ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2016
Impact of a primary care national policy on HIV screening in France: a longitudinal analysis between 2006 and 2013.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- HIV testing within general practices in Europe: a mixed-methods systematic review.BMC public health · 2018Pooled it
- Rationale, design and initial results of an educational intervention to improve provider-initiated HIV testing in primary care.Family practice · 2021Article
- Evaluating a pilot process for reviewing late HIV diagnoses in England and Wales.Clinical medicine (London, England) · 2020Article
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4 authors.
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Abstract
backgroundEarly diagnosis of HIV infection is a major public health issue worldwide. In 2009, the French National Authority for Health (Haute Autorité de Santé) developed specific guidelines and recommended mass screening of 15-70-year-olds across the general population. The guidelines were supported by communication directed at healthcare professionals, especially GPs.
aimTo assess the impact of the national mass screening policy on HIV testing. DESIGN AND
settingThe study used data from the French National Health Insurance Fund database, from January 2006 to December 2013. Males and females aged 15-70 years, excluding HIV-positive individuals and pregnant females, were followed up throughout the 2006-2013 period. During the study period, 2 176 657 person-years and a total of 329 748 different individuals were followed up.
methodStandardised and non-standardised rates of HIV screening were calculated for each year; the impact of the policy was assessed using adjusted segmented regression analyses.
resultsOverall, annual HIV screening rates increased over the study period, from 4.2% (95% confidence interval [CI] = 4.2 to 4.3) in 2006 to 5.8% (95% CI = 5.7 to 5.9) in 2013 with a more pronounced trend after 2010 (P<0.0001). This increase was more significant for those who regularly consulted a GP. For these individuals, the policy led to a 20.4% increase (95% CI = 17.0 to 23.8) in HIV screening in 2013 compared with only a 4.5% increase (95% CI = 4.4 to 4.5) for those who did not consult a GP regularly in 2013.
conclusionThe results show that the mass screening policy coordinated by GPs had a significant impact on HIV testing in France, which could result in positive impacts on public and individual health outcomes.
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