Determinants of HIV testing.

Abstract:

OBJECTIVE:To determine the characteristics of general practitioners (GPs) who test and patients who are tested for HIV in Australia. DESIGN AND SETTING:A secondary analysis of data from the Bettering the Evaluation and Care of Health programme; a cross-sectional, national survey of GP activity. METHODS:We identified GP, patient and encounter characteristics that were associated with HIV testing between April 2000 and March 2010. We looked at testing rates for patients with different characteristics, whether they had attended for screening and GP 'risk factor' identification. Multiple logistic regression was used to measure the independent effect of each GP, patient and encounter characteristic on testing for HIV. RESULTS:Data were available for 984,200 encounters from 9842 GPs. 1796 (18.2%) of GPs performed at least one HIV test. On logistic regression, independent predictors of HIV testing included the management of a 'risk factor' (OR 19.4, 95% CI 17.4 to 21.6), screening (OR 10.6, 95% CI 9.4 to 12.1), younger GP age, practice in a metropolitan area (OR 1.4, 95% CI 1.2 to 1.6), patient age, gender (male > female OR 3.0, 95% CI 2.7 to 3.3), being new to that practice (OR 2.1, 95% CI 1.8 to 2.3) and being Indigenous (OR 1.7, 95% CI 1.3 to 2.4). CONCLUSION:The most significant independent predictors of testing were identification of a risk factor and attendance for screening. Unless barriers to testing are addressed it is unlikely that altering guidelines alone will improve testing rates and reduce transmission.

journal_name

Sex Transm Infect

authors

Sawleshwarkar S,Harrison C,Britt H,Mindel A

doi

10.1136/sti.2011.049601

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

426-32

issue

5

eissn

1368-4973

issn

1472-3263

pii

sti.2011.049601

journal_volume

87

pub_type

杂志文章
  • Escalation in the relative prevalence of ciprofloxacin-resistant gonorrhoea among men with urethral discharge in two South African cities: association with HIV seropositivity.

    abstract:OBJECTIVES:The objectives of this study were to assess the prevalence of ciprofloxacin-resistant gonorrhoea in two South African cities and to investigate the association between the isolation of ciprofloxacin-resistant Neisseria gonorrhoeae and the HIV serostatus of patients. METHODS:Gonococci were cultured from endo...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究

    doi:10.1136/sti.2007.029611

    authors: Lewis DA,Scott L,Slabbert M,Mhlongo S,van Zijl A,Sello M,du Plessis N,Radebe F,Wasserman E

    更新日期:2008-10-01 00:00:00

  • Who is being tested for genital chlamydia in primary care?

    abstract:OBJECTIVES:To explore current patterns of testing for genital chlamydial infection in primary care, and to identify practice characteristics influencing testing rates. METHOD:Aggregate numbers of chlamydia tests and results for each practice in Nottingham Health District were matched to practice characteristics. Age s...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究

    doi:10.1136/sti.79.3.234

    authors: Kufeji O,Slack R,Cassell JA,Pugh S,Hayward A

    更新日期:2003-06-01 00:00:00

  • Syndromic management of sexually transmitted diseases at primary care level, Mozambique.

    abstract:OBJECTIVE:To assess STD management in primary healthcare facilities where STD clinics and syndromic management guidelines had been introduced. METHODS:In 26 health facilities in selected sites, we observed management of all STD patients presenting in the adult general or STD clinic. We assessed the referral system by ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.78.1.e2

    authors: Mbofana FS,Brito FJ,Saifodine A,Cliff JL

    更新日期:2002-02-01 00:00:00

  • Hopes interrupted: accessing and experiences of antiretroviral therapy in South Africa.

    abstract:OBJECTIVES:Using the example of South Africa, this study aimed to examine and obtain a better understanding of the experiences and challenges of urban and rural patients on antiretroviral therapy (ART) in accessing this complex treatment in a resource-limited setting. METHODS:Following a narrative approach, in-depth i...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2011-050140

    authors: Fried J,Harris B,Eyles J

    更新日期:2012-03-01 00:00:00

  • Prospective study on cervical neoplasia: presence of HPV DNA in cytological smears precedes the development of cervical neoplastic lesions.

