Screening for HIV Infection: A Healthy, “Low-Risk” 42-Year-Old Man

Human immunodeficiency virus (HIV) infection meets many, if not all, of the established criteria that justify routine screening, and screening for HIV infection can be cost-effective depending on the population studied. In 2006, the Centers for Disease Control and Prevention recommended that HIV scr...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:JAMA : the journal of the American Medical Association 2011-08, Vol.306 (6), p.637-644
1. Verfasser: Libman, Howard
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 644
container_issue 6
container_start_page 637
container_title JAMA : the journal of the American Medical Association
container_volume 306
creator Libman, Howard
description Human immunodeficiency virus (HIV) infection meets many, if not all, of the established criteria that justify routine screening, and screening for HIV infection can be cost-effective depending on the population studied. In 2006, the Centers for Disease Control and Prevention recommended that HIV screening be included as part of routine care for most of the adult US population, but implementation of this policy has been slow. Mr Y is a 42-year-old man at relatively low risk of HIV infection who was offered testing by his primary care physician but declined it. He does not consider HIV infection to be a realistic possibility given his behavioral history and does not understand the purpose of being tested. The discussion that follows addresses the rationale for HIV screening, its potential benefits and risks, current testing options, and barriers to incorporating it into routine care.
doi_str_mv 10.1001/jama.2011.1016
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_883007938</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ama_id>1104213</ama_id><sourcerecordid>2432549371</sourcerecordid><originalsourceid>FETCH-LOGICAL-a358t-83414c156d8aa29b6db960213446936f987f506a4ca1e36e599e2cc655e4138c3</originalsourceid><addsrcrecordid>eNp9kctKAzEUhoMotla3LlzIIIgunHpyncSdFLWFSsEbuBrSNKNTpzOatIi7Poi-nE9ihlYFF2YTwvnyHc75EdrG0MYA-HisJ7pNAOPwxGIFNTGnMqZcyVXUBFAyTphkDbTh_RjCwTRZRw2CEwqEyCY6vzbO2jIvH6KsclG3dxf1ysyaaV6VJ9Fp1LW6mD6-HUWf8_d-9Rpf5f7pc_4RMRLfW-3iQTGKLnW5idYyXXi7tbxb6Pb87KbTjfuDi17ntB9ryuU0lpRhZjAXI6k1UUMxGioBBFPGhKIiUzLJOAjNjMaWCsuVssQYwbllmEpDW-hg4X121cvM-mk6yb2xRaFLW818KiUFSBSVgTz8l8RAQDIiQt8W2vuDjquZK8McwccSSKRIAtReQMZV3jubpc8un2j3FkxpHUVaR5HWUaR1FOHD7tI6G07s6Af_3n0A9peA9kYXmdOlyf0vxxgwHnbTQjsLrvb_NMXAQo1-AaxGlj0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>884707867</pqid></control><display><type>article</type><title>Screening for HIV Infection: A Healthy, “Low-Risk” 42-Year-Old Man</title><source>MEDLINE</source><source>American Medical Association Journals</source><creator>Libman, Howard</creator><creatorcontrib>Libman, Howard</creatorcontrib><description>Human immunodeficiency virus (HIV) infection meets many, if not all, of the established criteria that justify routine screening, and screening for HIV infection can be cost-effective depending on the population studied. In 2006, the Centers for Disease Control and Prevention recommended that HIV screening be included as part of routine care for most of the adult US population, but implementation of this policy has been slow. Mr Y is a 42-year-old man at relatively low risk of HIV infection who was offered testing by his primary care physician but declined it. He does not consider HIV infection to be a realistic possibility given his behavioral history and does not understand the purpose of being tested. The discussion that follows addresses the rationale for HIV screening, its potential benefits and risks, current testing options, and barriers to incorporating it into routine care.</description><identifier>ISSN: 0098-7484</identifier><identifier>EISSN: 1538-3598</identifier><identifier>DOI: 10.1001/jama.2011.1016</identifier><identifier>PMID: 21730228</identifier><identifier>CODEN: JAMAAP</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Adult ; Attitude to Health ; Biological and medical sciences ; Centers for Disease Control and Prevention (U.S.) ; Cost-Benefit Analysis ; Counseling ; Decision Making ; Disease control ; General aspects ; Guidelines as Topic ; HIV ; HIV Infections - diagnosis ; HIV Infections - epidemiology ; HIV Infections - transmission ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Immunoassay ; Infection ; Infectious diseases ; Informed Consent ; Male ; Medical sciences ; Medical screening ; Patient