Shuter J, Alpert P L, DeShaw M G, Greenberg B, Klein R S
Department of Medicine, Montefiore Medical Center, Bronx, New York, USA.
J Acquir Immune Defic Syndr Hum Retrovirol. 1997 Jan 1;14(1):61-6. doi: 10.1097/00042560-199701010-00010.
We studied the rates of and factors associated with self-reported prior human immunodeficiency virus (HIV) testing in adult patients visiting an emergency department (ED) in the Bronx, New York City. A total of 1,744 consecutive noncritical adult medical emergency patients responded to a standardized interview administered by ED physicians. The interview included questions pertaining to demographic characteristics, prior HIV testing, and HIV risk behaviors. On multivariate analysis, female gender, younger age, history of weight loss, injecting drug use (IDU), syphilis, and genital herpes were all associated with increased reported prior testing rates. Race (i.e., black race) was an independent predictor of increased rates among male subjects; comparatively low rates were reported by patients with a first language other than English, patients lacking medical insurance, and highly sexually active, nonblack men. Increased HIV testing rates were reported by subjects with recognized HIV risk behaviors in a New York City ED population; however, substantial proportions of subjects at risk had not been tested. Programs of HIV testing and counseling need to include older, uninsured, and non-English-speaking segments of the population who engage in high-risk behaviors.
我们研究了纽约市布朗克斯区一家急诊科成年患者自我报告的既往人类免疫缺陷病毒（HIV）检测率及相关因素。共有1744名连续就诊的非危急成年内科急诊患者接受了急诊科医生进行的标准化访谈。访谈内容包括人口统计学特征、既往HIV检测情况以及HIV风险行为等问题。多因素分析显示，女性、年轻、体重减轻史、注射吸毒、梅毒和生殖器疱疹均与报告的既往检测率增加有关。种族（即黑人种族）是男性受试者检测率增加的独立预测因素；母语非英语、没有医疗保险以及性活跃度高的非黑人男性报告的检测率相对较低。在纽约市急诊科人群中，有公认HIV风险行为的受试者报告的HIV检测率有所增加；然而，相当一部分有风险的受试者尚未接受检测。HIV检测与咨询项目需要纳入从事高风险行为的老年、未参保和非英语人群。
