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首页> 外文期刊>Medicine. >Towards ending the human immunodeficiency virus epidemic in the US: State of human immunodeficiency virus screening during physician and emergency department visits, 2009 to 2014
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Towards ending the human immunodeficiency virus epidemic in the US: State of human immunodeficiency virus screening during physician and emergency department visits, 2009 to 2014

机译：在美国的人类免疫缺陷病毒流行病中结束：2009年至2014年医生和急诊部门访问期间的人类免疫缺陷病毒筛查状态

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Human immunodeficiency virus (HIV) testing is important for prevention and treatment. Ending the HIV epidemic is unattainable if significant proportions of people living with HIV remain undiagnosed, making HIV testing critical for prevention and treatment. The Centers for Disease Control and Prevention (CDC) recommends routine HIV testing for persons aged 13 to 64 years in all health care settings. This study builds on prior research by estimating the extent to which HIV testing occurs during physician office and emergency department (ED) post 2006 CDC recommendations. We performed an unweighted and weighted cross-sectional analysis using pooled data from 2 nationally representative surveys namely National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey from 2009 to 2014. We assessed routine HIV testing trends and predictive factors in physician offices and ED using multi-stage statistical survey procedures in SAS 9.4. HIV testing rates in physician offices increased by 105% (5.6–11.5 per 1000) over the study period. A steeper increase was observed in ED with a 191% (2.3–6.7 per 1000) increase. Odds ratio (OR) for HIV testing in physician offices were highest among ages 20 to 29 ([OR] 7.20, 99% confidence interval [CI: 4.37–11.85]), males (OR 1.34, [CI: 0.91–0.93]), African-Americans (OR 2.97, [CI: 2.05–4.31]), Hispanics (OR 1.80, [CI: 1.17–2.78]), and among visits occurring in the South (OR 2.06, [CI: 1.23–3.44]). In the ED, similar trends of higher testing odds persisted for African Americans (OR 3.44, 99% CI 2.50–4.73), Hispanics (OR 2.23, 99% CI 1.65–3.01), and Northeast (OR 2.24, 99% CI 1.10–4.54). While progress has been made in screening , HIV testing rates remains sub-optimal for ED visits. Populations visiting the ED for routine care may suffer missed opportunities for HIV testing , which delays their entry into HIV medical care. To end the epidemic, new approaches for increasing targeted routine HIV testing for populations attending health care settings is recommended.
机译：人类免疫缺陷病毒（HIV）测试对于预防和治疗是重要的。如果艾滋病病毒症的人们仍然未结识，则结束艾滋病病毒疫情是无法实现的，这使得HIV测试对预防和治疗至关重要。疾病控制和预防中心（CDC）建议在所有医疗保健环境中为13至64岁的人进行常规HIV测试。本研究通过估计在医生办公室和急诊部门（ED）邮政2006年CDC建议期间发生艾滋病毒检测的程度来进行现有研究。我们从2009年到2014年，使用来自2个国家代表性调查的汇总数据进行了一个未加权和加权的横截面分析，即来自2009年至2014年的国家外国医疗护理调查和国家医院的医疗医疗保健调查。我们评估了医师办公室和ED的常规艾滋病毒检测趋势和预测因素在SAS 9.4中使用多级统计调查程序。研究期间，医师办公室的艾滋病毒检测率增加了105％（每1000每1000每1000）。在ED中观察到陡峭的增加，191％（每1000每1000）增加。在医生办公室中的艾滋病毒检测的差距（或）在20至29岁（[或] 7.20,99％，置信区间[CI：4.37-11.85]），男性（或1.34，[CI：0.91-0.93]）中最高，非裔美国人（或2.97，[CI：2.05-4.31]），西班牙裔（或1.80，[CI：1.17-2.78]）以及南部发生的访问（或2.06，[CI：1.23-3.44]） 。在ED中，对非洲裔美国人（或3.44,99％CI 2.5.73），西班牙裔（或2.23,99％CI 1.65-3.01），以及东北（或2.24,99％CI 1.10- 4.54）。虽然在筛选方面取得了进展，但HIV测试率仍然是ED访问的次优。访问ED进行常规护理的人群可能会遭受艾滋病毒检测的错过机会，这延迟了他们进入艾滋病毒医疗服务。为了结束流行病，建议使用新的常规艾滋病毒检测对参加医疗保健环境的群体进行靶向常规艾滋病毒检测的新方法。

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