Announcements
Health Education Student Awarded OPR Research Fellowship
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Christel Hyden, Program in Health Education, HIV Testing Locations in New York City: An Adolescent Consumer Level Evaluation
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Christel Hyden, recently awarded the 2009-2010 OPR Research Fellowship from the Teachers College Office of Policy and Research shares her research with us. It was through my work at the Harlem Health Promotion Center
-- a CDC funded prevention research site affiliated with the Mailman School of
Public Health – that I came across a study run several years ago in Los Angeles
in which researchers contacted HIV testing locations and found that half the
testing locations couldn’t be reached by phone, meaning the average consumer
had a 50/50 chance of connecting with this essential service on their first
try.
This type of study immediately intrigued me since nothing of
its kind had ever been conducted in New York City. It also seemed like an
interesting project because it was of a scale that could be completed with
limited resources. However, I wanted to look at more detailed information about
each organization, specifically whether the organizations provide services that
would appeal to adolescents who may be interested in getting tested. Adolescent
HIV/AIDS has increased over the past decade but fewer than 25% of adolescents
have been HIV tested, and therefore I felt there was a need to understand
testing locations in terms of characteristics that are known to appeal to
adolescents: free, confidential rapid tests, offered at a convenient setting
with nontraditional hours.
Using the NYS directory of HIV testing sites as my sample, I
wrote a study protocol that was subsequently approved by the Columbia IRB. Presenting as adolescents, trained callers use
a semi-structured interview to establish whether the testing site can be
reached by telephone and meets the criteria most cited by adolescents as
influential on testing behaviors.
We have since pilot tested the study with 50 of the 187
testing sites and found that 40% were not successfully contacted by phone or
did not offer HIV testing. Among the remainder, most offer free rapid testing,
although 75% only during traditional business hours. Agency representatives
were typically well rated, but often required prompting for information. Further, representatives at the agencies that
had the most adolescent friendly services (e.g. the NYC Department of Health)
were rated the lowest in terms of service and communication skills, suggesting
that while they may offer superior access to testing they’re not doing a very
good job making that clear to consumers.
I plan to defend this dissertation proposal in the early
spring of 2009, submit to the TC IRB, and have data collection on the remaining
agencies completed by the end of summer 2009.
