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Expanded HIV testing in the US Department of Veterans Affairs, 2009-2011

Author

Listed:
  • Czarnogorski, M.
  • Halloran, J.
  • Pedati, C.
  • Dursa, E.K.
  • Durfee, J.
  • Martinello, R.
  • Davey, V.
  • Ross, D.

Abstract

Objectives. We measured HIV testing and seropositivity among veterans in Veterans Affairs (VA) care for calendar years 2009 through 2011 and analyzed 2011 results by patient demographics. Methods. We performed a repeated-measures cross-sectional study using standardized electronic data extraction from the VA electronic health records for all veterans with at least 1 outpatient visit during 2009 through 2011. We analyzed testing rates and seropositivity by demographic characteristics for 2011. Results. Of veterans with an outpatient visit, 20.0% had an HIV test in 2011, compared with 9.2% in 2009. Documented HIV testing rates were highest in women and Blacks. Of confirmed positive test results, 67.0% were in outpatients older than 50 years. Seropositivity was highest among men aged 30 to 49 years, women aged 50 to 69 years, and Black outpatients of both genders. Implementation of an electronic clinical reminder was associated with higher testing rates. Conclusions. The significant effect of an electronic clinical reminder suggests that such decision support tools can substantially increase testing rates. The frequency of positive test results in older individuals suggests the need for additionalwork to define optimum approaches to HIV testing in this population.

Suggested Citation

  • Czarnogorski, M. & Halloran, J. & Pedati, C. & Dursa, E.K. & Durfee, J. & Martinello, R. & Davey, V. & Ross, D., 2013. "Expanded HIV testing in the US Department of Veterans Affairs, 2009-2011," American Journal of Public Health, American Public Health Association, vol. 103(12), pages 40-45.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301376_7
    DOI: 10.2105/AJPH.2013.301376
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    Cited by:

    1. Patricia M Dietz & Michelle Van Handel & Huisheng Wang & Philip J Peters & Jun Zhang & Abigail Viall & Bernard M Branson, 2015. "HIV Testing among Outpatients with Medicaid and Commercial Insurance," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-12, December.

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