Evidence map›Paper›PMID 33673778›Full record

ArticlePublic health reports (Washington, D.C. : 1974)

Comparing Routine HIV and Hepatitis C Virus Screening to Estimate the Effect of Required Consent on HIV Screening Rates Among Hospitalized Patients.

Uriel R Felsen, Aileen Tlamsa, Lorlette Moir, Shuchin Shukla, Devin Thompson, Jeffrey M Weiss, Moonseong Heo, Alain H Litwin

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07039682 (Developing a Digital-Based Education and Self-Screening Model to Improve Knowledge, Self-Awareness, and HIV Testing Coverage Among Adolescents), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 53% 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.

NCT07039682 nanot yet recruitingnot on this map

Developing a Digital-Based Education and Self-Screening Model to Improve Knowledge, Self-Awareness, and HIV Testing Coverage Among Adolescents

TypeinterventionalSponsorUniversitas Sebelas MaretRan2025 to 2025Enrolled400ConditionsHuman Immunodeficiency Virus (HIV) Infection, HIV Prevention, Adolescent Health, Digital Education InterventionsArmsDigital HIV Education and Self-Screening (EKSTRIM Model)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

8 authors at 5 institutions in 1 country.

Uriel R FelsenDepartment of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.ORCID 0000-0002-4957-5767
Aileen TlamsaDepartment of Medicine, Englewood Hospital and Medical Center, Englewood, NJ, USA.
Lorlette MoirDivision of Public Health Services, New Hampshire Department of Health and Human Services, Concord, NH, USA.
Shuchin ShuklaDepartment of Family Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Devin ThompsonDepartment of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
Jeffrey M WeissDepartment of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
Moonseong HeoDepartment of Public Health Sciences, Clemson University, Clemson, SC, USA.
Alain H LitwinDepartment of Medicine, University of South Carolina School of Medicine, Greenville, SC, USA.
Albert Einstein College of Medicine · USClemson University · USEnglewood Hospital and Medical Center · USPrisma Health · USUniversity of North Carolina at Chapel Hill · US

Funding

Patient and Population Health Outcomes Research SWGP30AI124414 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Kathryn M. Anastos · 2017 to 2026
$28.3M
TestED!: Applying Implementation Science to improve an HIV testing strategy for Emergency DepartmentsK23MH106386 · NIMH · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI FELSEN, URIEL · 2015 to 2019
$920k
NIAID NIH HHS P30 AI124414NIMH NIH HHS K23 MH106386
6 · The paper itself

Abstract

objectivesRoutine screening for HIV and hepatitis C virus (HCV) among specified age cohorts is recommended. New York State requires consent before screening for HIV but not HCV. We sought to estimate the effect of the consent requirement on screening rates for HIV.

methodsWe performed a retrospective study of patients hospitalized in 2015-2016 at a tertiary care hospital in the Bronx, New York, during a period when prompts in the electronic health record facilitated screening for HIV and HCV among specified age cohorts. We compared proportions of patients eligible for screening for HIV and/or HCV who underwent screening and used generalized estimating equations and a meta-analytic weighted average to estimate an adjusted risk difference between undergoing HIV screening and undergoing HCV screening.

resultsAmong 11 938 hospitalized patients eligible for HIV and/or HCV screening, 38.5% underwent screening for HIV and 59.1% underwent screening for HCV. The difference in screening rates persisted after adjusting for patient and admission characteristics (adjusted risk difference = 22.0%; 95% CI, 20.6%-23.4%).

conclusionsWhereas the requirement for consent was the only difference in the processes of screening for HIV compared with screening for HCV, differences in how the 2 viruses are perceived may also have contributed to the difference in screening rates. Nevertheless, our findings suggest that requiring consent continues to impede progress toward the public health goal of routine HIV screening.

Indexed as

AdultAgedFemaleHepatitis CHIV InfectionsHumansInformed ConsentMaleMiddle AgedNew YorkRetrospective StudiesSociodemographic FactorsconsentHCV screeningHIV screeningroutine screening

Identifiers

PMID33673778
PMCPMC8721757
OpenAlexW3133834479

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Registered trials

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.