ArticleJournal of public health management and practice : JPHMP
HIV status determination among tuberculosis patients from California during 2008.
Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 7 citations in OpenAlex.
- A systematic synthesis of direct costs to treat and manage tuberculosis disease applied to California, 2015.BMC research notes · 2017Article
- Treatment of Active Tuberculosis in Chicago, 2008-2011: The Role of Public Health Departments.PloS one · 2016Article
- HIV testing of tuberculosis patients by public and private providers in New York City.Journal of community health · 2014Article
- Article
- Tuberculosis treatment managed by providers outside the Public Health Department: lessons for the Affordable Care Act.PloS one · 2014Article
- Tuberculosis and HIV co-infection, California, USA, 1993–2008.Emerging infectious diseases · 2013Article
- Timely HIV diagnosis and HIV/TB comanagement among California patients in 2008.Public health reports (Washington, D.C. : 1974)Article
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
contextHuman immunodeficiency virus (HIV) infection complicates care and contributes to poor outcomes among tuberculosis (TB) patients. The Centers for Disease Control and Prevention recommends that providers test all TB patients for HIV.
objectiveWe assessed completeness of HIV status determination among TB patients and identified key gaps in adherence.
designWe conducted a retrospective review of public health charts to determine the HIV status for all TB patients reported in California during 2008. We then used logistic regression to determine the factors associated with a known (positive or negative) HIV status. A random sample of TB patients was selected for secondary review to characterize the timing of HIV status determination and the providers who had opportunity to test for HIV.
settingCalifornia TB programs.
participantsAll TB patients reported from California in 2008.
main outcome measuresProportion of patients with a known HIV status, adjusted odds ratios for having a known HIV status, proportion of patients with a known HIV status before TB diagnosis, and proportion of patients diagnosed with TB by different provider types.
resultsOnly 1752 (66%) of 2667 TB patients had a known HIV status. Having a known HIV status was strongly associated with those aged between 15 and 44 years and being managed with any public provider involvement. Of 292 patients in the random sample, 12 patients (4%) had a known HIV status before TB diagnosis. Among the remaining 280 patients, 187 patients (67%) were diagnosed with TB by a private provider.
conclusionsThe HIV status determination of TB patients was selective and not routine as recommended. Private providers can play a key role in testing for HIV at TB diagnosis. California TB programs should ensure that all TB patients have an HIV status by promulgating national recommendations, educating private providers on the benefits of testing TB patients for HIV, and monitoring completeness of HIV status determination.
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