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Genital herpes is a sexually transmitted infection primarily caused by herpes simplex virus type 2 (HSV-2), though herpes simplex virus type 1 (HSV-1) is increasingly implicated in genital infections, particularly among younger populations. Transmission occurs mainly through sexual contact, with asymptomatic viral shedding serving as a major route of spread. This characteristic makes HSV-2 difficult to control at a population level, as individuals may unknowingly transmit the virus even in the...

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An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings
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Patterns of HIV testing among Ontario physicians.

Claudia Rank1, Robert S Remis, Carol Swantee

  • 1Ontario Public Health Laboratory, Ontario Agency for Health Protection and Promotion, Toronto, ON.

Canadian Journal of Public Health = Revue Canadienne De Sante Publique
|November 2, 2010
PubMed
Summary

Physician HIV testing in Ontario varied by region and specialty, with family doctors and OB/GYNs testing most frequently. Understanding these patterns is key for improving HIV prevention efforts.

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Area of Science:

  • Public Health
  • Epidemiology
  • Medical Practice

Background:

  • HIV testing is crucial for prevention and control, yet a significant portion of HIV infections in Ontario remain undiagnosed.
  • Understanding physician testing patterns is essential to address gaps in HIV diagnosis and care.

Purpose of the Study:

  • To examine HIV testing patterns among physicians in Ontario.
  • To identify provider-related factors associated with HIV testing frequency.

Main Methods:

  • Linked HIV test requisitions from the Ontario Public Health Laboratory (2006) with a database of Ontario physicians.
  • Analyzed HIV testing frequency based on physician demographics and specialty.
  • Used multivariate logistic regression to identify factors associated with high testing frequency (20+ tests).

Main Results:

  • Over 12,000 physicians (59.3%) prescribed at least one HIV test in 2006.
  • Testing frequency varied by health region and physician graduation year.
  • Family medicine/general practice, obstetrics/gynecology, and internal medicine specialists showed higher rates of HIV testing prescription.

Conclusions:

  • Significant variation exists in HIV testing rates among Ontario physicians, influenced by geographic region, graduation year, and medical specialty.
  • These identified factors should inform continuing medical education strategies for HIV testing.