Compliance ; Patients rights ; Physician-Patient Relations ; Population studies ; Prevalence ; Prevention and actions ; Primary Health Care ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk ; Risk factors ; Risk groups ; Sexual Behavior ; United States ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids</subject><ispartof>JAMA : the journal of the American Medical Association, 2011-08, Vol.306 (6), p.637-644</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright American Medical Association Aug 10, 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jama/articlepdf/10.1001/jama.2011.1016$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2011.1016$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,309,310,314,780,784,789,790,3340,23930,23931,25140,27924,27925,76489,76492</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=24404521$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21730228$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Libman, Howard</creatorcontrib><title>Screening for HIV Infection: A Healthy, “Low-Risk” 42-Year-Old Man</title><title>JAMA : the journal of the American Medical Association</title><addtitle>JAMA</addtitle><description>Human immunodeficiency virus (HIV) infection meets many, if not all, of the established criteria that justify routine screening, and screening for HIV infection can be cost-effective depending on the population studied. In 2006, the Centers for Disease Control and Prevention recommended that HIV screening be included as part of routine care for most of the adult US population, but implementation of this policy has been slow. Mr Y is a 42-year-old man at relatively low risk of HIV infection who was offered testing by his primary care physician but declined it. He does not consider HIV infection to be a realistic possibility given his behavioral history and does not understand the purpose of being tested. The discussion that follows addresses the rationale for HIV screening, its potential benefits and risks, current testing options, and barriers to incorporating it into routine care.</description><subject>Adult</subject><subject>Attitude to Health</subject><subject>Biological and medical sciences</subject><subject>Centers for Disease Control and Prevention (U.S.)</subject><subject>Cost-Benefit Analysis</subject><subject>Counseling</subject><subject>Decision Making</subject><subject>Disease control</subject><subject>General aspects</subject><subject>Guidelines as Topic</subject><subject>HIV</subject><subject>HIV Infections - diagnosis</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - transmission</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Immunoassay</subject><subject>Infection</subject><subject>Infectious diseases</subject><subject>Informed Consent</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medical screening</subject><subject>Patient Compliance</subject><subject>Patients rights</subject><subject>Physician-Patient Relations</subject><subject>Population studies</subject><subject>Prevalence</subject><subject>Prevention and actions</subject><subject>Primary Health Care</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Risk</subject><subject>Risk factors</subject><subject>Risk groups</subject><subject>Sexual Behavior</subject><subject>United States</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><issn>0098-7484</issn><issn>1538-3598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctKAzEUhoMotla3LlzIIIgunHpyncSdFLWFSsEbuBrSNKNTpzOatIi7Poi-nE9ihlYFF2YTwvnyHc75EdrG0MYA-HisJ7pNAOPwxGIFNTGnMqZcyVXUBFAyTphkDbTh_RjCwTRZRw2CEwqEyCY6vzbO2jIvH6KsclG3dxf1ysyaaV6VJ9Fp1LW6mD6-HUWf8_d-9Rpf5f7pc_4RMRLfW-3iQTGKLnW5idYyXXi7tbxb6Pb87KbTjfuDi17ntB9ryuU0lpRhZjAXI6k1UUMxGioBBFPGhKIiUzLJOAjNjMaWCsuVssQYwbllmEpDW-hg4X121cvM-mk6yb2xRaFLW818KiUFSBSVgTz8l8RAQDIiQt8W2vuDjquZK8McwccSSKRIAtReQMZV3jubpc8un2j3FkxpHUVaR5HWUaR1FOHD7tI6G07s6Af_3n0A9peA9kYXmdOlyf0vxxgwHnbTQjsLrvb_NMXAQo1-AaxGlj0</recordid><startdate>20110810</startdate><enddate>20110810</enddate><creator>Libman, Howard</creator><general>American Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7QP</scope><scope>7TK</scope><scope>7TS</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>20110810</creationdate><title>Screening for HIV Infection: A Healthy, “Low-Risk” 42-Year-Old Man</title><author>Libman, Howard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a358t-83414c156d8aa29b6db960213446936f987f506a4ca1e36e599e2cc655e4138c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Attitude to Health</topic><topic>Biological and medical sciences</topic><topic>Centers for Disease Control and Prevention (U.S.)