Bernstein Kyle T, Begier Elizabeth, Burke Ryan, Karpati Adam, Hogben Matthew
New York City Department of Health and Mental Hygiene, Bureau of HIV/AIDS Prevention and Control, New York, New York, USA.
AIDS Patient Care STDS. 2008 Aug;22(8):649-56. doi: 10.1089/apc.2007.0261.
In 2006, the Centers for Disease Control and Prevention (CDC) put forth recommendations for routine HIV screening for all individuals aged 13-64. The frequency and correlates of HIV screening among U.S. physicians in 2000 were examined to provide baseline data for evaluating the implementation of the 2006 CDC HIV testing guidelines through a survey mailed to a random sample of U.S. physicians in the American Medical Association's Masterfile. The primary outcome was self-reported HIV screening of asymptomatic male and nonpregnant female patients. A total of 4133 (adjusted completion rate of 70.2%) returned a completed survey. Overall, 1133 (28.4%) of physicians reported HIV screening. U.S. physicians, who were female, black, Hispanic, practiced in a city of more than 250,000 people, diagnosed HIV in the past 2 years, or followed up with patients to see if they notified their sexual partners, were more likely to screen their patients for HIV. Emergency medicine, internal medicine, and pediatrics specialists were less likely to screen than family/general practitioners. In 2000, only a quarter of U.S. physicians reported screening their patients for HIV and these rates varied by physician characteristics and practice settings.
2006年，美国疾病控制与预防中心（CDC）提出了针对所有13至64岁人群进行常规HIV筛查的建议。通过向美国医学协会主文件中随机抽取的美国医生样本邮寄调查问卷，对2000年美国医生中HIV筛查的频率及其相关因素进行了调查，以提供基线数据，用于评估2006年CDC HIV检测指南的实施情况。主要结果是无症状男性和未怀孕女性患者的自我报告HIV筛查情况。共有4133人（调整后的完成率为70.2%）返回了完整的调查问卷。总体而言，1133名（28.4%）医生报告进行了HIV筛查。女性、黑人、西班牙裔、在人口超过25万的城市执业、在过去两年中诊断过HIV或随访患者以查看他们是否通知性伴侣的美国医生，更有可能为患者进行HIV筛查。急诊医学、内科和儿科专科医生进行筛查的可能性低于家庭/全科医生。2000年，只有四分之一的美国医生报告为患者进行了HIV筛查，这些比例因医生特征和执业环境而异。
