Public Health Strategic Health Care Group (13B), Office of Public Health and Environmental Hazards, US Department of Veterans Affairs, 810 Vermont Avenue, NW, Washington, DC 20420, USA.
J Community Health. 2010 Jun;35(3):215-9. doi: 10.1007/s10900-010-9233-x.
Late diagnosis of HIV infection contributes to poor medical outcomes and helps sustain continued transmission of virus. Published evidence suggests that despite current public health recommendations, patients receiving care in the Veterans Health Administration (VHA) system are not being routinely tested for HIV infection. Using a sample of computer-literate veterans, we conducted a survey of recent testing experiences. My HealtheVet (MHV) is a secure website allowing registered Veterans to access limited personal VHA health information. Using the American Customer Satisfaction Index (ACSI) Survey, an electronic questionnaire on "health screening" was conducted in late Fall/early winter 2008-2009. A random sample (4%) of MHV users were surveyed; approximately 17% completed the survey and responses ranged from 31,237 to 33,074. Only 9% of the respondents indicated that they had been offered a test for HIV in the last 12 months compared to 83% who had been offered cholesterol screening, 65% blood sugar screening and 19% who had been offered testing for Hepatitis C virus (HCV). Of those who had been offered HIV testing, 91% indicated that they'd had the test performed. Of note, the percentage of respondents who indicated that they would "very likely" accept a test, if offered, was similar for HIV (73%), HCV (79%), cholesterol (75%), and blood sugar (75%). Although these results cannot be generalized to all Veterans in care, they suggest that routine testing for HIV has not been taking place and support recent VHA policy changes to remove barriers to HIV testing.
艾滋病病毒感染的晚期诊断导致不良的医疗结果，并有助于持续传播病毒。已发表的证据表明，尽管目前有公共卫生建议，在退伍军人健康管理局（VHA）系统中接受护理的患者并未常规进行艾滋病病毒感染检测。我们使用一批精通计算机的退伍军人，对最近的检测经验进行了调查。My HealtheVet（MHV）是一个安全的网站，允许注册的退伍军人访问有限的个人 VHA 健康信息。使用美国客户满意度指数（ACSI）调查，在 2008-2009 年秋冬之交进行了关于“健康筛查”的电子问卷调查。对 MHV 用户的随机样本（4%）进行了调查；大约 17%的人完成了调查，回复范围从 31237 到 33074。只有 9%的受访者表示在过去 12 个月内接受过艾滋病病毒检测，而 83%的人接受过胆固醇筛查，65%的人接受过血糖筛查，19%的人接受过丙型肝炎病毒（HCV）检测。在那些被提供艾滋病病毒检测的人中，91%表示他们已经进行了检测。值得注意的是，如果提供检测，愿意接受检测的受访者比例对于 HIV（73%）、HCV（79%）、胆固醇（75%）和血糖（75%）来说是相似的。虽然这些结果不能推广到所有接受护理的退伍军人，但它们表明，常规的艾滋病病毒检测并未进行，并支持最近 VHA 政策的改变，以消除艾滋病病毒检测的障碍。
