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Aten Primaria. 2016 Jun-Jul;48(6):383-93. doi: 10.1016/j.aprim.2015.07.005.

[Acceptability of the opportunistic search for human immunodeficiency virus infection by serology in patients recruited in Primary Care Centres in Spain].

[Article in Spanish]

Author information

1
Centro de Salud Frölunda, Närhälsan, Gotemburgo, Suecia. Electronic address: rafapuentes82@gmail.com.
2
Centro de Salud Santa Rosa (Córdoba); Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC)/Hospital Universitario Reina Sofía/Universidad de Córdoba, Córdoba, España.
3
Unidad Docente de Medicina Familiar y Comunitaria, Distrito Sanitario de Córdoba y Guadalquivir; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC)/Hospital Universitario Reina Sofía/Universidad de Córdoba, Córdoba, España.
4
Centro de Salud Monteporreiro, SERGAS, Pontevedra, España.

Abstract

OBJECTIVE:

To assess the acceptability of opportunistic search for human immunodeficiency virus (HIV).

DESIGN:

Cross-sectional, observational study.

LOCATION:

Primary Care Centres (PCC) of the Spanish National Health Care System.

PARTICIPANTS:

patients aged 18 to 65 years who had never been tested for HIV, and were having a blood test for other reasons. RECORDED VARIABLES: age, gender, stable partner, educational level, tobacco/alcohol use, reason for blood testing, acceptability of taking the HIV test, reasons for refusing to take the HIV test, and reasons for not having taken an HIV test previously. A descriptive, bivariate, multivariate (logistic regression) statistical analysis was performed.

RESULTS:

A total of 208 general practitioners (GPs) from 150 health care centres recruited 3,314 patients. Most (93.1%) of patients agreed to take the HIV test (95%CI: 92.2-93.9). Of these patients, 56.9% reported never having had an HIV test before because they considered not to be at risk of infection, whereas 34.8% reported never having been tested for HIV because their doctor had never offered it to them. Of the 6.9% who refused to take the HIV test, 73.9% considered that they were not at risk. According to the logistic regression analysis, acceptability was positively associated to age (higher among between 26 and 35 year olds, OR=1.79; 95%CI: 1.10-2.91) and non-smokers (OR=1.39; 95%CI: 1.01-1.93). Those living in towns with between 10,000 and 50,000 inhabitants showed less acceptance to the test (OR=0.57; 95%CI: 0.40-0.80). The HIV prevalence detected was 0.24%

CONCLUSIONS:

Acceptability of HIV testing is very high among patients having a blood test in primary care settings in Spain. Opportunistic search is cost-effective.

KEYWORDS:

Aceptabilidad; Case finding; Cribado oportunista; Detección precoz; Early detection; Human immunodeficiency virus; Patient acceptance; Virus de la inmunodeficiencia humana

PMID:
26522781
DOI:
10.1016/j.aprim.2015.07.005
[Indexed for MEDLINE]
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