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Simplifying Consent for HIV Testing Is Associated with an Increase in HIV Testing and Case Detection in Highest Risk Groups, San Francisco January 2003–June 2007

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  • Nicola M Zetola
  • Carlos G Grijalva
  • Sarah Gertler
  • C Bradley Hare
  • Beth Kaplan
  • Teri Dowling
  • Grant Colfax
  • Mitchell H Katz
  • Jeffrey D Klausner

Abstract

Background: Populations at highest risk for HIV infection face multiple barriers to HIV testing. To facilitate HIV testing procedures, the San Francisco General Hospital Medical Center eliminated required written patient consent for HIV testing in its medical settings in May 2006. To describe the change in HIV testing rates in different hospital settings and populations after the change in HIV testing policy in the SFDH medical center, we performed an observational study using interrupted time series analysis. Methods: Data from all patients aged 18 years and older seen from January 2003 through June 2007 at the San Francisco Department of Public Health (SFDPH) medical care system were included in the analysis. The monthly HIV testing rate per 1000 hadpatient-visits was calculated for the overall population and stratified by hospital setting, age, sex, race/ethnicity, homelessness status, insurance status and primary language. Results: By June 2007, the average monthly rate of HIV tests per 1000 patient-visits increased 4.38 (CI, 2.17–6.60, p

Suggested Citation

  • Nicola M Zetola & Carlos G Grijalva & Sarah Gertler & C Bradley Hare & Beth Kaplan & Teri Dowling & Grant Colfax & Mitchell H Katz & Jeffrey D Klausner, 2008. "Simplifying Consent for HIV Testing Is Associated with an Increase in HIV Testing and Case Detection in Highest Risk Groups, San Francisco January 2003–June 2007," PLOS ONE, Public Library of Science, vol. 3(7), pages 1-9, July.
    • Handle: RePEc:plo:pone00:0002591
    DOI: 10.1371/journal.pone.0002591
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    References listed on IDEAS

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    1. Karon, J.M. & Fleming, P.L. & Steketee, R.W. & De Cock, K.M., 2001. "HIV in the United States at the turn of the century: An epidemic in transition," American Journal of Public Health, American Public Health Association, vol. 91(7), pages 1060-1068.
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