Outcome of an HIV education program for primary care providers: Screening and late diagnosis rates

Javier Martínez Sanz, María Jesús Pérez Elías, Alfonso Muriel, Cristina Gómez Ayerbe, María Jesús Vivancos Gallego, Matilde Sánchez Conde, Margarita Herrero Delgado, Pilar Pérez Elías, Lidia Polo Benito, Yolanda de la Fuente Cortés, Rafael Barea, Ann K Sullivan, Maria Jose Fuster Ruiz de Apodaca, María José Galindo, Santiago Moreno and for the DRIVE 03, OPTtest WP5 and FOCO Study Groups

PLOS ONE, 2019, vol. 14, issue 7, 1-12

Abstract: Background: Late HIV diagnosis remains one of the challenges in combating the epidemic. Primary care providers play an important role in screening for HIV infection. Our study aims to evaluate the relationship between knowledge and barriers to HIV testing and screening outcomes. The impact of an education program for primary care providers, towards improving HIV testing and late diagnosis rates, is also assessed. Methods: A self-administered questionnaire that was developed within the framework of the European project OptTEST was used to examine HIV knowledge and barriers to HIV testing scores before and after being involved in an HIV education program. A quasi-experimental design with pre- and post-intervention measures was performed to investigate its impact. We performed multivariable logistic regression analysis to assess the relationship between variables for the HIV testing offer. Results: A total of 20 primary care centers and 454 primary care staff were included. Baseline OptTEST results showed that more knowledgeable staff offered an HIV test more frequently (OR 1.07; CI 95% 1.01–1.13; p = 0.027) and had lower barrier scores (OR 0.89; CI 95% 0.77–0.95; p = 0.005). Nurses had lower scores in knowledge-related items (OR 0.28; CI 95% 0.17–0.46; p

Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0218380

DOI: 10.1371/journal.pone.0218380

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