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Factors Influencing Uptake of Rapid HIV and Hepatitis C Screening Among Drug Misusing Adult Emergency Department Patients: Implications for Future HIV/HCV Screening Interventions

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Abstract

In this randomized, controlled trial among 957 English- or Spanish-speaking drug misusing adult emergency department (ED) patients, we determined if a tailored brief intervention (BI) increased uptake of rapid HIV/HCV screening, and identified factors associated with greater screening uptake. Rapid HIV/HCV screening uptake was greater in the control than the BI arm (45 vs. 38 %; p < 0.04). Screening uptake depended on elapsed study time and which research staff member offered testing. In the control arm, uptake was lowest for those spending <30 or ≥90 min in the study. In the BI arm, screening uptake generally increased over time. Tailored BI content specifically addressing participant HIV/HCV knowledge, HIV/HCV risk behaviors, or need for HIV/HCV screening was not associated with greater screening uptake. These study findings suggested factors that should be considered when designing future ED-based screening initiatives, such as elapsed study time, who offers testing, and the content of interventions.

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Authors and Affiliations

  1. Department of Emergency Medicine, Rhode Island Hospital, Alpert Medical School of Brown University, 593 Eddy Street, Claverick Building, Providence, RI, 02903, USA

    Roland C. Merchant & Janette R. Baird

  2. Department of Epidemiology, School of Public Health, Brown University, Providence, RI, USA

    Roland C. Merchant

  3. Center for Statistical Sciences, School of Public Health, Brown University, Providence, RI, USA

    Allison K. DeLong

  4. Department of Biostatistics, Center for Statistical Sciences, School of Public Health, Brown University, Providence, RI, USA

    Tao Liu

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  1. Roland C. Merchant
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  2. Allison K. DeLong
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Correspondence to Roland C. Merchant.

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Merchant, R.C., DeLong, A.K., Liu, T. et al. Factors Influencing Uptake of Rapid HIV and Hepatitis C Screening Among Drug Misusing Adult Emergency Department Patients: Implications for Future HIV/HCV Screening Interventions. AIDS Behav 19, 2025–2035 (2015). https://doi.org/10.1007/s10461-015-1103-1

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