    abstract:OBJECTIVES:The principal aim of the study was to verify whether HPV infection in healthy women, as determined by HPV DNA detection, was associated with an increased risk of development of cervical lesions. METHODS:Cervical smears collected at enrolment into the prospective study conducted in Prague during 1975-83 were...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.79.3.191

    authors: Tachezy R,Saláková M,Hamsíková E,Kanka J,Havránková A,Vonka V

    更新日期:2003-06-01 00:00:00

  • Prevalence of Chlamydia trachomatis: results from the first national population-based survey in France.

    abstract:BACKGROUND:Few studies have estimated Chlamydia trachomatis (CT) prevalence in the general population, most prevalence studies being based on people already attending healthcare settings. OBJECTIVES:To estimate the prevalence of CT in France, assess the feasibility of home sampling without any face-to-face interventio...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究

    doi:10.1136/sti.2009.038752

    authors: Goulet V,de Barbeyrac B,Raherison S,Prudhomme M,Semaille C,Warszawski J,CSF group.

    更新日期:2010-08-01 00:00:00

  • Characterisation of Chlamydia trachomatis by ompA sequencing and multilocus sequence typing in a Swedish county before and after identification of the new variant.

    abstract:OBJECTIVES:In 2006 a new variant of Chlamydia trachomatis (nvCT), with a deletion in the cryptic plasmid, was reported in Sweden. This deletion included the targets for the genetic diagnostic systems used in many clinical laboratories and resulted in thousands of false-negative results. The aim of this study was to cha...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2009.037572

    authors: Jurstrand M,Christerson L,Klint M,Fredlund H,Unemo M,Herrmann B

    更新日期:2010-02-01 00:00:00

  • Application of cumulative odds logistic model on risk factors analysis for sexually transmitted infections among female sex workers in Kaiyuan city, Yunnan province, China.

    abstract:OBJECTIVES:To investigate the epidemiology of sexually transmitted infections (STI) among female sex workers (FSW) in Kaiyuan city, Yunnan province, China, and to identify risk factors associated with STI. METHODS:A cross-sectional study of 737 FSW was carried out from March to May 2006, with confidential interviews a...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2008.033100

    authors: Wang H,Wang N,Bi A,Wang G,Ding G,Jia M,Lu L,Smith K

    更新日期:2009-08-01 00:00:00

  • The new variant of Chlamydia trachomatis was present as early as 2003 in Orebro County, Sweden, but remained undetected until 2006.

    abstract:OBJECTIVES:In 2006, a new variant of Chlamydia trachomatis (nvCT) was reported in Sweden. Because of a cryptic plasmid deletion, the nvCT was undetectable in several of the genetic diagnostic systems used worldwide at the time. This study aimed to evaluate whether the nvCT was present in specimens obtained from patient...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2013-051018

    authors: Jurstrand M,Fredlund H,Unemo M

    更新日期:2013-11-01 00:00:00

  • Condomless sex in HIV-diagnosed men who have sex with men in the UK: prevalence, correlates, and implications for HIV transmission.

    abstract:OBJECTIVE:HIV transmission is ongoing among men who have sex with men (MSM) in the UK. Sex without a condom (condomless sex, CLS) is the main risk factor. We investigated the prevalence of and factors associated with types of CLS. METHODS:Cross-sectional questionnaire study in UK HIV clinics in 2011/2012 (ASTRA). MSM ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究

    doi:10.1136/sextrans-2016-053029

    authors: Daskalopoulou M,Rodger AJ,Phillips AN,Sherr L,Elford J,McDonnell J,Edwards S,Perry N,Wilkins E,Collins S,Johnson AM,Burman WJ,Speakman A,Lampe FC,ASTRA Study Group.

