Sexually Transmitted Diseases

Skip Navigation LinksHome > September 2007 - Volume 34 - Issue 9 > HSV-2 Serologic Testing in an HMO Population: Uptake and Psy...
Sexually Transmitted Diseases:
doi: 10.1097/01.olq.0000261455.60955.59
Article

HSV-2 Serologic Testing in an HMO Population: Uptake and Psychosocial Sequelae

Richards, Julie MPH*†‡; Scholes, Delia PhD‡§; Caka, Selin BA*; Drolette, Linda BS∥; Magaret, Amalia Meier PhD∥; Yarbro, Patty MSW‡; Lafferty, William MD†; Crosby, Richard MA, PhD¶; Diclemente, Ralph PhD#; Wald, Anna MD, MPH*§∥

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Abstract

Objectives: To prospectively measure the uptake of Herpes simplex virus Type 2 (HSV-2) testing and psychosocial response to a new serologic diagnosis of HSV-2 in a health maintenance organization (HMO) population.

Study Design: Randomly selected urban HMO enrollees were invited to be tested for HSV-2 antibody at a research clinic. Participants had blood drawn and completed demographic and psychosocial questionnaires.

Results: Of 3111 eligible enrollees contacted, 344 (11%) were tested. Eighty-seven (26%) tested HSV-2 seropositive, and 44 (51%) of these did not report a prior genital herpes diagnosis. Distress, measured by the total mood disturbance, was 6.5 points higher on average following a new genital herpes diagnosis relative to baseline (actual range = 109 points, P = 0.003) but not statistically different from HSV-2 negative or previously diagnosed participants.

Conclusions: HMO enrollees unexpectedly testing HSV-2 positive showed short-term psychosocial distress that resolved during 6-month follow-up. Findings suggest that concerns about psychosocial burden should not deter voluntary serologic HSV-2 testing in primary care settings.

© Copyright 2007 American Sexually Transmitted Diseases Association

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