Willingness of Australian health educators and health promotion officers to conduct rapid HIV testing
Anthony J. Santella A C , Jacquie Fraser B , Angela W. Prehn B and Eugenia Boye-Codjoe AA School of Health Professions and Human Services, Hofstra University, Hofstra Dome 126, Hempstead, NY 11549, USA.
B College of Health Sciences, School of Health Sciences, Walden University, Minneapolis, MN 55401, USA.
C Corresponding author. Email: anthony.santella@hofstra.edu
Health Promotion Journal of Australia 27(2) 174-177 https://doi.org/10.1071/HE15088
Submitted: 23 July 2015 Accepted: 19 February 2016 Published: 27 April 2016
Abstract
Issue addressed: Rapid HIV tests were recently approved by the Australian government. This paper examines the attitudes and willingness to conduct rapid HIV testing (RHT) of Australian health educators and health promotion officers (HE/HPO) from various settings and disciplines.
Methods: The aim of the Promoting Research on Methods in Screening Expertise study was to explore knowledge of HIV, attitudes towards people living with HIV, and willingness to conduct RHT among HE/HPO in Australia; this information was attained via an online survey of HE/HPO. Descriptive statistics, χ2 tests, t-tests, and multivariate logistic regression were then conducted.
Results: Data from 156 HE/HPOs were analysed. Overall, 60% of participants believed that HE/HPO should offer RHT. Additionally, 70% were personally willing to undergo training in conducting RHT. Fifty-nine percent of participants scored as having ‘high’ HIV knowledge (at least 12 out of 13 correct answers), with 32% answering all questions correctly. Knowledge was strongly associated with willingness to be trained to conduct RHT.
Conclusions: HE/HPO with advanced training in developing evidence-based approaches to improve the health and wellbeing of marginalised and disadvantaged groups may be an appropriate workforce to train to conduct RHT and counselling.
So what?: As government agencies and community-based organisations plan to expand RHT, HE/HPO, including those who work outside of sexual health, should be considered as a viable workforce to upskill.
References
[1] The Kirby Institute. HIV, viral hepatitis and sexually transmissible infections in Australia annual surveillance report 2014. Sydney; The Kirby Institute 2014. Available from: https://kirby.unsw.edu.au/surveillance/2014-annual-surveillance-report-hiv-viral-hepatitis-stis [Verified 3 March 2016].[2] Santella AJ, Fraser J, Prehn AW (2014) The role of health education specialists in conducting rapid HIV testing. Am J Health Stud 29, 183–6.
[3] Gale M, Holden J, Selvey C, Chant K, Whittaker B (2014) Eliminating HIV transmission in New South Wales: the critical role of testing. Med J Aust 201, 260–2.
| Eliminating HIV transmission in New South Wales: the critical role of testing.Crossref | GoogleScholarGoogle Scholar | 25163369PubMed |
[4] Santella AJ, Fraser J, Prehn AW (2016) Willingness of certified health education specialists to conduct rapid HIV testing: results from the promoting research on methods in screening expertise study. Health Promot Pract 17, 13–20.
| Willingness of certified health education specialists to conduct rapid HIV testing: results from the promoting research on methods in screening expertise study.Crossref | GoogleScholarGoogle Scholar | 25926553PubMed |
[5] Centers for Disease Control and Prevention (CDC). HIV/AIDS: HIV Basics. CDC 2015. Available from: http://www.cdc.gov/hiv/basics/testing.html [Verified 15 March 2016].
[6] Chan D, Stewart M, Smith M, Price T, Lusk J, Ooi C, Read P, Finlayson R (2015) The rise of targeted HIV oral rapid testing in Australia. Med J Aust 202, 251–4.
| The rise of targeted HIV oral rapid testing in Australia.Crossref | GoogleScholarGoogle Scholar | 25758695PubMed |
[7] Plate DK (2007) Evaluation and implementation of rapid HIV tests: the experience in 11 African countries. AIDS Res Hum Retroviruses 23, 1491–8.
| Evaluation and implementation of rapid HIV tests: the experience in 11 African countries.Crossref | GoogleScholarGoogle Scholar | 18160006PubMed |
[8] Australian Federation of AIDS Organisations (AFAO). Rapid HIV testing: a literature review. AFAO 2009. Available from: https://www.afao.org.au/__data/assets/pdf_file/0011/4610/LR09_Rapid_HIV_Testing.pdf [Verified 3 March 2016].
