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Occupational exposure, attitude to HIV-positive patients and uptake of HIV counselling and testing among health care workers in a tertiary hospital in Nigeria Health care workers (HCWs) are at risk of occupational exposure to HIV. Their attitude to HIV-positive patients influences patients' willingness and ability to access quality care. HIV counselling and testing (HCT) services are available to inform HCWs and patients about their status. There is little information about HCT uptake (...) age <40 years OR = 1.6, 95% CI (1.1-2.4), having worked for >5 years OR = 1.5, 95% CI (1.03-2.2) and working in medical department OR = 1.7, 95% CI (1.1-2.8). Respondents in nursing departments were more likely to require routine HIVtest for all patients, OR = 3.9, 95% CI (2.4-6.2). HCWs in the laboratory departments were more likely to believe that HIV patients should be on separate wards, OR = 3.6, 95% CI (1.9-7.0). HCWs should be protected and encouraged to access HCT services in order
HIVTesting in Urban Transgender Individuals: A Descriptive Study HIVtesting is considered the initial component of HIV eradication strategies. This study aimed to describe HIVtesting in urban, transgender individuals in western New York. The study uses HIVtesting intake data from a sample of self-identified transgender males and females volunteering for an HIVtest at a community-based healthcare organization. Transgender individuals with some characteristics were found to have more HIV (...) tests including female gender, black, HIV status (positive), a history of incarceration, sex worker, housing situation, and self-referral. The findings can be used to tailor future interventions to encourage HIVtesting in transgender populations.
Association of Implementation of a Universal Testing and Treatment Intervention With HIV Diagnosis, Receipt of Antiretroviral Therapy, and Viral Suppression in East Africa. Antiretroviral treatment (ART) is now recommended for all HIV-positive persons. UNAIDS has set global targets to diagnose 90% of HIV-positive individuals, treat 90% of diagnosed individuals with ART, and suppress viral replication among 90% of treated individuals, for a population-level target of 73% of all HIV-positive (...) persons with HIV viral suppression.To describe changes in the proportions of HIV-positive individuals with HIV viral suppression, HIV-positive individuals who had received a diagnosis, diagnosed individuals treated with ART, and treated individuals with HIV viral suppression, following implementation of a community-based testing and treatment program in rural East Africa.Observational analysis based on interim data from 16 rural Kenyan (n = 6) and Ugandan (n = 10) intervention communities
of acquiring a humanimmunodeficiencyvirus (HIV) infection. Guidance relating to both HIV infection prevention, in general, and individual-level behaviour change interventions, in particular, is very limited. The objective of this review was to conduct an evidence synthesis of the clinical effectiveness of behaviour change interventions to reduce risky sexual behaviour among MSM after a negative HIV infection test. To identify effective components within interventions in reducing HIV risk-related (...) The clinical effectiveness of individual behaviour change interventions to reduce risky sexual behaviour after a negative humanimmunodeficiencyvirustest in men who have sex with men: systematic and realist reviews and intervention development The clinical effectiveness of individual behaviour change interventions to reduce risky sexual behaviour after a negative humanimmunodeficiencyvirustest in men who have sex with men: systematic and realist reviews and intervention development
. 2015;29(11):617-24. Hurt CB, Soni K, Miller WC, Hightow-Weidman LB. Humanimmunodeficiencyvirustesting practices and interest in self-testing options among young, black men who have sex with men in North Carolina. Sexually Transmitted Diseases. 2016;43(9):587-93. Witzel TC, Rodger AJ, Burns FM, Rhodes T, Weatherburn P. HIV self-testing among men who have sex with men (MSM) in the UK: A qualitative study of barriers and facilitators, intervention preferences and perceived impacts. PLoS ONE. 2016;11(9 (...) with early antiretroviral therapy. New England Journal of Medicine,. 2011;365(6):493-505. Public Health Agency of Canada. Humanimmunodeficiencyvirus: HIV screening and testing guide. (accessed December 1, 2016). 2012. Traversy GP, Austin T, Ha S, Timmerman K, Gale-Row M. An overview of recent evidence on barriers and facilitators to HIVtesting. Canada Communicable Disease Report. 2015;41(12). Figueroa C, Johnson C, Verster A, Baggaley R. Attitudes and acceptability on HIV self-testing among key
Determinants of Voluntary HIV/AIDS Counseling and Testing among Community College Students in the United States HumanImmunodeficiencyVirus (HIV) testing remains the best public health preventive strategy in the fight against HIV/AIDS. We assessed the factors that determined voluntary counseling and screening/testing for HIV among college students.In this cross-sectional study, a purposeful sample of 189 college students was analyzed using three health belief model (HBM) variables (...) as the theoretical framework.All the HBM variables were positively associated with intention to test for HIV, and with perceived benefits (p = 0.023) having the strongest association.The results of this study underscore the important factors that predict intention to screen for HIV among college students. Understanding the factors that influence intention for HIVtesting is useful in formulating public health policies and in the design of programs and interventions aimed at increasing the number of people who
Supplement to consolidated guidelines on HIVtesting services ABBREVIATIONS AIDS acquired immune deficiency syndrome ART antiretroviral therapy ARV antiretroviral (drug) CDC United States Centers for Disease Control and Prevention GDG Guideline Development Group GRADE Grading of Recommendations, Assessment, Development and Evaluation HIVhumanimmunodeficiencyvirus HIVST HIV self-testing HTS HIVtesting services ICER incremental cost-effectiveness ratio IPV intimate partner violence NGO nongovernmental (...) . They are aligned with a public health approach to HTS and are guided by the human rights principles outlined in the WHO 5Cs for HIVtesting (see section 1.7).6 Supplement to consolidated guidelines on HIVtesting services The background documents developed to support these guidelines and the systematic reviews and Grading of Recommendations, Assessment, Development and Evaluation tables for new recommendations appear in the annexes listed in the table of contents, which are available on the Internet (http
