A Cross-Sectional Study Comparing Two Opt-Out HIV Testing Strategies in the Out-Patient Setting
| Autor: | Samuel Y. S. Wong, Greta Tam |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Cross-sectional study out-patient Human immunodeficiency virus (HIV) HIV Infections Hiv testing 030312 virology medicine.disease_cause Asymptomatic Opt-out HIV Testing 03 medical and health sciences 0302 clinical medicine acceptability Outpatients medicine Humans Mass Screening 030212 general & internal medicine Medical diagnosis 0303 health sciences business.industry Public Health Environmental and Occupational Health HIV HIV screening Brief Research Report Patient Acceptance of Health Care testing Test (assessment) Cross-Sectional Studies Family medicine opt-out Hong Kong Public Health medicine.symptom Public aspects of medicine RA1-1270 business opt-out approach |
| Zdroj: | Frontiers in Public Health Frontiers in Public Health, Vol 9 (2021) |
| ISSN: | 2296-2565 |
| Popis: | Background: HIV infections are generally asymptomatic, leading to undetected infections and late-stage diagnoses. There are a lack of acceptable testing strategies for routine opt-out HIV screening. Our aim was to evaluate and compare the diagnostic yield of routine opt-out HIV testing strategies in two out-patient settings in a low HIV prevalence country: The public primary care and specialist out-patient care settingMethods: A cross-sectional study was conducted in a primary care clinic over a four-week period in 2016 to 2017 and in a specialist out-patient clinic over a concurrent 11-month period. Patients were invited to complete a questionnaire assessing demographic characteristics, acceptance of opt-out HIV testing as a policy in all out-patient clinics in Hong Kong and reasons if refusing the HIV test. All respondents were offered an HIV test.Results: This study included 648 and 1,603 patients in the primary care and specialist out-patient clinic, respectively. Test acceptability was 86 and 87% in the primary care and specialist out-patient setting, respectively. Test uptake was 35 and 68% in the primary care and specialist out-patient setting, respectively. No HIV infections were detected.Conclusion: Opt-out HIV testing during routine blood taking in the specialist out-patient setting achieved a high test uptake and acceptability. In contrast, opt-out HIV testing using rapid finger-prick tests in the primary care setting was not effective. |
| Databáze: | OpenAIRE |
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