HIV screening among substance-abusing veterans in care

被引：6
|
作者：
Dookeran, Nameeta M. [1 ,2 ]
Burgess, James F., Jr. [3 ,4 ]
Bowman, Candice C. [5 ]
Goetz, Matthew Bidwell [6 ,7 ,8 ]
Asch, Steven M. [9 ,10 ]
Gifford, Allen L. [2 ,4 ,11 ]
机构：
[1] Brigham & Womens Hosp, Dept Med, Brigham & Womens Hospitalist Serv, Boston, MA 02115 USA
[2] Edith Nourse Rogers Mem Vet Adm Hosp, VA HSR&D Ctr Hlth Qual Outcomes & Econ Res, Bedford, MA 01730 USA
[3] VA Boston Healthcare Syst, Ctr Org Leadership & Management Res, Boston, MA 02130 USA
[4] Boston Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Boston, MA 02118 USA
[5] VA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Provider Behav, Sepulveda, CA 91343 USA
[6] VA Greater Los Angeles Healthcare Syst, Infect Dis Sect, Los Angeles, CA 90073 USA
[7] VA Greater Los Angeles Healthcare Syst, Dept Med, Los Angeles, CA 90073 USA
[8] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90024 USA
[9] VA Greater Los Angeles Healthcare Syst, HIV Hepatitis Qual Enhancement Res Initiat, Los Angeles, CA 90073 USA
[10] Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Los Angeles, CA 90095 USA
[11] Boston Univ, Sch Med, Gen Internal Med Sect, Boston, MA 02118 USA
来源：
JOURNAL OF SUBSTANCE ABUSE TREATMENT | 2009年 / 37卷 / 03期
关键词：
HIV screening; HIV testing; HIV risk; Alcohol use disorders; Substance use disorders; HUMAN-IMMUNODEFICIENCY-VIRUS; SEXUAL TRANSMISSION; ALCOHOL-CONSUMPTION; COST-EFFECTIVENESS; UNITED-STATES; RISK; INFECTION; RECOMMENDATIONS; INTERVENTIONS; ASSOCIATION;
D O I：
10.1016/j.jsat.2009.03.003
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
Calls for screening for HIV infection among individuals with substance use disorders, including alcohol use, are increasing. We investigated HIV screening and its predictors in the Veterans Health Administration (VA) system among such individuals in care. Our primary outcome was retrospective evidence of screening for HIV infection, adjusting for patient demographics and important comorbid disease. Of the 371,749 sample patients with histories of substance use disorders using VA services, 20% had evidence of HIV screening. Screening was lowest among those with alcohol use disorders alone (11%) and highest among those treated in substance use programs (28%) or receiving inpatient care (28%). The findings suggest a low recognition of substance use disorders (especially alcohol use) as risk factors for HIV. Quality improvement initiatives to increase risk factor recognition and screening among patients with substance use disorders will yield benefits in the fight against HIV. (C) 2009 Elsevier Inc. All rights reserved.
引用
收藏
页码：286 / 291
页数：6
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