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Monitoring HIV-indicator condition guided HIV testing in Estonia.

K Rüütel1, L Lemsalu1, S Lätt2

  • 1National Institute for Health Development, Tallinn, Estonia.

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Summary

Indicator condition (IC)-guided HIV testing rates in Estonia are low. Adhering to national guidelines for IC-guided HIV testing is crucial, and health insurance data can effectively monitor testing practices.

Keywords:
HIV indicator conditionsHIV testinghealth insurance data

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Services Research

Background:

  • HIV testing is a critical component of public health strategies for disease control.
  • Indicator condition (IC)-guided testing is recommended by Estonian national guidelines.
  • Understanding current testing rates is essential for evaluating the effectiveness of public health interventions.

Purpose of the Study:

  • To assess the rates of HIV testing guided by indicator conditions in Estonia between 2012 and 2015.
  • To evaluate the utility of health insurance data for monitoring HIV testing practices.

Main Methods:

  • Utilized data from the Estonian Health Insurance Fund (EHIF), covering 94% of the population.
  • Analyzed patient information including age, gender, and ICD-10 diagnoses.
  • Examined services provided, specifically HIV testing, in relation to diagnosed indicator conditions.

Main Results:

  • HIV testing rates guided by indicator conditions were found to be low across Estonia.
  • The highest testing proportions were observed in patients with infectious mononucleosis-like illness (27-33%) and viral hepatitis (28-32%).
  • Lower testing rates were noted for herpes zoster (4-5%) and pneumonia (4-8%), with women tested less frequently than men, particularly for STIs.

Conclusions:

  • Current indicator condition-guided HIV testing rates in Estonia are suboptimal.
  • Strict adherence to Estonian HIV testing guidelines recommending IC-guided testing is necessary.
  • Estonian Health Insurance Fund data provides a viable method for monitoring IC-guided HIV testing.