We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Missed opportunities for HIV testing in newly-HIV-diagnosed patients, a cross sectional study.
- Authors
Champenois, Karen; Cousien, Anthony; Cuzin, Lise; Le Vu, Stéphane; Deuffic-Burban, Sylvie; Lanoy, Emilie; Lacombe, Karine; Patey, Olivier; Béchu, Pascal; Calvez, Marcel; Semaille, Caroline; Yazdanpanah, Yazdan
- Abstract
Background: In France, 1/3 HIV-infected patients is diagnosed at an advanced stage of the disease. We describe missed opportunities for earlier HIV testing in newly-HIV-diagnosed patients. Methods: Cross sectional study. Adults living in France for ⩾1 year, diagnosed with HIV-infection ⩽6 months earlier, were included from 06/2009 to 10/2010. We collected information on patient characteristics at diagnosis, history of HIV testing, contacts with healthcare settings, and occurrence of HIV-related events 3 years prior to HIV diagnosis. During these 3 years, we assessed whether or not HIV testing had been proposed by the healthcare provider upon first contact in patients notifying that they were MSM or had HIV-related conditions. Results: 1,008 newly HIV-diagnosed patients (mean age: 39 years; male: 79%; MSM: 53%; diagnosed with an AIDSdefining event: 16%). During the 3-year period prior to HIV diagnosis, 99% of participants had frequented a healthcare setting and 89% had seen a general practitioner at least once a year. During a contact with a healthcare setting, 91/191 MSM (48%) with no HIV-related conditions, said being MSM; 50 of these (55%) did not have any HIV test proposal. Only 21% (41/191) of overall MSM who visited a healthcare provider received a test proposal. Likewise, 299/364 patients (82%) who sought care for s had a missed opportunity for HIV testing. Conclusions: Under current screening policies, missed opportunities for HIV testing remain unacceptably high. This argues in favor of improving risk assessment, and HIV-related conditions recognition in all healthcare facilities.
- Subjects
HIV-positive persons; HEALTH services accessibility; MEN who have sex with men; RISK assessment; CROSS-sectional method; DIAGNOSIS; DISEASES
- Publication
BMC Infectious Diseases, 2013, Vol 13, Issue 1, p1
- ISSN
1471-2334
- Publication type
Article
- DOI
10.1186/1471-2334-13-200