Early diagnosis of HIV in Primary Care in Spain. Results of a pilot study based on targeted screening based on indicator conditions, behavioral criteria and region of origin

To estimate the prevalence of HIV infection in patients diagnosed with an indicator condition (IC) for HIV and/or risk behavior for their acquisition and/or coming from high prevalence countries. To determine the acceptability and feasibility of offering HIV testing based on IC and behavioral and or...

Full description

Saved in:
Bibliographic Details
Published in:Atención primaria 2018-03, Vol.50 (3), p.159-165
Main Authors: Agustí, Cristina, Martín-Rabadán, María, Zarco, José, Aguado, Cristina, Carrillo, Ricard, Codinachs, Roger, Carmona, Jose Manuel, Casabona, Jordi
Format: Article
Language:Spanish
Subjects:
Adult
Cross-Sectional Studies
Early Diagnosis
Female
Health Risk Behaviors
HIV Infections - diagnosis
HIV Infections - epidemiology
Humans
Male
Mass Screening - methods
Pilot Projects
Prevalence
Primary Health Care
Spain
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To estimate the prevalence of HIV infection in patients diagnosed with an indicator condition (IC) for HIV and/or risk behavior for their acquisition and/or coming from high prevalence countries. To determine the acceptability and feasibility of offering HIV testing based on IC and behavioral and origin criteria in Primary Care (PC). Cross-sectional study in a convenience sample. Six PC centers in Spain. The inclusion criteria were: patients between 16 and 65years old who presented at least one of the proposed ICs and/or at least one of the proposed behavioral and/or origin criteria. A total of 388 patients participated. HIV serology was offered to all patients who met the inclusion criteria. Description of IC frequency, behavioral and origin criteria. Prevalence of HIV infection. Level of acceptability and feasibility of the HIV screening based on IC and behavioral and origin criteria. A total of 174 patients had an IC (44.84%). The most common behavioral criterion was: having unprotected sex at some time in life with people who did not know their HIV status (298; 76.8%). Four HIV+ patients (1.03%) were diagnosed. All had an IC and were men who had sex with men. The level of acceptability in PC was high. Offering HIV testing to patients with IC and behavioral criteria is feasible and effective in PC.
ISSN:1578-1275
DOI:10.1016/j.aprim.2017.02.008