Risk-based HIV testing in South Carolina health care settings failed to identify the majority of infected individuals.

摘要: To provide evidence of large numbers missed opportunities for early HIV diagnosis we designed a retrospective cohort study linking surveillance data from the South Carolina HIV/AIDS Reporting System to statewide all payer health care database. We determined visits and diagnoses occurring before date first positive test medical encounters were categorized distinguish that likely versus unlikely have prompted an test. Of 4117 HIV-positive individuals newly diagnosed between 2001 2005, 3021 (73.4%) visited facility one or more times prior testing positive. these 3021, 1311 (43.4%) late testers, 1425 (47.2%) testers. Females less than males be testers (odds ratio [OR] 0.55, 95% confidence interval [CI] 0.45–0.68), blacks whites (OR 1.37, CI 1.10–1.71), persons 50 years age older 7.16, 3.84–13.37). A total 78.8% 13,448 both prompt These findings underscore need routine adults adolescents visiting facilities in order facilitate diagnosis.