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Family practitioners screening for HIV infection.

V Rocchetti1, J P Viard2

  • 1Centre hospitalier de Versailles A.-Mignot, 177, rue de Versailles, 78150 Le Chesnay, France.

Medecine Et Maladies Infectieuses
|April 14, 2015
PubMed
Summary

Family physicians in Paris rarely identified all at-risk patients for HIV screening. Despite a new recommendation, screening practices did not change, indicating a need for improved HIV testing awareness and implementation.

Keywords:
Dépistage systématiqueFamily practiceHIVMédecine généraleSystematic screeningVIH

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Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Disease Prevention

Background:

  • Assessed HIV screening practices among Paris-based family physicians in 2013.
  • Evaluated changes in practice following the French National Authority for Health (HAS) recommendation for systematic HIV screening.

Purpose of the Study:

  • To determine the extent of HIV screening by family physicians in Paris.
  • To identify factors influencing HIV screening practices.
  • To assess the impact of the HAS recommendation on screening behavior.

Main Methods:

  • A questionnaire-based survey was distributed to family practitioners (FPs) in Paris.
  • Data collected via email or mail from January to April 2013.
  • Statistical analysis performed using the Chi-squared test.

Main Results:

  • A 77.8% response rate from 407 FPs.
  • Inconsistent identification of at-risk patients (e.g., 78% for STIs, 21% for sexually active teens/adults).
  • Screening practices varied by district, FP demographics (younger, female FPs screened more), and practice type.
  • Only 45% of FPs were aware of the systematic screening recommendation.

Conclusions:

  • Significant variations in HIV screening practices exist among Paris FPs based on demographics and practice location/type.
  • The HAS recommendation for systematic HIV screening has not yet demonstrably altered screening practices.
  • There is a critical need to enhance awareness and adoption of updated HIV screening guidelines within primary care settings.