Journal article
Routine HIV Screening in an Urban Community Health Center: Results from a Geographically Focused Implementation Science Program
Public health reports (1974), v 131 Suppl 1(1_suppl)
Jan 2016
PMID: 26862228
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
CDC has recommended routine HIV screening since 2006. However, few community health centers (CHCs) routinely offer HIV screening. Research is needed to understand how to implement routine HIV screening programs, particularly in medically underserved neighborhoods with high rates of HIV infection. A routine HIV screening program was implemented and evaluated in a Philadelphia, Pennsylvania, neighborhood with high rates of HIV infection.
Implementation science is the study of methods to promote the integration of research findings and evidence into health-care policy and practice. Using an implementation science approach, the results of the program were evaluated by measuring acceptability, adoption, and penetration of routine HIV screening.
A total of 5,878 individuals were screened during the program. HIV screening was highly accepted among clinic patients. In an initial needs assessment of 516 patients, 362 (70.2%) patients reported that they would accept testing if offered. Routine screening policies were adopted clinic-wide. Staff trainings, new electronic medical records that prompted staff members to offer screening and evaluate screening rates, and other continuing quality-improvement policies helped promote screenings. HIV screening offer rates improved from an estimated 5.0% of eligible patients at baseline in March 2012 to an estimated 59.3% of eligible patients in December 2014. However, only 5,878 of 13,827 (42.5%) patients who were offered screening accepted it, culminating in a 25.2% overall screening rate. Seventeen of the 5,878 patients tested positive, for a seropositivity rate of 0.3%.
Routine HIV screening at CHCs in neighborhoods with high rates of HIV infection is feasible. Routine screening is an important tool to improve HIV care continuum outcomes and to address racial and geographic disparities in HIV infection.
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Details
- Title
- Routine HIV Screening in an Urban Community Health Center: Results from a Geographically Focused Implementation Science Program
- Creators
- Amy Nunn - Brown UniversityCaitlin Towey - Rhode Island Public Health Institute, Providence, RI.Philip A Chan - Brown UniversitySharon Parker - North Carolina Agricultural and Technical State UniversityEmily Nichols - Counseling CenterPatrick Oleskey - Counseling CenterAnnajane Yolken - Rhode Island Public Health Institute, Providence, RI.Julia Harvey - Rhode Island Public Health Institute, Providence, RI.Geetanjoli Banerjee - Brown UniversityThomas Stopka - Tufts UniversityStacey Trooskin - Drexel UniversitySamuel Jackson Parker - [Retired Faculty]
- Publication Details
- Public health reports (1974), v 131 Suppl 1(1_suppl)
- Publisher
- Sage
- Grant note
- P30 AI042853 / NIAID NIH HHS T32 DA013911 / NIDA NIH HHS K01 AA020228 / NIAAA NIH HHS R25 MH083620 / NIMH NIH HHS L60 MD003501 / NIMHD NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]
- Web of Science ID
- WOS:000372392700005
- Scopus ID
- 2-s2.0-84959342648
- Other Identifier
- 991019173899004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health