    更新日期:2017-12-01 00:00:00

  • What men who have sex with men think about the human papillomavirus vaccine.

    abstract::This study aimed to ascertain the attitudes of men who have sex with men (MSM) to the human papillomavirus (HPV) vaccine and to determine the age at which MSM would be willing to ask for the HPV vaccine in relation to their age of sexual debut. Of 205 MSM attending the Melbourne Sexual Health Centre between December 2...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2008.032581

    authors: Simatherai D,Bradshaw CS,Fairley CK,Bush M,Heley S,Chen MY

    更新日期:2009-04-01 00:00:00

  • Distinct HIV discordancy patterns by epidemic size in stable sexual partnerships in sub-Saharan Africa.

    abstract:OBJECTIVE:To describe patterns of HIV infection among stable sexual partnerships across sub-Saharan Africa (SSA). METHODS:The authors defined measures of HIV discordancy and conducted a comprehensive quantitative assessment of discordancy among stable partnerships in 20 countries in SSA through an analysis of the Demo...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究

    doi:10.1136/sextrans-2011-050114

    authors: Chemaitelly H,Cremin I,Shelton J,Hallett TB,Abu-Raddad LJ

    更新日期:2012-02-01 00:00:00

  • "A bit more truthful": the validity of adolescent sexual behaviour data collected in rural northern Tanzania using five methods.

    abstract:OBJECTIVE:To assess the validity of sexual behaviour data collected from African adolescents using five methods. METHODS:9280 Tanzanian adolescents participated in a biological marker and face to face questionnaire survey and 6079 in an assisted self-completion questionnaire survey; 74 participated in in-depth intervi...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2004.011924

    authors: Plummer ML,Ross DA,Wight D,Changalucha J,Mshana G,Wamoyi J,Todd J,Anemona A,Mosha FF,Obasi AI,Hayes RJ

    更新日期:2004-12-01 00:00:00

  • Patterns of chlamydia testing in different settings and implications for wider STI diagnosis and care: a probability sample survey of the British population.

    abstract:BACKGROUND:Following widespread rollout of chlamydia testing to non-specialist and community settings in the UK, many individuals receive a chlamydia test without being offered comprehensive STI and HIV testing. We assess sexual behaviour among testers in different settings with a view to understanding their need for o...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2016-052719

    authors: Clifton S,Mercer CH,Woodhall SC,Sonnenberg P,Field N,Lu L,Johnson AM,Cassell JA

    更新日期:2017-06-01 00:00:00

  • Predictors of syphilis seroreactivity and prevalence of HIV among street recruited injection drug users in Los Angeles County, 1994-6.

    abstract:OBJECTIVES:To describe HIV prevalence and the association between syphilis incidence and sexual and drug injection risk behaviours in a cohort of street recruited injecting drug users (IDUs) in Los Angeles County, between 1994 and 1996. METHODS:During the study period, 513 street recruited African-American and Latino ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.76.6.462

    authors: López-Zetina J,Ford W,Weber M,Barna S,Woerhle T,Kerndt P,Monterroso E

    更新日期:2000-12-01 00:00:00

  • From community to clients: the professionalisation of HIV prevention among gay men and its implications for intervention selection.

    abstract::Forces at work are described which encourage professionalisation and a reliance on one on one HIV prevention interventions among gay men. Community involvement is intrinsically linked to epidemic phases; when the threat diminishes, so does the community's ability to sustain community level interventions. The area of s...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.78.suppl_1.i176

    authors: Wohlfeiler D

    更新日期:2002-04-01 00:00:00

  • STI epidemics in the Indian Ocean region: can the phase be assessed?

    abstract::The Indian Ocean provides a unique opportunity to curb the HIV epidemic in its nascent phase through strengthening STI control programmes. Making effective and appropriate health services available should be regarded as the first priority for STI control in the region and, whenever possible, core groups should be iden...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.78.suppl_1.i121

    authors: Matteelli A,Pizzocolo C,Bakar HA,Toyb M,Pyndiah N,Udonwa NE,Gedeon AG,Farina C,Caligaris S,Castelli F,Carosi G

    更新日期:2002-04-01 00:00:00

  • Positive predictive value of the Becton Dickinson VIPER system and the ProbeTec GC Q x assay, in extracted mode, for detection of Neisseria gonorrhoeae.

