Jail-based providers' perceptions of challenges to routine HIV testing in New York City jails

Charulata J. Sabharwal, Kathy Hunt Muse, Howard Alper, Elizabeth Begier, Michele McNeill, Ghairunisa Galeta, Katy Huang, Woodman Franklin, Farah Parvez

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

About 25% of New York City jail inmates are tested for HIV despite a universal offer of rapid testing at medical intake. Health care workers were surveyed to examine provider-related challenges to testing at medical intake. Of the 291 eligible staff, 215 (73.9%) responded. Most (87.0%) felt confident recommending rapid HIV testing; however, only 85.5% of medical professionals and 70.8% of nurses felt confident providing negative rapid HIV test results. Identified barriers are those common to other medical settings (insufficient staffing, inadequate privacy or space, and "too much" paperwork) and those specific to correctional settings (limited time for medical intake and competing Department of Correction priorities). Staff have been given extended training to address their lack of confidence with key aspects of the HIV testing process, including providing negative results.

Original languageEnglish
Pages (from-to)310-321
Number of pages12
JournalJournal of Correctional Health Care
Volume16
Issue number4
DOIs
StatePublished - 2010
Externally publishedYes

Keywords

  • HIV testing
  • correctional health care
  • health personnel
  • inmates
  • jails

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