remains a barrier
to HIV testing, regardless of the opt-out screening approach.
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By:
- 1Department of Health Services, Los Angeles County, 313 N. Figueroa St., Room 901, Los Angeles, CA, 90066, USA. amahajan@dhs.lacounty.gov.
- 2Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at University of California, Los Angeles, CA, USA. amahajan@dhs.lacounty.gov.
- 3Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at University of California, Los Angeles, CA, USA.
- 4Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
- 5Department of Public Health, Los Angeles County, Los Angeles, CA, USA.
- 6Department of Health Services, Los Angeles County, 313 N. Figueroa St., Room 901, Los Angeles, CA, 90066, USA.
- 7HealthBegins, Los Angeles, CA, USA.
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