Acceptability of oral rapid HIV testing at dental clinics in communities with high HIV prevalence in South Florida.
Acceptability of oral rapid HIV testing at dental clinics in communities with high HIV prevalence in South Florida.
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DOI：
10.1371/journal.pone.0196323
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Pereyra M
中科院分区：
文献类型：
--
作者：
Bradley ELP;Vidot DC;Gaul Z;Sutton MY;Pereyra M
扩大对高危人群的艾滋病毒筛查需要在非传统环境中进行检测。我们评估了佛罗里达南部牙科诊所的艾滋病毒检测，该地区是2015年美国艾滋病毒诊断率最高的城市地区。我们探讨了患者对牙科医生进行的口服HIV快速检测的接受程度，并确定了接受或拒绝HIV检测的原因。在2014年和2015年，牙医和牙医在两个联邦合格的健康中心（UHC）牙科诊所谁服务种族/少数民族患者人群在南佛罗里达进行了培训，以管理口腔艾滋病毒快速测试作为一个常规牙科访问的一部分。为牙科服务的患者提供快速HIV检测和关于其人口统计学，HIV检测史和行为的简短调查。我们招募了600名患者（中位年龄= 43岁; IQR：29-56岁），其中45%为非西班牙裔黑人，35%为西班牙裔/拉丁裔，83%高中毕业，50%失业。大多数人（85%）接受口服艾滋病毒快速检测（没有人检测出艾滋病毒阳性）; 14%的人从未接受过艾滋病毒检测。最常见的检测原因是希望了解艾滋病毒状况（56%）和免费检测（54%）。在93名（15%）拒绝检测的患者中，58%最近进行了检测，31%的人相信他们是HIV阴性;然而，74名（80%）拒绝检测的患者表示，他们愿意与牙医讨论HIV预防。此外，600例患者中有290例（48%）报告在过去6个月内发生过无避孕套阴道或肛交。此外，在119名与艾滋病毒阳性伴侣和/或艾滋病毒状况未知的人发生无避孕套性行为的患者中，98名（82%）接受了口服艾滋病毒检测。牙科诊所可以为艾滋病毒高流行社区提供更多的口服艾滋病毒快速检测和艾滋病毒预防对话的机会。
Expanding HIV screening for populations at risk necessitates testing in nontraditional settings. We assessed HIV testing in dental clinics in South Florida, an urban area with the highest rates of HIV diagnoses in the United States in 2015. We explored patients’ acceptance of oral HIV rapid tests administered by dental providers and identified reasons for accepting or declining HIV testing. During 2014 and 2015, dentists and hygienists at two federally qualified health center (FQHC) dental clinics who serve racial/ethnic minority patient populations in South Florida were trained to administer oral HIV rapid tests as a part of a routine dental visit. Patients presenting for dental services were offered a rapid HIV test and brief survey regarding their demographics, HIV testing history and behaviors. We enrolled 600 patients (median age = 43 years; IQR: 29–56 years), 45% non-Hispanic black and 35% Hispanic/Latino, 83% graduated high school, and 50% unemployed. Most (85%) accepted oral HIV rapid testing (none tested HIV-positive); 14% had never been tested for HIV. The most common reasons for testing were a desire to know HIV status (56%) and free testing (54%). Among 93 (15%) patients who declined testing, 58% were tested recently and 31% felt confident that they were HIV-negative; however, 74 (80%) who declined testing said they would feel comfortable discussing HIV prevention with their dentist. Additionally, 290 of 600 patients (48%) reported condomless vaginal or anal sex in the past 6 months. Further, among 119 patients who had condomless sex with an HIV-positive partner and/or one whose HIV status was unknown, 98 (82%) accepted the oral HIV test. Dental clinics may provide expanded opportunities for oral HIV rapid testing and conversations about HIV prevention in high HIV prevalence communities.
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DOI：
10.1056/nejmoa1600693
发表时间：
2016-09-01
期刊：
The New England journal of medicine
影响因子：
--
作者：
Cohen MS;Chen YQ;McCauley M;Gamble T;Hosseinipour MC;Kumarasamy N;Hakim JG;Kumwenda J;Grinsztejn B;Pilotto JH;Godbole SV;Chariyalertsak S;Santos BR;Mayer KH;Hoffman IF;Eshleman SH;Piwowar-Manning E;Cottle L;Zhang XC;Makhema J;Mills LA;Panchia R;Faesen S;Eron J;Gallant J;Havlir D;Swindells S;Elharrar V;Burns D;Taha TE;Nielsen-Saines K;Celentano DD;Essex M;Hudelson SE;Redd AD;Fleming TR;HPTN 052 Study Team
通讯作者：
HPTN 052 Study Team
影响因子：
1.7
作者：
Parish CL;Siegel K;Liguori T;Abel SN;Pollack HA;Pereyra MR;Metsch LR
通讯作者：
Metsch LR
影响因子：
12.7
作者：
Pollack, Harold A.;Pereyra, Margaret;Metsch, Lisa R.
通讯作者：
Metsch, Lisa R.
影响因子：
39
作者：
Skarbinski, Jacek;Rosenberg, Eli;Mermin, Jonathan H.
通讯作者：
Mermin, Jonathan H.
影响因子：
4.9
作者：
Blackstock, Oni J.;King, James R.;Mannheimer, Sharon B.
通讯作者：
Mannheimer, Sharon B.