Evidence map›Paper›PMID 29153630›Full record

ArticlePsychosomatics

Increasing HIV Testing in Inpatient Psychiatry.

Martha Shumway, Christina Mangurian, Noah Carraher, Amanda Momenzadeh, Mark Leary, Emily K Lee, James W Dilley

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Psychosomatics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

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  4. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Martha ShumwayDepartment of Psychiatry, University of California, San Francisco Weill Institute for Neurosciences and Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA. Electronic address: martha.shumway@ucsf.edu.
Christina MangurianDepartment of Psychiatry, University of California, San Francisco Weill Institute for Neurosciences and Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA.
Noah CarraherSan Francisco Department of Public Health, San Francisco, CA.
Amanda MomenzadehDepartment of Clinical Pharmacy, University of California San Francisco Medical Center, San Francisco, CA.
Mark LearyDepartment of Psychiatry, University of California, San Francisco Weill Institute for Neurosciences and Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA.
Emily K LeeDepartment of Psychiatry, University of California, San Francisco Weill Institute for Neurosciences and Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA.
James W DilleyDepartment of Psychiatry, University of California, San Francisco Weill Institute for Neurosciences and Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA.
San Francisco General Hospital · USSan Francisco Department of Public Health · USUniversity of California, San Francisco · USUniversity of California San Francisco Medical Center · US

Funding

Promoting Research Opportunities Fully--Prospective Academics Transforming HealthR25MD006832 · NIMHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ARONSON, LOUISE, FERNANDEZ, ALICIA · 2011 to 2015
$1.7M
Improving Metabolic Screening in Diverse Severely Mentally Ill PopulationsK23MH093689 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MANGURIAN, CHRISTINA · 2012 to 2016
$888k
NIMHD NIH HHS R25 MD006832NIMH NIH HHS K23 MH093689
6 · The paper itself

Abstract

backgroundPeople with serious mental illness (SMI) are at elevated risk of HIV infection, but do not receive HIV tests regularly. Inpatient psychiatric admissions provide opportunities for HIV testing.

objectiveThis study retrospectively examined the impact of three sequential interventions designed to increase HIV testing on an acute inpatient psychiatry service: (1) advocacy by an administrative champion, (2) an on-site HIV counselor, and (3) a clinician championing HIV testing.

methodDemographic and HIV testing data were extracted from hospital data systems for 11,360 admissions of HIV-negative patients to an inpatient psychiatry service between 2006 and 2012. Relationships among interventions, length of stay, patient demographics, and receipt of an HIV test were examined using general estimating equation methods.

resultsIn the year prior to the intervention, 7.2% of psychiatric inpatients received HIV tests. After 1 year of administrative advocacy, 11.2% received tests. Following the HIV counseling intervention, 25.1% of patients were tested. After the counseling intervention ended, continued administrative and clinical advocacy was associated with further increases in testing. In the final year studied, 30.3% of patients received HIV tests. Patients with shorter inpatient stays and those of Black or Asian race/ethnicity were less likely to be tested. Further, 1.6% of HIV tests were positive.

conclusionThree interventions of varying intensity were associated with a 5-fold increase in HIV testing on an acute inpatient psychiatry service. Nonetheless, 70% of inpatients were not tested. Continued efforts are needed to increase HIV testing in inpatient psychiatric settings.

Indexed as

AdolescentAdultAgedAged, 80 and overAIDS SerodiagnosisCounselingFemaleHealth PromotionHIV InfectionsHumansInpatientsMaleMental DisordersMiddle AgedRetrospective StudiesYoung AdultHIV testinginpatientpsychiatryserious mental illness.

Identifiers

PMID29153630
PMCPMC5857211
OpenAlexW2766785081

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.