</topic><topic>Cost-Benefit Analysis</topic><topic>Counseling</topic><topic>Decision Making</topic><topic>Disease control</topic><topic>General aspects</topic><topic>Guidelines as Topic</topic><topic>HIV</topic><topic>HIV Infections - diagnosis</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - transmission</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Immunoassay</topic><topic>Infection</topic><topic>Infectious diseases</topic><topic>Informed Consent</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medical screening</topic><topic>Patient Compliance</topic><topic>Patients rights</topic><topic>Physician-Patient Relations</topic><topic>Population studies</topic><topic>Prevalence</topic><topic>Prevention and actions</topic><topic>Primary Health Care</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk</topic><topic>Risk factors</topic><topic>Risk groups</topic><topic>Sexual Behavior</topic><topic>United States</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Libman, Howard</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>JAMA : the journal of the American Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Libman, Howard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Screening for HIV Infection: A Healthy, “Low-Risk” 42-Year-Old Man</atitle><jtitle>JAMA : the journal of the American Medical Association</jtitle><addtitle>JAMA</addtitle><date>2011-08-10</date><risdate>2011</risdate><volume>306</volume><issue>6</issue><spage>637</spage><epage>644</epage><pages>637-644</pages><issn>0098-7484</issn><eissn>1538-3598</eissn><coden>JAMAAP</coden><abstract>Human immunodeficiency virus (HIV) infection meets many, if not all, of the established criteria that justify routine screening, and screening for HIV infection can be cost-effective depending on the population studied. In 2006, the Centers for Disease Control and Prevention recommended that HIV screening be included as part of routine care for most of the adult US population, but implementation of this policy has been slow. Mr Y is a 42-year-old man at relatively low risk of HIV infection who was offered testing by his primary care physician but declined it. He does not consider HIV infection to be a realistic possibility given his behavioral history and does not understand the purpose of being tested. The discussion that follows addresses the rationale for HIV screening, its potential benefits and risks, current testing options, and barriers to incorporating it into routine care.</abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>21730228</pmid><doi>10.1001/jama.2011.1016</doi><tpages>8</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0098-7484
ispartof JAMA : the journal of the American Medical Association, 2011-08, Vol.306 (6), p.637-644
issn 0098-7484
1538-3598
language eng
recordid cdi_proquest_miscellaneous_883007938
source MEDLINE; American Medical Association Journals
subjects Adult
Attitude to Health
Biological and medical sciences
Centers for Disease Control and Prevention (U.S.)
Cost-Benefit Analysis
Counseling
Decision Making
Disease control
General aspects
Guidelines as Topic
HIV
HIV Infections - diagnosis
HIV Infections - epidemiology
HIV Infections - transmission
Human immunodeficiency virus
Human viral diseases
Humans
Immunoassay
Infection
Infectious diseases
Informed Consent
Male
Medical sciences
Medical screening
Patient Compliance
Patients rights
Physician-Patient Relations
Population studies
Prevalence
Prevention and actions
Primary Health Care
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk
Risk factors
Risk groups
Sexual Behavior
United States
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
title Screening for HIV Infection: A Healthy, “Low-Risk” 42-Year-Old Man
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T00%3A19%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Screening%20for%20HIV%20Infection:%20A%20Healthy,%20%E2%80%9CLow-Risk%E2%80%9D%2042-Year-Old%20Man&rft.jtitle=JAMA%20:%20the%20journal%20of%20the%20American%20Medical%20Association&rft.au=Libman,%20Howard&rft.date=2011-08-10&rft.volume=306&rft.issue=6&rft.spage=637&rft.epage=644&rft.pages=637-644&rft.issn=0098-7484&rft.eissn=1538-3598&rft.coden=JAMAAP&rft_id=info:doi/10.1001/jama.2011.1016&rft_dat=%3Cproquest_cross%3E2432549371%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=884707867&rft_id=info:pmid/21730228&rft_ama_id=1104213&rfr_iscdi=true