Missed Opportunities for HIV Screening of New Enrollees in California's Low Income Health Program
| Autor: | Kimberly Ling Murtaugh, Xiao Chen, Arleen Leibowitz, Nadereh Pourat |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Low income
Male medicine.medical_specialty Social Work Health (social science) HIV Infections Health Promotion 030312 virology Logistic regression Article California 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Informed consent Clinical Research Behavioral and Social Science medicine Health insurance Prevalence Humans Mass Screening 030212 general & internal medicine Poverty 0303 health sciences business.industry Medicaid Patient Protection and Affordable Care Act screening Prevention Public Health Environmental and Occupational Health HIV screening Health Services medicine.disease Disease control United States Health program health service delivery Infectious Diseases Good Health and Well Being Family medicine Medicaid enrollees Public Health and Health Services HIV/AIDS Female Public Health business Infection Delivery of Health Care |
| Zdroj: | AIDS education and prevention : official publication of the International Society for AIDS Education, vol 32, iss 1 AIDS Educ Prev |
| Popis: | The objective of this study was to measure HIV screening rates and variables associated with screening among new enrollees in California's Low Income Health Program (LIHP). A logit model was used to estimate associations between HIV screening and enrollment, claims, and encounter data for enrollees. HIV prevalence among new LIHP enrollees was 1.2%xd. Among 42,550 new LIHP enrollees with no prior HIV diagnosis, only 27% received screening within 12 months of their first medical evaluation. A total of 350 new HIV diagnoses were identified (incidence rate of 0.8%), exceeding the 0.1% level at which the Centers for Disease Control and Prevention (CDC) recommends routine HIV screening. California reduced screening barriers by removing required written informed consent and pretest counseling; the Affordable Care Act (ACA) eliminated cost-sharing and enhanced access. Removing financial and administrative barriers to HIV screening is necessary, but may be insufficient to reach CDC's recommended screening targets. |
| Databáze: | OpenAIRE |
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