Providing HIV-negative results to low-risk clients by telephone.

Abstract:

BACKGROUND:In Australia, Health Department policies differ on the recommended method of providing HIV results. Traditionally, all results have been provided in person. Our aim was to trial provision of HIV-negative test results by telephone to low-risk clients attending sexual health services and to assess clients' preferences for delivery method. METHODS:During 4 months in 2009 at two sexual health services in Sydney, all clients assessed as low-risk for HIV infection were invited to receive their HIV result by telephone. Non-receipt of results was defined as failure to receive results within 30 days of the test being performed. RESULTS:Of 763 clients tested, 328 (43%) were excluded following risk assessment, 30 (4%) declined to participate and 405 (53%) were enrolled. Among enrolled clients, 86% received their HIV result by telephone within 30 days, 97% were satisfied with delivery of the result by telephone and 93% preferred telephone delivery for their next HIV result. Only one enrolled client returned a positive HIV result. Independent predictors of receiving results within the 30-day timeframe were clinic attendance for sexually transmissible infection screening (P=0.021), lack of anogenital symptoms (P=0.015) and not being a sex worker (P=0.001). CONCLUSIONS:In this study of telephone provision of HIV results to low HIV-risk clients, there were no adverse events and clients expressed satisfaction with the process plus a strong preference for telephone delivery of future results. There was a decreased rate of failure to receive HIV results compared with other Australian studies.

journal_name

Sex Health

journal_title

Sexual health

authors

Conway DP,Healey LM,Rauwendaal E,Templeton DJ,Davies SC

doi

10.1071/SH10159

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

160-5

issue

2

eissn

1448-5028

issn

1449-8987

pii

SH10159

journal_volume

9

pub_type

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