Routine HIV testing among providers of HIV care in the United States, 2009.

In 2006, CDC recommended HIV screening as part of routine medical care for all persons aged 13-64 years. We examined adherence to the recommendations among a sample of HIV care providers in the US to determine if known providers of HIV care are offering routine HIV testing in outpatient settings. Da...

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Autores principales:	A D McNaghten, Eduardo E Valverde, Janet M Blair, Christopher H Johnson, Mark S Freedman, Patrick S Sullivan
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/609be4a936ec4fd9ada545122130a59f
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spelling	oai:doaj.org-article:609be4a936ec4fd9ada545122130a59f2021-11-18T08:01:43ZRoutine HIV testing among providers of HIV care in the United States, 2009.1932-620310.1371/journal.pone.0051231https://doaj.org/article/609be4a936ec4fd9ada545122130a59f2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23341880/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203In 2006, CDC recommended HIV screening as part of routine medical care for all persons aged 13-64 years. We examined adherence to the recommendations among a sample of HIV care providers in the US to determine if known providers of HIV care are offering routine HIV testing in outpatient settings. Data were from the CDC's Medical Monitoring Project Provider Survey, administered to physicians, nurse practitioners and physician assistants from June-September 2009. We assessed bivariate associations between testing behaviors and provider and practice characteristics and used multivariate regression to determine factors associated with offering HIV screening to all patients aged 13-64 years. Sixty percent of providers reported offering HIV screening to all patients 13 to 64 years of age. Being a nurse practitioner (aOR = 5.6, 95% CI = 2.6-11.9) compared to physician, age<39 (aOR = 1.9, 95% CI = 1.0-3.5) or 39-49 (aOR = 2.1, 95% CI = 1.4-3.3) compared with ≥50 years, and black race (aOR = 2.6, 95% CI = 1.2-6.0) compared with white race was associated with offering testing to all patients. Providers with low (aOR = 0.2, 95% CI = 0.1-0.3) or medium (aOR = 0.4, 95% CI = 0.2-0.6) HIV-infected patient loads were less likely to offer HIV testing to all patients compared with providers with high patient loads. Many providers of HIV care are still conducting risk-based rather than routine testing. We found that provider profession, age, race, and HIV-infected patient load were associated with offering HIV testing. Health care providers should use patient encounters as an opportunity to offer routine HIV testing to patients as outlined in CDC's revised recommendations for HIV testing in health care settings.A D McNaghtenEduardo E ValverdeJanet M BlairChristopher H JohnsonMark S FreedmanPatrick S SullivanPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 1, p e51231 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q A D McNaghten Eduardo E Valverde Janet M Blair Christopher H Johnson Mark S Freedman Patrick S Sullivan Routine HIV testing among providers of HIV care in the United States, 2009.
description	In 2006, CDC recommended HIV screening as part of routine medical care for all persons aged 13-64 years. We examined adherence to the recommendations among a sample of HIV care providers in the US to determine if known providers of HIV care are offering routine HIV testing in outpatient settings. Data were from the CDC's Medical Monitoring Project Provider Survey, administered to physicians, nurse practitioners and physician assistants from June-September 2009. We assessed bivariate associations between testing behaviors and provider and practice characteristics and used multivariate regression to determine factors associated with offering HIV screening to all patients aged 13-64 years. Sixty percent of providers reported offering HIV screening to all patients 13 to 64 years of age. Being a nurse practitioner (aOR = 5.6, 95% CI = 2.6-11.9) compared to physician, age<39 (aOR = 1.9, 95% CI = 1.0-3.5) or 39-49 (aOR = 2.1, 95% CI = 1.4-3.3) compared with ≥50 years, and black race (aOR = 2.6, 95% CI = 1.2-6.0) compared with white race was associated with offering testing to all patients. Providers with low (aOR = 0.2, 95% CI = 0.1-0.3) or medium (aOR = 0.4, 95% CI = 0.2-0.6) HIV-infected patient loads were less likely to offer HIV testing to all patients compared with providers with high patient loads. Many providers of HIV care are still conducting risk-based rather than routine testing. We found that provider profession, age, race, and HIV-infected patient load were associated with offering HIV testing. Health care providers should use patient encounters as an opportunity to offer routine HIV testing to patients as outlined in CDC's revised recommendations for HIV testing in health care settings.
format	article
author	A D McNaghten Eduardo E Valverde Janet M Blair Christopher H Johnson Mark S Freedman Patrick S Sullivan
author_facet	A D McNaghten Eduardo E Valverde Janet M Blair Christopher H Johnson Mark S Freedman Patrick S Sullivan
author_sort	A D McNaghten
title	Routine HIV testing among providers of HIV care in the United States, 2009.
title_short	Routine HIV testing among providers of HIV care in the United States, 2009.
title_full	Routine HIV testing among providers of HIV care in the United States, 2009.
title_fullStr	Routine HIV testing among providers of HIV care in the United States, 2009.
title_full_unstemmed	Routine HIV testing among providers of HIV care in the United States, 2009.
title_sort	routine hiv testing among providers of hiv care in the united states, 2009.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/609be4a936ec4fd9ada545122130a59f
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Routine HIV testing among providers of HIV care in the United States, 2009.

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