       Document 0243
 DOCN  M9460243
 TI    The relationship of 1988 state HIV testing policies to previous and
       planned voluntary use of HIV testing.
 DT    9404
 AU    Phillips KA; Center for AIDS Prevention Studies, School of Medicine,;
       University of California-San Francisco 94105.
 SO    J Acquir Immune Defic Syndr. 1994 Apr;7(4):403-9. Unique Identifier :
       AIDSLINE MED/94180316
 AB    This study analyzed whether state HIV testing policies were related to
       individuals' previous and planned voluntary use of HIV testing. Testing
       plays an important role in the prevention and treatment of HIV
       infection, yet little is known about how policies are related to testing
       use. Most states mandate the conditions under which testing is
       performed, but states vary widely in their policies. This
       cross-sectional study analyzed individual-level data from the 1988 AIDS
       Knowledge and Attitudes Survey, which was merged with state-level data
       on testing policies and incidence of AIDS cases. A multivariate
       regression model was used to assess the relationship of state policies
       to testing use, holding state AIDS incidence and individual
       characteristics (sociodemographics, AIDS knowledge, and risk status)
       constant. Individuals in states with policies protective of individual
       rights (i.e., early adoption of comprehensive antidiscrimination laws
       restricting screening by insurers and employers; provision of voluntary,
       anonymous testing) were significantly more likely to have been tested
       than individuals in comparison states (odds ratio = 1.5). Individual
       characteristics such as risk status, however, had the strongest
       relationships to testing use. No evidence was found that name-reporting
       requirements were related to previous or planned use of testing. Future
       research must address emerging testing issues such as policies covering
       the use of new testing technologies.
 DE    AIDS Serodiagnosis/*LEGISLATION & JURISPRUD/PSYCHOLOGY/STATISTICS  &
       NUMER DATA  Communicable Disease Control/*LEGISLATION & JURISPRUD
       Confidentiality/LEGISLATION & JURISPRUD  Cross-Sectional Studies  Female
       Human  HIV Infections/*EPIDEMIOLOGY/PSYCHOLOGY  Incidence  Knowledge,
       Attitudes, Practice  Male  Odds Ratio  Probability  Regression Analysis
       Risk Factors  Support, Non-U.S. Gov't  Support, U.S. Gov't, P.H.S.
       United States  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

