Integrating Routine HIV Testing into a Public Health STD Clinic
| Autor: | Doug Campos-Outcalt, Tom Mickey, Robert Emmet Jones, Jonathan Weisbuch |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Gerontology medicine.medical_specialty Adolescent Sexual Behavior HIV Infections Comorbidity Hiv testing Std clinic Ambulatory Care Facilities 03 medical and health sciences Sex Factors 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Immunopathology HIV Seropositivity Humans Mass Screening Medicine 030212 general & internal medicine Substance Abuse Intravenous Sida 030505 public health biology business.industry Research Public health Public Health Environmental and Occupational Health virus diseases Middle Aged Patient Acceptance of Health Care biology.organism_classification medicine.disease Test (assessment) Family medicine Female Viral disease 0305 other medical science business Public Health Administration |
| Zdroj: | Public Health Reports. 121:175-180 |
| ISSN: | 1468-2877 0033-3549 |
| Popis: | Objective. To integrate routine HIV testing into the services offered at a public health department STD clinic and document the rate of acceptance and rate of test positivity during the first 18 months. Methods. Testing for HIV was added to the array of tests offered to all patients at the Maricopa County STD clinic. Patients were informed of this new option at registration and were provided with a consent form and instructions to read the form and sign it, unless they did not desire testing. STD clinicians were responsible for insuring that questions regarding testing were answered and that consent forms were signed. HIV prevention was integrated into the general STD preventive messages during the clinical encounter. Results. Sixty-eight percent of patients accepted testing (12,176 of 17,875). Of these, 68 were HIV-positive, for a rate of 5.6 per 1,000. The positive rate for men was 8.6/1000 and for women 1.2/1,000. The rate for men who reported having sex with men (MSM) was 63.8/1,000. Fourteen of the HIV-positive MSM were co-infected with syphilis. Of the 68 who were HIV-positive, 58 (85.3%) were successfully located, informed of their test results, and referred for HIV treatment and support services. Conclusions. HIV testing can be included in the routine battery of tests offered at an STD clinic with high patient acceptance. Routine testing can discover those who are unaware of their HIV-positive status, providing an opportunity for early referral for treatment, counseling to avoid disease transmission, and notification of sexual contacts. |
| Databáze: | OpenAIRE |
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