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Routine HIV Testing and Outcomes: A Population-Based Cohort Study in Taiwan
Yi-Hsuan Chen1, Chi-Tai Fang2, Ming-Chieh Shih1
1Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.
American Journal of Preventive Medicine
|October 15, 2021
Summary
Routine HIV testing significantly reduces late diagnosis and mortality for people diagnosed with HIV infection. Expanding this approach can improve public health and individual clinical outcomes.
Area of Science:
- Epidemiology
- Public Health
- Infectious Disease Management
Background:
- Early diagnosis and treatment are crucial for managing HIV/AIDS.
- Limited data exist on the benefits of routine HIV testing for patient outcomes.
Purpose of the Study:
- To compare outcomes of HIV diagnoses through routine versus non-routine testing.
- To assess the impact of routine HIV testing on late diagnosis, HIV-related mortality, and all-cause mortality.
Main Methods:
- Utilized Taiwan's national HIV/AIDS registry (1986-2014).
- Compared outcomes between routine (opt-out) and non-routine (risk-based) testing groups.
- Matched individuals by diagnosis year and adjusted for age, sex, transmission routes, and SES.
Main Results:
- Routine testing was linked to an 80% reduction in late HIV diagnosis.
- Associated with a 37% decrease in HIV-related mortality.
- Showed a 27% reduction in all-cause mortality.
Conclusions:
- Routine HIV testing leads to significantly better clinical outcomes.
- Expanding routine HIV testing in targeted settings can enhance HIV epidemic control and patient care.
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