Rapid HIV testing in an urban emergency department: using social workers to affect risk behaviors and overcome barriers.
Rapid HIV testing in an urban emergency department: using social workers to affect risk behaviors and overcome barriers.
复制标题
城市急诊室的快速艾滋病毒检测：利用社会工作者影响危险行为并克服障碍。
DOI：
10.1093/hsw/34.4.305
复制
发表时间：
2009
影响因子：
1.5
通讯作者：
Haukoos,JasonS
中科院分区：
文献类型：
--
作者：
Silverman,Morgan;LaPerriere,Kathryn;Haukoos,JasonS
In the 27 years since HIV was first reported in the United States, an estimated 1.6 million people have been diagnosed with HIV, and more than 525,000 have died as a result of AIDS (Centers for Disease Control and Prevention [CDC], 2005). Currently, approximately 250,000 individuals in the United States are unknowingly infected with HIV, and approximately 40,000 new infections occur each year (CDC, 2006). As the HIV epidemic continues, the populations most deeply affected are racial and ethnic minorities and those who are socially and economically marginalized. These populations currently represent almost 70 percent of new cases of HIV infection (CDC, 2007). In addition to the disproportionate spread of HIV among these populations, access to primary and ongoing medical or preventive care is often a financial or logistical impossibility. Emergency departments (EDs) serve as an important part of this country’s medical safety net, and those without access to primary medical care commonly use EDs as their sole source of care. The ED, therefore, is often the only medical venue available to target patients at increased risk of harboring unrecognized HIV infection, to identify those who are infected, and to link them into ongoing care. Successful performance of these services may ultimately affect this epidemic (Rothman, 2004).
