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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
“Testing, Testing”: Multiple HIV-Positive Tests among Patients Initiating Antiretroviral Therapy in Ethiopia
Journal of the International Association of Providers of AIDS Care, Volume 16, No. 6, Year 2017
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Description
Repeat HIV testing after receiving a positive result has never been studied systematically and may give insight into reasons for delayed linkage to care. Among 831 adults in 6 secondary facilities in Oromia, Ethiopia, who completed an interviewer-administered structured questionnaire within 2 weeks of initiating antiretroviral therapy in 2012 to 2013, 110 (13.2%) reported having retested after an HIV-positive result. The odds of repeat (versus single) HIV-positive testing were higher among those who had doubted their HIV status (adjusted odds ratio [AOR]ref=nodoubt = 6.5; 95% confidence interval [CI]: 3.7-11.4) and those who initially tested at another facility, whether another secondary facility (AOR ref=studyfacility = 22.7; 95% CI: 11.0-46.9) or a lower-level facility (AORref=studyfacility = 19.1; 95% CI: 10.5-34.5). The odds of repeat (versus single) HIV-positive testing were lower among those who initially tested because of symptoms (AORref=not a reason = 0.40; 95% CI: 0.24-0.66). Median time between initial diagnosis and enrollment in care was 12.3 versus 1.0 month for repeat and single HIV-positive testers, respectively (P <.001). Repeat HIV-positive testing—not a rare occurrence—appears to stem from doubt, seeking care at a facility other than where diagnosed, and testing for a reason other than having symptoms. Because repeat HIV-positive testing is associated with delay in linkage to care, providers should be aware of this potential when counseling those who test HIV positive. © 2017, © The Author(s) 2017.
Authors & Co-Authors
Kulkarni, Sarah Gorrell
United States, New York
The City University of new York
Tymejczyk, Olga A.
United States, New York
The City University of new York
Gadisa, Tsigereda
United States, New York
Columbia University
Lahuerta, María
United States, New York
Columbia University
Remien, Robert H.
United States, New York
Hiv Center for Clinical and Behavioral Studies
Melaku, Zenebe
United States, New York
Columbia University
El-Sadr, W. M.
United States, New York
Columbia University
Elul, Batya
United States, New York
Columbia University
Nash, Denis B.
United States, New York
The City University of new York
United States, New York
Hiv Center for Clinical and Behavioral Studies
United States, New York
Columbia University
Hoffman, Susie
United States, New York
Hiv Center for Clinical and Behavioral Studies
United States, New York
Columbia University
Statistics
Citations: 15
Authors: 10
Affiliations: 3
Identifiers
Doi:
10.1177/2325957417737840
ISSN:
23259574
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Case-Control Study
Study Locations
Ethiopia