[9] Crooks L, Kidd MR (2014) Australia’s seventh national HIV strategy and the AIDS 2014 legacy statement. Med J Aust 201, 247–8.
| Australia’s seventh national HIV strategy and the AIDS 2014 legacy statement.Crossref | GoogleScholarGoogle Scholar | 25163362PubMed |
[10] Australian Government Department of Health. Seventh National HIV Strategy 2014–2017. Canberra: Commonwealth of Australia; 2014.
[11] Yang M, Zablotska-Manos I, Prestage G, Brown G, Maycock B, de Wit J, Fairley C. Based on testing preferences, could the introduction of alternative testing approaches increase the rate of HIV testing among Australian gay men? Presentation at the 13th Social Research Conference on HIV, Viral Hepatitis and Related Diseases. February 20 2014. Sydney: Centre for Social Research in Health, UNSW Australia; 2014.
[12] Yang M, Prestage G, Maycock B, Brown G, de Wit J, McKechnie M, Guy R, Keen P, Fairley CK, Zablotska IB (2014) The acceptability of different HIV testing approaches: cross-sectional study among GMSM in Australia. Sex Transm Infect 90, 592–5.
| The acceptability of different HIV testing approaches: cross-sectional study among GMSM in Australia.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC2cbhsFehuw%3D%3D&md5=27d3d5b34fdf26ee865fe557717e160cCAS | 25015651PubMed |
[13] Carey MP, Schroder KE (2002) Development and psychometric evaluation of the brief HIV knowledge questionnaire (HIV-KQ-18). AIDS Educ Prev 14, 172–82.
| Development and psychometric evaluation of the brief HIV knowledge questionnaire (HIV-KQ-18).Crossref | GoogleScholarGoogle Scholar | 12000234PubMed |
[14] McDaniel JS, Campos PE, Purcell DW, Farber EW, Bondurant A, Donovan JE, Chang BM (1998) A national randomized survey of HIV/AIDS knowledge and attitudes among psychiatrists in training. Acad Psychiatry 22, 107–16.
| A national randomized survey of HIV/AIDS knowledge and attitudes among psychiatrists in training.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC2czntFKkug%3D%3D&md5=733359c05a8163c2ba742ddc0241d001CAS | 24442936PubMed |
[15] Santella AJ, Krishnamachari B, Davide SH, Cortell M, Furnari W, Watts B, Haden SC (2013) Dental hygienists’ knowledge of human immunodeficiency virus, attitudes towards people with human immunodeficiency virus and willingness to conduct rapid human immunodeficiency virus testing. Int J Dent Hyg 11, 287–92.
| Dental hygienists’ knowledge of human immunodeficiency virus, attitudes towards people with human immunodeficiency virus and willingness to conduct rapid human immunodeficiency virus testing.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC3srktVOksA%3D%3D&md5=090dc3da590e9c4d0b784c7dccdf24e5CAS | 23574762PubMed |
[16] Brown G, O’Donnell D, Crooks L, Lake R (2014) Mobilisation, politics, investment and constant adaptation: lessons from the Australian health-promotion response to HIV. Health Promot J Austr 25, 35–41.
| Mobilisation, politics, investment and constant adaptation: lessons from the Australian health-promotion response to HIV.Crossref | GoogleScholarGoogle Scholar | 24739777PubMed |
[17] Jones SC, Donovan RJ (2003) Professional development activities and qualifications of health promotion practitioners in Australia. Health Promot J Austr 14, 8–14.
[18] Motta LA, Shephard MDS, Keen PA (2013) A review of the use of rapid HIV testing in community settings, with specific reference to Australia. Point Care 12, 27–32.
| A review of the use of rapid HIV testing in community settings, with specific reference to Australia.Crossref | GoogleScholarGoogle Scholar |
[19] Ross MW, Månsson SA, Daneback K, Cooper A, Tikkanen R (2005) Biases in Internet sexual health samples: comparison of an internet sexuality survey and a national sexual health survey in Sweden. Soc Sci Med 61, 245–52.
| Biases in Internet sexual health samples: comparison of an internet sexuality survey and a national sexual health survey in Sweden.Crossref | GoogleScholarGoogle Scholar | 15847976PubMed |