Table 5.
Relationship of beliefs, self-perception of risk opinions, and uptake of screening to study arm, ASSIST score, and HIV/HCV sexual risks
| Opinion or Belief Question | WHO recommendations* |
|||||
|---|---|---|---|---|---|---|
| Study Arm* β (95% CI) | Total Drug Score* β (95% CI) | Sex Risk Score* β (95% CI) | No intervention | Brief intervention β (95% CI) | Intensive intervention β (95% CI) | |
| Change in value of combined HIV/HCV screening | ||||||
| Value for all | 0.02 (−0.2 to 0.2) | −0.01 (−0.01 to 0.01) | 0.01 (−0.02 to 0.02) | REF | 0.13 (−0.11 to 0.19) | 0.01 (−0.30 to 0.32) |
| Value for me | 0.01 (−0.2 to 0.2) | −0.01 (−0.01 to 0.01) | 0.01 (−0.02 to 0.03) | REF | −0.41 (−0.74 to −0.08) | −0.29 (−0.72 to 0.13) |
| Change in self-perception of HIV/HCV risk | ||||||
| HIV | 0.07 (−0.08 to 0.2) | −0.01 (−0.01 to 0.01) | 0.01 (−0.01 to 0.03) | REF | −0.03 (−0.23 to 0.18) | 0.08 (−0.19 to 0.36) |
| HCV | 0.14 (−0.01 to 0.3) | −0.01 (−0.01 to 0.01) | −0.01 (−0.02 to 0.02) | REF | −0.01 (−0.23 to 0.20) | 0.06 (−0.21 to 0.34) |
| Change in opinions regarding ED-based HIV/HCV screening | ||||||
| ED is too stressful place for testing | −0.01 (−0.23 to 0.23) | 0.01 (−0.01 to 0.01) | −0.01 (−0.03 to 0.02) | REF | −0.09 (−0.42 to −0.23) | 0.11 (−0.31 to 0.52) |
| ED is not a private enough place for testing | 0.05 (−0.18 to 0.28) | −0.01 (−0.01 to 0.01) | −0.01 (−0.04 to 0.01) | REF | −0.08 (−0.40 to 0.25) | −0.20 (−0.61 to 0.22) |
| Being tested in the ED delays medical care | −0.05 (−0.27 to 0.18) | −0.01 (−0.01 to 0.01) | 0.01 (−0.02 to 0.04) | REF | 0.08 (−0.24 to 0.40) | −0.13 (−0.54 to 0.27) |
| Being tested in the ED takes too long | −0.25 (−0.52 to 0.01) | −0.01 (−0.01 to 0.01) | 0.05 (0.02 to 0.08) | REF | −0.02 (−0.41 to 0.36) | −0.25 (−0.73 to 0.23) |
| OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | ||
| Uptake of HIV/HCV screening | 1.08 (0.69 to 1.70) | 1.01 (1.00 to 1.02) | 1.05 (0.99 to 1.11) | REF | 1.76 (0.95 to 3.28) | 2.29 (1.00 to 5.25) |
*
Models adjusted for age, sex, ethnicity/race, years of formal education, health insurance status, partner status, employment status, usual source of medical care, HIV and HCV testing history, and study research assistant.
β = beta; Δ = difference; ASSIST = Alcohol, Smoking and Substance Involvement Screening Test; HCV = Hepatitis C virus; HIV = Human immunodeficiency virus; OR = odds ratio; REF = reference; WHO = World Health Organization