    abstract:OBJECTIVES:Performance of the new Becton Dickinson ProbeTec GC Q(x) assay on the BD VIPER platform was evaluated to ascertain whether confirmatory testing is required in our clinical setting. METHODS:Positive predictive value (PPV) was determined by comparison with culture and a confirmatory nucleic acid amplification...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2010.044065

    authors: Pope CF,Hay P,Alexander S,Capaldi K,Dave J,Sadiq ST,Ison CA,Planche T

    更新日期:2010-11-01 00:00:00

  • Enhancing help-seeking behaviour among men who have sex with men at risk for sexually transmitted infections: the syn.bas.in randomised controlled trial.

    abstract:OBJECTIVES:Men who have sex with men (MSM) are at increased risk for STIs and mental disorders. Syndemic theory holds that psychosocial issues co-occur and interact, and thus increase sexual risk behaviour. Psychosocial issue identification, referral and management might reduce risk behaviour. METHODS:In the syndemic-...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2020-054438

    authors: Achterbergh RCA,van Rooijen MS,van den Brink W,Boyd A,de Vries HJC

    更新日期:2021-02-01 00:00:00

  • HIV in female sex workers in five border provinces of Vietnam.

    abstract:OBJECTIVES:To determine the prevalence of HIV and associated risk factors among female sex workers (FSWs) in border provinces of Vietnam. METHODS:911 FSWs in five border provinces of Vietnam (Lai Chau, Quang Tri, Dong Thap, An Giang, and Kien Giang) were enrolled in a cross sectional study. Subjects were interviewed u...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究

    doi:10.1136/sti.2005.016097

    authors: Thuong NV,Nhung VT,Nghia KV,Tram LT,O'Farrell N

    更新日期:2005-12-01 00:00:00

  • Safety and acceptability of vaginal disinfection with benzalkonium chloride in HIV infected pregnant women in west Africa: ANRS 049b phase II randomized, double blinded placebo controlled trial. DITRAME Study Group.

    abstract:OBJECTIVES:To study the tolerance and acceptability in Africa of a perinatal intervention to prevent vertical HIV transmission using benzalkonium chloride disinfection. DESIGN:A randomized, double blinded phase II trial. SETTING:Prenatal care units in Abidjan (Côte d'Ivoire) and Bobo-Dioulasso (Burkina Faso). PATIEN...

    journal_title:Sexually transmitted infections

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/sti.75.6.420

    authors: Msellati P,Meda N,Leroy V,Likikouët R,Van de Perre P,Cartoux M,Bonard D,Ouangre A,Combe P,Gautier-Charpentier L,Sylla-Koko F,Lassalle R,Dosso M,Welffens-Ekra C,Dabis F,Mandelbrot L

    更新日期:1999-12-01 00:00:00

  • Identification of chlamydia and gonorrhoea among women in rural Haiti: maximising access to treatment in a resource poor setting.

    abstract:OBJECTIVE:To develop a risk assessment algorithm that will increase the identification and treatment of women with cervical infection in rural Haiti. METHODS:Study participants were randomly selected from new patients who accessed services at a women's health clinic in rural Haiti between June 1999 and December 2002. ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2005.016733

    authors: Smith Fawzi MC,Lambert W,Singler J,Léandre F,Nevil P,Bertrand D,Claude MS,Bertrand J,Louissaint M,Jeannis L,Ferrer JG,Cook EF,Salazar JJ,Farmer P,Mukherjee JS

    更新日期:2006-04-01 00:00:00

  • Risky sexual behaviour in context: qualitative results from an investigation into risk factors for seroconversion among gay men who test for HIV.

    abstract:OBJECTIVES:The INSIGHT case-control study confirmed that HIV serodiscordant unprotected anal intercourse (SdUAI) remains the primary risk factor for HIV infection in gay men in England. This paper uses qualitative follow-up data to examine the contexts of SdUAI and other risk factors among the case-control study partic...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章,多中心研究

    doi:10.1136/sti.2008.031468

    authors: Elam G,Macdonald N,Hickson FC,Imrie J,Power R,McGarrigle CA,Fenton KA,Gilbart VL,Ward H,Evans BG,INSIGHT Collaborative Research Team.

