HIV screening in the dental setting in New York State
| Autor: | Howard Lavigne, Shu-Yin John Leung, Travis O’Donnell, Rakkoo Chung, Laura O’Shea, Jeffrey Seiver, Stephen N. Abel, Carol Sloane, Yan-Fang Ren, Michael N. Hatton |
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| Rok vydání: | 2020 |
| Předmět: |
RNA viruses
Male Health Screening Ethnic group Social Sciences HIV Infections Pathology and Laboratory Medicine Geographical locations 0302 clinical medicine Immunodeficiency Viruses Sociology Medicine and Health Sciences Mass Screening Medicine Public and Occupational Health Young adult Schools Multidisciplinary virus diseases HIV diagnosis and management HIV screening Middle Aged Socioeconomic Aspects of Health Test (assessment) Medical Microbiology Viral Pathogens Viruses Female Pathogens 0305 other medical science Research Article Adult medicine.medical_specialty Adolescent Science Best practice HIV prevention New York MEDLINE Microbiology Education Young Adult 03 medical and health sciences Acquired immunodeficiency syndrome (AIDS) Retroviruses Humans Microbial Pathogens Primary Care Mass screening Aged Preventive medicine 030505 public health Diagnostic Tests Routine business.industry Lentivirus Organisms Biology and Life Sciences HIV 030206 dentistry Patient Acceptance of Health Care medicine.disease Diagnostic medicine United States Health Care Family medicine North America People and places business Delivery of Health Care |
| Zdroj: | PLoS ONE, Vol 15, Iss 4, p e0231638 (2020) PLoS ONE |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0231638 |
| Popis: | While primary care providers in New York State (NYS) are mandated to offer all patients a HIV test, still many NYS residents miss the HIV screening opportunity. To fill the gap, and as the CDC recommends, this study aimed to examine the feasibility of implementing HIV screening in dental setting, identify patient characteristics associated with acceptance of HIV rapid testing, and discuss best practices of HIV screening in dental setting. New York State Department of Health (NYSDOH) collaborated with the Northeast/Caribbean AIDS Education and Training Center (NECA AETC) and three dental schools in New York State to offer free HIV screening tests as a component of routine dental care between February 2016 and March 2018. Ten clinics in upstate New York and Long Island participated in the study. HIV screening was performed using the OraQuick™ In-Home HIV Test. 14,887 dental patients were offered HIV screening tests; 9,057 (60.8%) were screened; and one patient (0.011%) was confirmed HIV positive and linked to medical care. Of all dental patients, 33% had never been screened for HIV; and 56% had not had a primary care visit or had not been offered an HIV screening test by primary care providers in the previous 12 months. Multi-level generalized linear modeling analysis indicated that test acceptance was significantly associated with patient's age, race/ethnicity, gender, country of origin, primary payer (or insurance), past primary care visits, past HIV testing experiences, and the poverty level of patient's community. HIV screening is well accepted by dental patients and can be effectively integrated into routine dental care. HIV screening in the dental setting can be a good option for first-time testers, those who have not seen a primary care provider in the last 12 months, and those who have not been offered HIV screening at their last primary care visit. |
| Databáze: | OpenAIRE |
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