A Systematic Review of Health Care Provider-Perceived Barriers and Facilitators to Routine HIV Testing in Primary Care Settings in the Southeastern United States

Overview

Journal J Assoc Nurses AIDS Care

Specialties Infectious Diseases
Nursing

Date 2018 Jan 15

PMID 29331504

Citations 15

Authors

Kelly Tan

Beth Perry Black

Affiliations

Soon will be listed here.

Abstract

Despite efforts to improve HIV screening and testing, many primary care settings do not follow established guidelines. The purpose of our systematic review was to describe health care providers' perceived barriers and facilitators to testing for HIV at poorly used/novel testing sites in the southeastern United States. PubMed, CINAHL, and Embase databases were searched for peer-reviewed studies of providers' perceived barriers and facilitators to routine HIV testing from January 2016 to April 2017 according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Of 708 papers retrieved, 12 met inclusion criteria and were analyzed. Barriers to HIV testing in primary care existed at the societal, organizational, and individual levels. Providers need continuing sexual health education, including HIV and federal guideline updates, and students should have clinical experiences to supplement knowledge about sexual health. Clinic protocols should be updated to meet current policy guidelines.

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References

Sison N, Yolken A, Poceta J, Mena L, Chan P, Barnes A . Healthcare provider attitudes, practices, and recommendations for enhancing routine HIV testing and linkage to care in the Mississippi Delta region. AIDS Patient Care STDS. 2013; 27(9):511-7. PMC: 3760055. DOI: 10.1089/apc.2013.0169. View

Haynes L, Korte J, Holmes B, Gooden L, Matheson T, Feaster D . HIV rapid testing in substance abuse treatment: implementation following a clinical trial. Eval Program Plann. 2011; 34(4):399-406. PMC: 3124222. DOI: 10.1016/j.evalprogplan.2011.02.007. View

Krueger A, Dietz P, Van Handel M, Belcher L, Satcher Johnson A . Estimates of CDC-Funded and National HIV Diagnoses: A Comparison by Demographic and HIV-related Factors. AIDS Behav. 2016; 20(12):2961-2965. DOI: 10.1007/s10461-016-1293-1. View

Dorell C, Sutton M, Oster A, Hardnett F, Thomas P, Gaul Z . Missed opportunities for HIV testing in health care settings among young African American men who have sex with men: implications for the HIV epidemic. AIDS Patient Care STDS. 2011; 25(11):657-64. DOI: 10.1089/apc.2011.0203. View

Schroeder S . American health improvement depends upon addressing class disparities. Prev Med. 2016; 92:6-15. DOI: 10.1016/j.ypmed.2016.02.024. View

Lehman J, Carr M, Nichol A, Ruisanchez A, Knight D, Langford A . Prevalence and public health implications of state laws that criminalize potential HIV exposure in the United States. AIDS Behav. 2014; 18(6):997-1006. PMC: 4019819. DOI: 10.1007/s10461-014-0724-0. View

DiNenno E, Prejean J, Irwin K, Delaney K, Bowles K, Martin T . Recommendations for HIV Screening of Gay, Bisexual, and Other Men Who Have Sex with Men - United States, 2017. MMWR Morb Mortal Wkly Rep. 2017; 66(31):830-832. PMC: 5687782. DOI: 10.15585/mmwr.mm6631a3. View

Cook C, Lutz B, Young M, Hall A, Stacciarini J . Perspectives of linkage to care among people diagnosed with HIV. J Assoc Nurses AIDS Care. 2015; 26(2):110-26. DOI: 10.1016/j.jana.2014.11.011. View

Weis K, Liese A, Hussey J, Coleman J, Powell P, Gibson J . A routine HIV screening program in a South Carolina community health center in an area of low HIV prevalence. AIDS Patient Care STDS. 2009; 23(4):251-8. DOI: 10.1089/apc.2008.0167. View

10.

McNaghten A, Valverde E, Blair J, Johnson C, Freedman M, Sullivan P . Routine HIV testing among providers of HIV care in the United States, 2009. PLoS One. 2013; 8(1):e51231. PMC: 3544875. DOI: 10.1371/journal.pone.0051231. View

11.

Painter J, Wingood G, DiClemente R, Depadilla L, Simpson-Robinson L . College graduation reduces vulnerability to STIs/HIV among African-American young adult women. Womens Health Issues. 2012; 22(3):e303-10. PMC: 3349441. DOI: 10.1016/j.whi.2012.03.001. View

12.

Walsh D, Downe S . Meta-synthesis method for qualitative research: a literature review. J Adv Nurs. 2005; 50(2):204-11. DOI: 10.1111/j.1365-2648.2005.03380.x. View

13.

Lanier Y, Castellanos T, Barrow R, Jordan W, Caine V, Sutton M . Brief sexual histories and routine HIV/STD testing by medical providers. AIDS Patient Care STDS. 2014; 28(3):113-20. PMC: 3948486. DOI: 10.1089/apc.2013.0328. View

14.

Arnold E, Rebchook G, Kegeles S . 'Triply cursed': racism, homophobia and HIV-related stigma are barriers to regular HIV testing, treatment adherence and disclosure among young Black gay men. Cult Health Sex. 2014; 16(6):710-22. PMC: 4061253. DOI: 10.1080/13691058.2014.905706. View

15.

Reif S, Whetten K, Wilson E, McAllaster C, Pence B, LeGrand S . HIV/AIDS in the Southern USA: a disproportionate epidemic. AIDS Care. 2013; 26(3):351-9. DOI: 10.1080/09540121.2013.824535. View

16.

Reif S, Pence B, Hall I, Hu X, Whetten K, Wilson E . HIV Diagnoses, Prevalence and Outcomes in Nine Southern States. J Community Health. 2014; 40(4):642-51. PMC: 4490182. DOI: 10.1007/s10900-014-9979-7. View

17.

Bradley H, Hall H, Wolitski R, Van Handel M, Stone A, LaFlam M . Vital Signs: HIV diagnosis, care, and treatment among persons living with HIV--United States, 2011. MMWR Morb Mortal Wkly Rep. 2014; 63(47):1113-7. PMC: 5779517. View

18.

Simmons E, Brown M, Sly K, Ma M, Sutton M, McLellan-Lemal E . Barriers and facilitators to HIV testing in primary care among health care providers. J Natl Med Assoc. 2011; 103(5):432-8. DOI: 10.1016/s0027-9684(15)30340-0. View

19.

White B, Walsh J, Rayasam S, Pathman D, Adimora A, Golin C . What Makes Me Screen for HIV? Perceived Barriers and Facilitators to Conducting Recommended Routine HIV Testing among Primary Care Physicians in the Southeastern United States. J Int Assoc Provid AIDS Care. 2014; 14(2):127-35. PMC: 4484570. DOI: 10.1177/2325957414524025. View

20.

Avery A, Toro M, Caron A . Increases in HIV screening in primary care clinics through an electronic reminder: an interrupted time series. BMJ Qual Saf. 2013; 23(3):250-6. DOI: 10.1136/bmjqs-2012-001775. View