RESEARCH ARTICLE
Testing Initiatives Increase Rates of HIV Diagnosis in Primary Care and Community Settings: An Observational Single-Centre Cohort Study Prini Mahendran1, Suneeta Soni1*, Stephanie Goubet2, Emma Saunsbury3, Jonathan Roberts1, Martin Fisher1,3
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1 Department of GU Medicine, Brighton and Sussex University Hospitals NHS Trust, Brighton, United Kingdom, 2 Clinical Investigations and Research Unit, Brighton and Sussex University Hospitals NHS Trust, Brighton, United Kingdom, 3 Brighton and Sussex Medical School, Brighton, United Kingdom * [email protected]
OPEN ACCESS Citation: Mahendran P, Soni S, Goubet S, Saunsbury E, Roberts J, Fisher M (2015) Testing Initiatives Increase Rates of HIV Diagnosis in Primary Care and Community Settings: An Observational Single-Centre Cohort Study. PLoS ONE 10(4): e0124394. doi:10.1371/journal.pone.0124394 Academic Editor: Julian W. Tang, Alberta Provincial Laboratory for Public Health/ University of Alberta, CANADA
Abstract Objectives The primary objective was to examine trends in new HIV diagnoses in a UK area of high HIV prevalence between 2000 and 2012 with respect to site of diagnosis and stage of HIV infection.
Design Single-centre observational cohort study.
Received: August 18, 2014
Setting
Accepted: March 13, 2015
An outpatient HIV department in a secondary care UK hospital.
Published: April 17, 2015 Copyright: © 2015 Mahendran et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement: All relevant data are within the paper. Funding: The authors have no support or funding to report. Competing Interests: The authors have read the journal's policy and the authors of this manuscript have the following competing interests: All authors declare: no support from any organisation for the submitted work; no financial relationships with any organisations that might have an interest in the
Participants 1359 HIV-infected adults.
Main Outcome Measures Demographic information (age, gender, ethnicity, and sexual orientation), site of initial HIV diagnosis (Routine settings such as HIV/GUM clinics versus Non-Routine settings such as primary care and community venues), stage of HIV infection, CD4 count and seroconversion symptoms were collated for each participant.
Results There was a significant increase in the proportion of new HIV diagnoses made in Non-Routine settings (from 27.0% in 2000 to 58.8% in 2012; p
Testing Initiatives Increase Rates of HIV Diagnosis in Primary Care and Community Settings: An Observational Single-Centre Cohort Study Prini Mahendran1, Suneeta Soni1*, Stephanie Goubet2, Emma Saunsbury3, Jonathan Roberts1, Martin Fisher1,3
a11111
1 Department of GU Medicine, Brighton and Sussex University Hospitals NHS Trust, Brighton, United Kingdom, 2 Clinical Investigations and Research Unit, Brighton and Sussex University Hospitals NHS Trust, Brighton, United Kingdom, 3 Brighton and Sussex Medical School, Brighton, United Kingdom * [email protected]
OPEN ACCESS Citation: Mahendran P, Soni S, Goubet S, Saunsbury E, Roberts J, Fisher M (2015) Testing Initiatives Increase Rates of HIV Diagnosis in Primary Care and Community Settings: An Observational Single-Centre Cohort Study. PLoS ONE 10(4): e0124394. doi:10.1371/journal.pone.0124394 Academic Editor: Julian W. Tang, Alberta Provincial Laboratory for Public Health/ University of Alberta, CANADA
Abstract Objectives The primary objective was to examine trends in new HIV diagnoses in a UK area of high HIV prevalence between 2000 and 2012 with respect to site of diagnosis and stage of HIV infection.
Design Single-centre observational cohort study.
Received: August 18, 2014
Setting
Accepted: March 13, 2015
An outpatient HIV department in a secondary care UK hospital.
Published: April 17, 2015 Copyright: © 2015 Mahendran et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement: All relevant data are within the paper. Funding: The authors have no support or funding to report. Competing Interests: The authors have read the journal's policy and the authors of this manuscript have the following competing interests: All authors declare: no support from any organisation for the submitted work; no financial relationships with any organisations that might have an interest in the
Participants 1359 HIV-infected adults.
Main Outcome Measures Demographic information (age, gender, ethnicity, and sexual orientation), site of initial HIV diagnosis (Routine settings such as HIV/GUM clinics versus Non-Routine settings such as primary care and community venues), stage of HIV infection, CD4 count and seroconversion symptoms were collated for each participant.
Results There was a significant increase in the proportion of new HIV diagnoses made in Non-Routine settings (from 27.0% in 2000 to 58.8% in 2012; p
