ArticleCanadian journal of public health = Revue canadienne de sante publique
The feasibility of using an 'opt-out' approach to achieve universal HIV testing of tuberculosis patients in Alberta.
Article in Canadian journal of public health = Revue canadienne de sante publique. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Collaborative tuberculosis/HIV activities in the European Region.ERJ open research · 2021Article
- A 10-year population based study of 'opt-out' HIV testing of tuberculosis patients in Alberta, Canada: national implications.PloS one · 2014Article
- A clinical opportunity for routine HIV testing.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2013Article
- Article
- HIV status determination among tuberculosis patients from California during 2008.Journal of public health management and practice : JPHMPArticle
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Authors and funding
11 authors.
Funding
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Abstract
objectiveUniversal HIV testing of tuberculosis (TB) patients, defined as testing greater than 80% of incident cases, has been recommended but not achieved in Canada. The objectives of this study were: i) to assess the success of an 'opt-out' approach, whereby HIV testing is routine unless the patient specifically chooses otherwise, and ii) to determine the risk factors for HIV in patients tested before and after this approach was implemented.
methodsTB and HIV databases in the province of Alberta were cross-matched before HAART (highly active anti-retroviral therapy) was available (1991-1997), after HAART but before 'opt-out' testing was implemented (1998-2002), and after 'opt-out' testing was implemented (2003-2006), and the HIV status of TB patients in each time period was described. The demographic and clinical characteristics of HIV-positive and -negative TB patients aged 15-64 years were compared.
resultsHIV testing of TB patients increased from 11.5% before HAART, to 44.9% after HAART but before 'opt-out' testing, to 81.9% after 'opt-out' testing was implemented. Between 1991 and 2006, 50 TB patients were diagnosed with HIV co-infection, all in the age group 15-64 years. Among TB patients aged 15-64 years who were HIV tested, those testing positive were significantly less likely to be female and to have respiratory TB and significantly more likely to have both respiratory and non-respiratory TB. The prevalence of HIV positivity in HIV-tested TB patients aged 15-64 years was 7.4% in 2003-2006.
conclusionUniversal HIV testing of TB patients is achievable through 'opt-out' HIV testing.
Indexed as
Identifiers
19839287PMC6974056What OpenQuestion holds
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