home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
Shareware Overload Trio 2
/
Shareware Overload Trio Volume 2 (Chestnut CD-ROM).ISO
/
dir26
/
med9410m.zip
/
M94A2347.TXT
< prev
next >
Wrap
Text File
|
1994-10-25
|
4KB
|
55 lines
Document 2347
DOCN M94A2347
TI 'Everybody counts': an innovative HIV surveillance approach.
DT 9412
AU Burkman J; McCoskey L; Koelndorfer M; Naylor D; Stover D; Kurth A;
Indiana State Department of Health, Indianapolis.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):325 (abstract no. PC0231). Unique
Identifier : AIDSLINE ICA10/94370228
AB OBJECTIVE: HIV funding in the U.S. often is based on the number of
reported AIDS cases, seroprevalence data, and other measures of
identified illness occurrence. However, completeness and timeliness of
HIV/AIDS surveillance is complicated by a number of factors, including
concerns about confidentiality and stigma. Indiana is one of 26 state in
the U.S. that report HIV as well as AIDS cases. A small validation study
undertaken in 1991 found an estimated AIDS case under reporting of
40-60% in the Indiana State Department of Health (ISDH) registry. This
paper describes a community-based effort designed to increase knowledge
regarding HIV reporting and to increase reporting of HIV disease in
Indiana. METHODS: A campaign encouraging patient self-reporting was
developed. Experts from HIV service organizations (n = 7) helped ISDH
staff design a brochure entitled Help Make More Services Available for
People with HIV/AIDS. [See brochure for content]. This self-reporting
('SR') campaign brochure was field-tested at a focus group of persons
with HIV (n = 20). An agreed-upon legal disclaimer outlining the
potential negative effects of HIV self-disclosure was added (in
consultation with area activists). Beginning October 1993, 9.000
brochures were distributed to clinicians' offices, gay bars, HIV testing
sites, bathhouses, community HIV service organizations, clinics, social
services agencies, mental health facilities, bookstores, churches,
beauty salons, barber shops, laundromats, local health departments, and
drug treatment centers. RESULTS: The SR campaign met expectations in
terms of general consciousness-raising. Both clinicians and persons in
the HIV community expressed increased interest in HIV/AIDS case
reporting. Media coverage of the campaign (radio, newspaper stories)
heightened awareness of HIV surveillance methods and rationale. The
number of SR brochures returned was small: n = 120, representing 17 new
cases (as of February 1994). However, the overall number of HIV/AIDS
cases reported through usual channels was 360 (July-December 1993), an
increase of 110% over the previous year and 30% over the numbers
reported the four months prior to the SR campaign. DISCUSSION AND
CONCLUSIONS: Though the SR yield was relatively low, the novel approach
of this campaign did seem to increase awareness among health
professionals regarding their need to report HIV/AIDS information. This
approach may have utility in other settings, if accompanied by education
and a philosophy of patient empowerment.
DE Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/TRANSMISSION Human
HIV Infections/*EPIDEMIOLOGY/TRANSMISSION HIV Seroprevalence/TRENDS
Indiana/EPIDEMIOLOGY Patient Participation/*STATISTICS & NUMER DATA
*Population Surveillance Registries/*STATISTICS & NUMER DATA Self
Disclosure MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).