Literature DB >> 22337704

Internal medicine and emergency medicine physicians lack accurate knowledge of current CDC HIV testing recommendations and infrequently offer HIV testing.

Mayar Al Mohajer1, Michael Lyons, Eileen King, Jesse Pratt, Carl J Fichtenbaum.   

Abstract

OBJECTIVES: To evaluate the knowledge and attitudes of residents and attendings in emergency medicine (EM) and internal medicine (IM) about HIV.
METHODS: An electronic anonymous 41-question survey of IM and EM physicians at the University of Cincinnati Academic Health Center.
RESULTS: The survey was completed by 232 physicians (71.6%). EM residents were more likely to routinely offer HIV testing compared to IM residents (60.7% vs. 27.8%, P = 0.0009). Overall, there was no difference in offering HIV testing by sex (32% vs. 35.6%) or by residents versus attendings (33.8% vs. 33.3%). Only 70 physicians (30.9%) were aware of current CDC recommendations of HIV screening with attendings more knowledgeable than residents (41.7% vs. 26%, P = 0.017).
CONCLUSION: EM and IM residents and attendings fail to offer HIV testing or assess for HIV transmission risk factors with sufficient frequency. There is also a gap in knowledge of the current CDC recommendations.

Mesh:

Year:  2012        PMID: 22337704     DOI: 10.1177/1545109711430165

Source DB:  PubMed          Journal:  J Int Assoc Physicians AIDS Care (Chic)        ISSN: 1545-1097


  11 in total

Review 1.  Physician barriers to successful implementation of US Preventive Services Task Force routine HIV testing recommendations.

Authors:  Micha Yin Zheng; Amit Suneja; Ann Love Chou; Monisha Arya
Journal:  J Int Assoc Provid AIDS Care       Date:  2014-01-17

2.  Clinician attitudes toward CDC interim pre-exposure prophylaxis (PrEP) guidance and operationalizing PrEP for adolescents.

Authors:  Tanya L Kowalczyk Mullins; Michelle Lally; Gregory Zimet; Jessica A Kahn
Journal:  AIDS Patient Care STDS       Date:  2015-02-18       Impact factor: 5.078

3.  HIV Testing Among Men at Risk for Acquiring HIV Infection Before and After the 2006 CDC Recommendations.

Authors:  Candice K Kwan; Charles E Rose; John T Brooks; Gary Marks; Catlainn Sionean
Journal:  Public Health Rep       Date:  2016 Mar-Apr       Impact factor: 2.792

4.  In the routine HIV testing era, primary care physicians in community health centers remain unaware of HIV testing recommendations.

Authors:  Monisha Arya; Micha Yin Zheng; Amber Bush Amspoker; Michael Anthony Kallen; Richard Lewis Street; Kasisomayajula Viswanath; Thomas Peter Giordano
Journal:  J Int Assoc Provid AIDS Care       Date:  2014 Jul-Aug

5.  HIV Testing in Publicly Funded Settings, National Health Interview Survey, 2003-2010.

Authors:  Cheryl Tan; Michelle Van Handel; Christopher Johnson; Patricia Dietz
Journal:  Public Health Rep       Date:  2016 Jan-Feb       Impact factor: 2.792

6.  What Makes Me Screen for HIV? Perceived Barriers and Facilitators to Conducting Recommended Routine HIV Testing among Primary Care Physicians in the Southeastern United States.

Authors:  Becky L White; Joan Walsh; Swati Rayasam; Donald E Pathman; Adaora A Adimora; Carol E Golin
Journal:  J Int Assoc Provid AIDS Care       Date:  2014-03-18

7.  HIV testing implementation in two urban cities: practice, policy, and perceived barriers.

Authors:  Camden J Hallmark; Jennifer Skillicorn; Thomas P Giordano; Jessica A Davila; Marlene McNeese; Nestor Rocha; Avemaria Smith; Stacey Cooper; Amanda D Castel
Journal:  PLoS One       Date:  2014-10-13       Impact factor: 3.240

8.  Trends in HIV Testing among Adults in Georgia: Analysis of the 2011-2015 BRFSS Data.

Authors:  Benjamin E Ansa; Sashia White; Yunmi Chung; Selina A Smith
Journal:  Int J Environ Res Public Health       Date:  2016-11-11       Impact factor: 3.390

9.  HIV Testing among Outpatients with Medicaid and Commercial Insurance.

Authors:  Patricia M Dietz; Michelle Van Handel; Huisheng Wang; Philip J Peters; Jun Zhang; Abigail Viall; Bernard M Branson
Journal:  PLoS One       Date:  2015-12-14       Impact factor: 3.240

10.  Assessment and improvement of HIV screening rates in a Midwest primary care practice using an electronic clinical decision support system: a quality improvement study.

Authors:  Jasmine R Marcelin; Eugene M Tan; Alberto Marcelin; Marianne Scheitel; Praveen Ramu; Ronald Hankey; Pritesh Keniya; Majken Wingo; Stacey A Rizza; Frederick North; Rajeev Chaudhry
Journal:  BMC Med Inform Decis Mak       Date:  2016-07-04       Impact factor: 2.796

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