Who is providing HIV diagnostic testing? Comparing HIV testing by general practitioners and sexual health centres in five regions in the Netherlands, 2011-2018
Autor: | D Twisk, Michelle M. Kroone, Alewijn Ott, Loes M Beckers, Jan E. A. M. van Bergen, Elske Hoornenborg, Saskia J Bogers, Carolina J. G. Kampman, Bram Meima, Marleen N Luning-Koster, Nicole H. T. M. Dukers-Muijrers, Christian J. P. A. Hoebe, Maarten F. Schim van der Loeff, Hannelore M Götz, Froukje Bosma, Suzanne E. Geerlings |
---|---|
Přispěvatelé: | Health promotion, RS: CAPHRI - R4 - Health Inequities and Societal Participation, Sociale Geneeskunde, Internal medicine, Medical Microbiology and Infection Prevention, AII - Infectious diseases, Public Health, Graduate School, Vascular Medicine, Infectious diseases, APH - Global Health, APH - Methodology, APH - Quality of Care, General practice, APH - Personalized Medicine |
Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: |
Adult
Male medicine.medical_specialty HIV Positivity Adolescent STRATEGIES Psychological intervention Human immunodeficiency virus (HIV) sexual health HIV Infections Dermatology Hiv testing medicine.disease_cause HIV Testing 03 medical and health sciences Young Adult 0302 clinical medicine SDG 3 - Good Health and Well-being General Practitioners Epidemiology medicine Humans 030212 general & internal medicine Reproductive health Netherlands general practice business.industry 030503 health policy & services Diagnostic test HIV Retrospective cohort study primary health care Infectious Diseases Female epidemiology 0305 other medical science business Demography |
Zdroj: | Sexually Transmitted Infections, 98(4), 262-268. BMJ Publishing Group Bogers, S J, Twisk, D E, Beckers, L M, Götz, H M, Meima, B, Kroone, M, Hoornenborg, E, Ott, A, Luning-Koster, M N, Dukers-Muijrers, N H T M, Hoebe, C J P A, Kampman, C J G, Bosma, F, Schim van der Loeff, M, Geerlings, S & van Bergen, J 2022, ' Who is providing HIV diagnostic testing? Comparing HIV testing by general practitioners and sexual health centres in five regions in the Netherlands, 2011-2018 ', Sexually Transmitted Infections, vol. 98, no. 4, pp. 262-268 . https://doi.org/10.1136/sextrans-2021-055109 Sexually transmitted infections, 98(4):055109, 262-268. BMJ Publishing Group |
ISSN: | 1368-4973 |
Popis: | ObjectivesGeneral practitioners (GPs) and sexual health centres (SHCs) are the main providers of HIV testing and diagnose two-thirds of HIV infections in the Netherlands. We compared regional HIV testing and positivity by GPs versus SHCs to gain insight into strategies to improve HIV testing, to enable timely detection of HIV infections.MethodsLaboratory data (2011–2018) on HIV testing by GPs and SHCs in five Dutch regions with varying levels of urbanisation were evaluated. Regional HIV testing rates per 10 000 residents ≥15 years (mean over period and annual) were compared between providers using negative binomial generalised additive models and additionally stratified by sex and age (15–29 years, 30–44 years, 45–59 years, ≥60 years). χ2 tests were used to compare positivity percentage between the two groups of providers.ResultsIn the study period, 505 167 HIV tests (GP 36%, SHC 64%) were performed. The highest HIV testing rates were observed in highly urbanised regions, with large regional variations. The HIV testing rates ranged from 28 to 178 per 10 000 residents by GPs and from 30 to 378 per 10 000 by SHCs. Testing rates by GPs were lower than by SHCs in three regions and comparable in two. In all regions, men were tested less by GPs than by SHCs; for women, this varied by region. Among those aged 15–29 years old, GPs’ testing rates were lower than SHCs’, while this was reversed in older age categories in four out of five regions. The overall mean HIV positivity was 0.4%. In contrast to other regions, positivity in Amsterdam was significantly higher among individuals tested by GPs than by SHCs.ConclusionsThis retrospective observational study shows that besides SHCs, who perform opt-out testing for key groups, GPs play a prominent role in HIV testing, especially in non-key populations, such as women and older individuals. Large regional variation exists, requiring region-specific interventions to improve GPs’ HIV testing practices. |
Databáze: | OpenAIRE |
Externí odkaz: |