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Poster Presentation: P8 Tests of recent HIV infection in clinical practice: the patient perspective

Anderson, E. R., Taegtmeyer, Miriam ORCID: https://orcid.org/0000-0002-5377-2536, Delpech, V., Chawla, A. and Gilbart, V. (2012) 'Poster Presentation: P8 Tests of recent HIV infection in clinical practice: the patient perspective'. Sexually Transmitted Infections, Vol 88, Issue Supp 1, A13.

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Abstract

Background
A test for recent infection (avidity test) is offered for all patients newly diagnosed with HIV in England and Wales as part of an HIV incidence surveillance programme. The UK is currently the only country to return these results to individual patients.

Objectives
To determine the acceptability and patient experience of receiving a RITA test result soon after HIV diagnosis.

Methods
This was a qualitative study using semi-structured interviews. 14 people recently diagnosed with HIV who had a RITA result consented to participate. Analyses were based on the framework method using N-Vivo software. Interviews were transcribed, coded and emergent themes identified.

Results
All participants agreed that the more information available to them about the possible duration of infection the better. Unsurprisingly the HIV diagnosis and the emotions and practical issues associated with it had far more impact than the RITA result. None of the participants experienced any problems with former partners as a consequence of their RITA result although some could see the theoretical potential for such problems. “Recently infected” RITA results were felt to be potentially useful for identifying “at risk” partners. However partner notification was not altered in the study group because the individuals concerned had other reasons to suspect recent infection. Other major themes identified were the perceived stigma; the difficulty of sharing the diagnosis of HIV with family and friends; and the many conflicting emotions that people had to deal with at diagnosis including anger, grief, self-blame, fear and depression.

Conclusion
RITA testing is a potentially useful epidemiological tool. These interviews demonstrated that receiving a RITA result, while useful to some people, is a minor issue compared with dealing with the HIV result itself. Reassuringly none of the participants reported negative outcomes from receiving the RITA result.

Item Type: Article
Additional Information: Abstracts of the 4th joint BASHH-ASTDA meeting in Brighton, UK, 27–29 June 2012
Subjects: WC Communicable Diseases > Virus Diseases > Acquired Immunodeficiency Syndrome. HIV Infections > WC 503 Acquired immunodeficiency syndrome. HIV infections
WC Communicable Diseases > Virus Diseases > Acquired Immunodeficiency Syndrome. HIV Infections > WC 503.1 Diagnosis
WC Communicable Diseases > Virus Diseases > Acquired Immunodeficiency Syndrome. HIV Infections > WC 503.7 Psychosocial aspects
Faculty: Department: Groups (2002 - 2012) > International Health Group
Digital Object Identifer (DOI): https://doi.org/10.1136/sextrans-2012-050601c.8
Depositing User: Lynn Roberts-Maloney
Date Deposited: 10 Dec 2014 10:46
Last Modified: 17 Oct 2019 10:51
URI: https://archive.lstmed.ac.uk/id/eprint/4634

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