Title :

Missed opportunities for HIV testing in newly-HIV-diagnosed patients, a cross sectional study.

Author(s) :

Champenois, Karen [Auteur]
Cousien, Anthony [Auteur]
Cuzin, Lise [Auteur]
Le Vu, Stéphane [Auteur]
Deuffic-Burban, Sylvie [Auteur]
Lanoy, Emilie [Auteur]
Lacombe, Karine [Auteur]
Patey, Olivier [Auteur]
Béchu, Pascal [Auteur]
Calvez, Marcel [Auteur]
Semaille, Caroline [Auteur]
Yazdanpanah, Yazdan [Auteur]

Journal title :

BMC infectious diseases

Abbreviated title :

BMC Infect Dis

Volume number :

13

Pages :

200

Publisher :

BioMed Central

Publication date :

2013-05-02

ISSN :

1471-2334

Keyword(s) :

HIV\/AIDS
HIV testing
Late diagnosis
Risk assessment
Access to care

HAL domain(s) :

Sciences du Vivant [q-bio]/Médecine humaine et pathologie/Maladies infectieuses

English abstract : [en]

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. ...
Show more >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 AIDS-defining 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.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2020-06-08T14:10:30Z