Community-based interventions to increase HIVtesting among Black women Community-based interventions to increase HIVtesting among Black women | The Ontario HIV Treatment Network The Ontario HIV Treatment Network Community-based interventions to increase HIVtesting among Black women Community-based interventions to increase HIVtesting among Black women , , , Questions What types of community-based interventions increase HIVtesting among Black women? Key take-home messages There are few (...) studies that examine the effectiveness of community-based interventions on HIVtesting among Black women. HIVtesting interventions in high-income settings are usually conducted in combination with risk reduction counselling (1-5). Home-based voluntary counselling and testing may substantially increase awareness of HIV status (up to 70%) in previously undiagnosed women in sub-Saharan Africa (6), making this approach both feasible and effective (7). Adding mobile HIV counselling and testing to existing
An assessment of quality of home-based HIV counseling and testing performed by lay counselors in a rural sub-district of KwaZulu-Natal, South Africa HIV counseling and testing (HCT) has been prioritized as one of the prevention strategies for HIV/AIDS, and promoted as an essential tool in scaling up and improving access to treatment, care and support especially in community settings. Home-based HCT (HBHCT) is a model that has consistently been found to be highly acceptable and has improved HCT (...) with the counseling session. A total of 196 (3%) observational assessments and 406 (6%) client exit interviews were completed. Overall, median scores for quality of counseling and testing were high for both HIV-negative and HIV-positive clients. For exit interviews all 406 (100%) clients had overall satisfaction with the counseling and testing services they received, however 11% were concerned about the counselor keeping their discussion confidential. Of all 406 clients, 393 (96.8%) intended to recommend
â€˜I thought if I marry the prophet I would not dieâ€™: The significance of religious affiliation on marriage, HIVtesting, and reproductive health practices among young married women in Zimbabwe This study examines the association between religious affiliation and reasons for marriage, perceived church attitudes, and reproductive health-seeking behaviors, including HIVtesting, among young women in eastern rural Zimbabwe. The sample comprised women (N = 35) who had married by 2012 while (...) participating in a larger randomized controlled trial (RCT) to test the effects of school support on HIV-related risk. The RCT sample was identified in 2007 as all female sixth graders in 25 rural eastern Zimbabwe primary schools whose parents, one or both, had died (N = 328). In our previous RCT analyses, we found that participants who affiliated with an Apostolic church were more than four times more likely to marry than those from non-Apostolic churches and that control group participants were twice
HIV and STI testing among Indigenous women and women who inject drugs RAPID RESPONSE SERVICE | #105, MAY 2016 1 Questions What programs and services have been shown to be effective in increasing HIV and STI testing among Indigenous women and women who inject drugs? References 1. Orchard TR, Druyts E, McInnes CW , Clement K, Ding E, Fernandes KA et al. Factors behind HIVtesting practices among Canadian Aboriginal peoples living off-reserve. AIDS Care 2010 March;22(3):324-31. 2. Lally MA (...) , Montstream-Quas SA, Tanaka S, Tedeschi SK, Morrow KM. A qualitative study among injection drug using women in Rhode Island: attitudes toward testing, treatment, and vaccina- tion for hepatitis and HIV . AIDS Patient Care & Stds 2008 January;22(1):53-64. 3. The Ontario HIV Treatment Net - work (OHTN). The Current State of the HIV Epidemic among Indigenous Peo- ple in Ontario. http://126.96.36.199// wp-content/uploads/2014/09/Indige- nous-Report-2014Final.pdf. Toronto, ON; 2014. 4. Taylor MM, Reilley B
- wendaal E, Templeton DJ, Davies SC. Providing HIV-negative results to low- risk clients by telephone. Sexual Health 2012 May;9(2):160-5. 15. Schulter W , Judson FN, Baro’n AE, McGill W , Marine W , Douglas JM. Usefulness of Human Immunodefi - ciency Virus Post-Test Counselling by Telephone for Low-Risk Clients of an Urban Sexually Transmitted Disease Clinic. Sexually Transmitted Diseases 1996;190-7. 16. Tsu RC, Burm ML, Gilhooly JA, Sells CW . Telephone vs. face-to-face notification of HIV results (...) Delivering HIV/STI test results over the phone and through text messaging RAPID RESPONSE SERVICE | #103, JULY 2016 1 Questions What does the literature say about giving HIV and STI results over the phone or through text messaging? References 1. Public Health Agency of Canada. Infectious disease—the never-ending threat. 2013. Ref Type: Generic 2. Tripathi A, Duffus W A, Kissinger P , Brown TJ, Gibson JJ, Mena LA. Deliver- ing laboratory results by text message and e-mail: a survey of factors
study conducted between September 2011 and October 2013 in 7 sexually transmitted infection clinics and 5 community-based programs in New York, California, and North Carolina. Participants were 12 years or older and seeking HIVtesting, without known HIV infection.All participants with a negative rapid HIVtest result were screened for acute HIV infection with an HIV Ag/Ab combination assay (index test) and pooled humanimmunodeficiencyvirus 1 (HIV-1) RNA testing. HIV RNA testing was the reference (...) Screening Yield of HIV Antigen/Antibody Combination and Pooled HIV RNA Testing for Acute HIV Infection in a High-Prevalence Population. Although acute HIV infection contributes disproportionately to onward HIV transmission, HIVtesting has not routinely included screening for acute HIV infection.To evaluate the performance of an HIV antigen/antibody (Ag/Ab) combination assay to detect acute HIV infection compared with pooled HIV RNA testing.Multisite, prospective, within-individual comparison