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

Cristina Agustí, María Martín-Rabadán, José Zarco, Cristina Aguado, Ricard Carrillo, Roger Codinachs, Jose Manuel Carmona, Jordi Casabona

Research output: Contribution to journalArticleResearchpeer-review

5 Citations (Scopus)

Abstract

© 2017 Elsevier España, S.L.U. Objectives: 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). Design: Cross-sectional study in a convenience sample. Location: Six PC centers in Spain. Participants: The inclusion criteria were: patients between 16 and 65 years 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. Intervention: HIV serology was offered to all patients who met the inclusion criteria. Main measurements: 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. Results: 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. Conclusions: Offering HIV testing to patients with IC and behavioral criteria is feasible and effective in PC.
Original languageEnglish
Pages (from-to)159-165
JournalAtención primaria (Barcelona. Ed. impresa)
Volume50
Issue number3
DOIs
Publication statusPublished - 1 Mar 2018

Keywords

  • AIDS
  • Diagnosis
  • HIV
  • Indicator conditions
  • Missed opportunities
  • Primary care

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