    更新日期:2008-11-01 00:00:00

  • Trichomonas vaginalis and Mycoplasma genitalium: age-specific prevalence and disease burden in men attending a sexually transmitted infections clinic in Amsterdam, the Netherlands.

    abstract:BACKGROUND:Men are not routinely tested for Trichomonas vaginalis (TV) and Mycoplasma genitalium (MG) in the Netherlands and, therefore, very few studies have looked into their prevalence and/or role in urogenital complaints in the Dutch male population. OBJECTIVE:To describe the age-specific prevalence and disease bu...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2015-052118

    authors: van der Veer C,van Rooijen MS,Himschoot M,de Vries HJ,Bruisten SM

    更新日期:2016-02-01 00:00:00

  • Levels of anxiety and distress following receipt of positive screening tests in Australia's HPV-based cervical screening programme: a cross-sectional survey.

    abstract:OBJECTIVE:From December 2017, the Australian National Cervical Screening Program commenced 5 yearly primary human papillomavirus (HPV) screening; one of the first high-income countries to implement primary HPV screening. This study aimed to examine the psychosocial impact of self-reporting testing HPV positive in a sam...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2019-054290

    authors: Dodd RH,Mac O,Brotherton JML,Cvejic E,McCaffery KJ

    更新日期:2020-05-01 00:00:00

  • Screening for HIV infection in genitourinary medicine clinics: a lost opportunity? British Co-operative Clinical Group.

    abstract:OBJECTIVES:To examine the policy and practice of HIV testing in genitourinary medicine clinics in the United Kingdom. DESIGN:All 176 consultants in charge of genitourinary medicine clinics in the United Kingdom were sent a policy and practice questionnaire. A self selected group of 53 clinics conducted a retrospective...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.76.4.307

    authors:

    更新日期:2000-08-01 00:00:00

  • New sexually transmitted infections among adolescent girls infected with HIV.

    abstract:OBJECTIVES:Although the prevalence of sexually transmitted infections (STIs) among girls infected with HIV has been reported, the incidence of STI diagnoses has not been well documented. The objectives of this study were to examine (1) incident STI diagnoses and (2) the association between viral load (VL) and incident ...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.2007.026161

    authors: Trent M,Chung SE,Ellen JM,Clum G,Adolescent HIV\/AIDS Trials Network.

    更新日期:2007-10-01 00:00:00

  • A cross-sectional survey of attitudes to HIV risk and rapid HIV testing among clients of sex workers in Switzerland.

    abstract:OBJECTIVES:To assess attitudes to HIV risk and acceptability of rapid HIV testing among clients of street-based female sex workers (FSW) in Lausanne, Switzerland, where HIV prevalence in the general population is 0.4%. METHODS:The authors conducted a cross-sectional study in the red light district of Lausanne for five...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2012-050489

    authors: Darling KE,Diserens EA,N'garambe C,Ansermet-Pagot A,Masserey E,Cavassini M,Bodenmann P

    更新日期:2012-10-01 00:00:00

  • To pool or not to pool? Screening of Chlamydia trachomatis and Neisseria gonorrhoeae in female sex workers: pooled versus single-site testing.

    abstract:OBJECTIVES:As Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) are the most commonly reported STIs in Belgium and the majority of women infected are asymptomatic, targeted screening of patients in specified risk groups is indicated. To prevent long-term complications and interrupt transmission, extragenital sa...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sextrans-2019-054357

    authors: Verougstraete N,Verbeke V,De Cannière AS,Simons C,Padalko E,Coorevits L

    更新日期:2020-09-01 00:00:00

  • Role of core and bridging groups in the transmission dynamics of HIV and STIs in Cotonou, Benin, West Africa.

    abstract::The potential for exposure of low and high risk women to HIV and sexually transmitted infections (STI) through unprotected sex with male clients of female sex workers in Cotonou could account for most if not all of the estimated yearly numbers of HIV infections in Cotonou women (approximately 1000). As ongoing transmi...

    journal_title:Sexually transmitted infections

    pub_type: 杂志文章

    doi:10.1136/sti.78.suppl_1.i69

    authors: Lowndes CM,Alary M,Meda H,Gnintoungbé CA,Mukenge-Tshibaka L,Adjovi C,Buvé A,Morison L,Laourou M,Kanhonou L,Anagonou S

    更新日期:2002-04-01 00:00:00