General Internists' Beliefs, Behaviors, and Perceived Barriers to Routine HIV Screening in Primary Care

Details

• Alternative Title:
  AIDS Educ Prev
• Personal Author:
  Korthuis, P. Todd ; Berkenblit, Gail V. ; Sullivan, Lynn E. ; Cofrancesco, Joseph ; Cook, Robert L. ; Bass, Michael ; Bashook, Philip G. ; Edison, Marcia ; Asch, Steve M. ; Sosman, James M.
• Description:
  The Centers for Disease Control and Prevention (CDC) recommends routine HIV screening in primary care but little is known about general internists' views of this practice. We conducted a national, cross-sectional, Internet-based survey of 446 general internists in 2009 regarding their HIV screening behaviors, beliefs, and perceived barriers to routine HIV screening in outpatient internal medicine practices. Internists' awareness of revised CDC guidelines was high (88%), but only 52% had increased HIV testing, 61% offered HIV screening regardless of risk, and a median 2% (range 0-67%) of their patients were tested in the past month. Internists practicing in perceived higher risk communities reported greater HIV screening. Consent requirements were a barrier to screening, particularly for VA providers and those practicing in states with HIV consent statutes inconsistent with CDC guidelines. Interventions that promote HIV screening regardless of risk and streamlined consent requirements will likely increase adoption of routine HIV screening in general medicine practices.
• Subjects:
  Adult Attitude Of Health Personnel Cross-Sectional Studies General Practitioners Guideline Adherence Health Services Accessibility HIV Infections Humans Internet Logistic Models Male Middle Aged Physician's Practice Patterns Practice Guidelines As Topic Primary Health Care Societies, Medical

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• Source:
  AIDS Educ Prev. 2011; 23(3 Suppl):70-83.
• Pubmed ID:
  21689038
• Pubmed Central ID:
  PMC3196638
• Document Type:
  Journal Article
• Funding:
  1 U22 PS00551-02/PS/NCHHSTP CDC HHS/United States ; K23 DA019809/DA/NIDA NIH HHS/United States
• Name as Subject:
  Centers for Disease Control and Prevention (U.S.)
• Place as Subject:
  United States
• Volume:
  23
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:7d8c44747d66b35bbab08eafdb1c4895d90511cae4d7e80179bf89879b94ca20
• Download URL:
  https://stacks.cdc.gov/view/cdc/33261/cdc_33261_DS1.pdf
• File Type:
  [PDF - 335.50 KB ]