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...
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Veröffentlicht in: | JAMA : the journal of the American Medical Association 2011-08, Vol.306 (6), p.637-644 |
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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 |
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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 |
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