A Cross-Sectional Study Comparing Two Opt-Out HIV Testing Strategies in the Out-Patient Setting
Publication in refereed journal

替代計量分析
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其它資訊
摘要Background:
HIV infections are generally asymptomatic, leading to undetected infections and late-stage diagnoses. There are a lack of acceptable testing strategies for routine opt-out HIV screening. Our aim was to evaluate and compare the diagnostic yield of routine opt-out HIV testing strategies in two out-patient settings in a low HIV prevalence country: The public primary care and specialist out-patient care setting.

Methods:
A cross-sectional study was conducted in a primary care clinic over a four-week period in 2016 to 2017 and in a specialist out-patient clinic over a concurrent 11-month period. Patients were invited to complete a questionnaire assessing demographic characteristics, acceptance of opt-out HIV testing as a policy in all out-patient clinics in Hong Kong and reasons if refusing the HIV test. All respondents were offered an HIV test.

Results:
This study included 648 and 1,603 patients in the primary care and specialist out-patient clinic, respectively. Test acceptability was 86 and 87%in the primary care and specialist out-patient setting, respectively. Test uptake was 35 and 68% in the primary care and specialist out-patient setting, respectively. No HIV infections were detected.

Conclusion:
Opt-out HIV testing during routine blood taking in the specialist out-patient setting achieved a high test uptake and acceptability. In contrast, opt-out HIV testing using rapid finger-prick tests in the primary care setting was not effective.
出版社接受日期17.05.2021
著者Tam G, Wong SYS
期刊名稱Frontiers in Public Health
出版年份2021
月份6
卷號9
出版社Frontiers Media
文章號碼664494
國際標準期刊號2296-2565
語言英式英語
關鍵詞acceptability, out-patient, testing, HIV, opt-out, opt-out approach

上次更新時間 2021-23-10 於 23:42