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Feasibility and willingness-to-pay for integrated community-based tuberculosis testing

BACKGROUND: Community-based screening for TB, combined with HIV and syphilis testing, faces a number of barriers. One significant barrier is the value that target communities place on such screening. METHODS: Integrated testing for TB, HIV, and syphilis was performed in neighborhoods identified usin...

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Autores principales: Goswami, Neela D, Hecker, Emily, Holland, David P, Naggie, Susanna, Cox, Gary M, Mosher, Ann, Turner, Debbie, Torres, Yvonne, Vickery, Carter, Ahearn, Marshall A, Blain, Michela LM, Rasmussen, Petra, Stout, Jason E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3217890/
https://www.ncbi.nlm.nih.gov/pubmed/22047015
http://dx.doi.org/10.1186/1471-2334-11-305
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author Goswami, Neela D
Hecker, Emily
Holland, David P
Naggie, Susanna
Cox, Gary M
Mosher, Ann
Turner, Debbie
Torres, Yvonne
Vickery, Carter
Ahearn, Marshall A
Blain, Michela LM
Rasmussen, Petra
Stout, Jason E
author_facet Goswami, Neela D
Hecker, Emily
Holland, David P
Naggie, Susanna
Cox, Gary M
Mosher, Ann
Turner, Debbie
Torres, Yvonne
Vickery, Carter
Ahearn, Marshall A
Blain, Michela LM
Rasmussen, Petra
Stout, Jason E
author_sort Goswami, Neela D
collection PubMed
description BACKGROUND: Community-based screening for TB, combined with HIV and syphilis testing, faces a number of barriers. One significant barrier is the value that target communities place on such screening. METHODS: Integrated testing for TB, HIV, and syphilis was performed in neighborhoods identified using geographic information systems-based disease mapping. TB testing included skin testing and interferon gamma release assays. Subjects completed a survey describing disease risk factors, healthcare access, healthcare utilization, and willingness to pay for integrated testing. RESULTS: Behavioral and social risk factors among the 113 subjects were prevalent (71% prior incarceration, 27% prior or current crack cocaine use, 35% homelessness), and only 38% had a regular healthcare provider. The initial 24 subjects reported that they would be willing to pay a median $20 (IQR: 0-100) for HIV testing and $10 (IQR: 0-100) for TB testing when the question was asked in an open-ended fashion, but when the question was changed to a multiple-choice format, the next 89 subjects reported that they would pay a median $5 for testing, and 23% reported that they would either not pay anything to get tested or would need to be paid $5 to get tested for TB, HIV, or syphilis. Among persons who received tuberculin skin testing, only 14/78 (18%) participants returned to have their skin tests read. Only 14/109 (13%) persons who underwent HIV testing returned to receive their HIV results. CONCLUSION: The relatively high-risk persons screened in this community outreach study placed low value on testing. Reported willingness to pay for such testing, while low, likely overestimated the true willingness to pay. Successful TB, HIV, and syphilis integrated testing programs in high risk populations will likely require one-visit diagnostic testing and incentives.
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spelling pubmed-32178902011-11-17 Feasibility and willingness-to-pay for integrated community-based tuberculosis testing Goswami, Neela D Hecker, Emily Holland, David P Naggie, Susanna Cox, Gary M Mosher, Ann Turner, Debbie Torres, Yvonne Vickery, Carter Ahearn, Marshall A Blain, Michela LM Rasmussen, Petra Stout, Jason E BMC Infect Dis Research Article BACKGROUND: Community-based screening for TB, combined with HIV and syphilis testing, faces a number of barriers. One significant barrier is the value that target communities place on such screening. METHODS: Integrated testing for TB, HIV, and syphilis was performed in neighborhoods identified using geographic information systems-based disease mapping. TB testing included skin testing and interferon gamma release assays. Subjects completed a survey describing disease risk factors, healthcare access, healthcare utilization, and willingness to pay for integrated testing. RESULTS: Behavioral and social risk factors among the 113 subjects were prevalent (71% prior incarceration, 27% prior or current crack cocaine use, 35% homelessness), and only 38% had a regular healthcare provider. The initial 24 subjects reported that they would be willing to pay a median $20 (IQR: 0-100) for HIV testing and $10 (IQR: 0-100) for TB testing when the question was asked in an open-ended fashion, but when the question was changed to a multiple-choice format, the next 89 subjects reported that they would pay a median $5 for testing, and 23% reported that they would either not pay anything to get tested or would need to be paid $5 to get tested for TB, HIV, or syphilis. Among persons who received tuberculin skin testing, only 14/78 (18%) participants returned to have their skin tests read. Only 14/109 (13%) persons who underwent HIV testing returned to receive their HIV results. CONCLUSION: The relatively high-risk persons screened in this community outreach study placed low value on testing. Reported willingness to pay for such testing, while low, likely overestimated the true willingness to pay. Successful TB, HIV, and syphilis integrated testing programs in high risk populations will likely require one-visit diagnostic testing and incentives. BioMed Central 2011-11-02 /pmc/articles/PMC3217890/ /pubmed/22047015 http://dx.doi.org/10.1186/1471-2334-11-305 Text en Copyright ©2011 Goswami et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Goswami, Neela D
Hecker, Emily
Holland, David P
Naggie, Susanna
Cox, Gary M
Mosher, Ann
Turner, Debbie
Torres, Yvonne
Vickery, Carter
Ahearn, Marshall A
Blain, Michela LM
Rasmussen, Petra
Stout, Jason E
Feasibility and willingness-to-pay for integrated community-based tuberculosis testing
title Feasibility and willingness-to-pay for integrated community-based tuberculosis testing
title_full Feasibility and willingness-to-pay for integrated community-based tuberculosis testing
title_fullStr Feasibility and willingness-to-pay for integrated community-based tuberculosis testing
title_full_unstemmed Feasibility and willingness-to-pay for integrated community-based tuberculosis testing
title_short Feasibility and willingness-to-pay for integrated community-based tuberculosis testing
title_sort feasibility and willingness-to-pay for integrated community-based tuberculosis testing
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3217890/
https://www.ncbi.nlm.nih.gov/pubmed/22047015
http://dx.doi.org/10.1186/1471-2334-11-305
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