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Vol. 29. Issue 4.
Pages 239-244 (July - August 2019)
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Vol. 29. Issue 4.
Pages 239-244 (July - August 2019)
Brief Original Article
Request for HIV serology in primary care: A survey of medical and nursing professionals
Solicitud de serologías de VIH en atención primaria: encuesta a profesionales de Medicina y de Enfermería
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Myrian Pichiule-Castañeda
Corresponding author
, M. Felicitas Domínguez-Berjón, María D. Esteban-Vasallo, Carmen García-Riolobos, M. Carmen Álvarez-Castillo, Jenaro Astray-Mochales, coordinating group ESTVIH
Dirección General de Salud Pública, Consejería de Sanidad, Comunidad de Madrid, Madrid, Spain
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Tables (2)
Table 1. Socio demographic characteristics, professionals and professional practice related to HIV according to professional category. Community of Madrid (ESTVIH).
Table 2. Factors associated with HIV serological test request, in medical and nursing professionals, in accordance with the logistic regression models. Community of Madrid (ESTVIH).
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Abstract
Introduction

In the Community of Madrid there is 42.7% late HIV diagnosis. Primary care is the gateway to the health system and the frequency of serological tests requested by these professionals is unknown. The objectives were to establish the frequency of requests for HIV serology by medical and nursing primary care professionals in the Community of Madrid and the factors associated with these requests.

Method

An ‘on-line’ survey was conducted, asking professionals who participated in the evaluation study of strategies to promote early diagnosis of HIV in primary care in the Community of Madrid (ESTVIH) about the number of HIV-serology tests requested in the last 12 months. The association between HIV-serology requesting and the sociodemographic and clinical practice characteristics of the professionals was quantified using adjusted odds ratios (aOR) according to logistic regression.

Results

264 surveys (59.5% physicians). Eighty-two point two percent of medical and 18.7% of nursing professionals reported requesting at least one HIV-serology in the last 12 months (median: 15 and 2 HIV-serology request, respectively). The doctors associated the request with: being male (aOR: 2.95; 95% CI: 0.82–10.56), being trained in pre-post HIV test counselling (aOR: 2.42; 95% CI: 0.84–6.93) and the nurses with: age (<50 years; aOR: 2.75; 95% CI: 0.97–7.75), and number of years working in primary care (>13 years; aOR: 3.02; 95% CI: 1.07–8.52).

Conclusion

It is necessary to promote HIV testing and training in pre–post HIV test counselling for medical and nursing professionals in primary care centres.

Keywords:
Human immunodeficiency virus
Serology
Primary health care
Family physicians
Nursing
Surveys and questionnaires
Resumen
Introducción

En la Comunidad de Madrid existe un 42,7% de retraso diagnóstico de VIH. La atención primaria es la puerta de entrada al sistema sanitario y se desconoce la frecuencia de serologías solicitadas por estos profesionales. Los objetivos fueron conocer la frecuencia y factores asociados a la solicitud de serologías de VIH por profesionales de medicina y de enfermería de atención primaria de la Comunidad de Madrid.

Método

Mediante encuesta on-line, se preguntó por la solicitud de serologías para VIH en los últimos 12 meses, a profesionales que participaron en el estudio de evaluación de estrategias de diagnóstico precoz de VIH en consultas de atención primaria de la Comunidad de Madrid (ESTVIH). La asociación entre la solicitud de serologías y las características sociodemográficas y de práctica clínica de los profesionales se cuantificó mediante odds ratio ajustadas (ORa) según regresión logística.

Resultados

Se obtuvieron 264 encuestas (59,5% medicina). El 82,2% de profesionales medicina y el 18,7% de enfermería refirieron haber solicitado alguna serología de VIH en los últimos 12 meses (mediana de 15 y 2 serologías solicitadas, respectivamente). En medicina esta petición se asoció con sexo masculino (ORa: 2,95; IC95%: 0,82-10,56) y estar entrenado para dar consejo pre-post prueba de VIH (ORa: 2,42; IC95%: 0,84-6,93); en enfermería se asoció con edad (<50años; ORa: 2,75; IC95%: 0,97-7,75) y tiempo trabajado en atención primaria (>13años; ORa: 3,02; IC95%: 1,07-8,52).

Conclusión

Es necesario promover la solicitud de pruebas de VIH y el entrenamiento pre-post prueba de VIH en profesionales de medicina y enfermería de atención primaria.

Palabras clave:
Virus de la inmunodeficiencia humana
Serología
Atención primaria
Médicos de familia
Enfermería
Encuestas y cuestionarios

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