Missed opportunities for earlier HIV diagnosis within primary and secondary healthcare settings in the UK. (Record no. 75744)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 06971cam a2200325 4500 |
| 001 - CONTROL NUMBER | |
| control field | NMDX6575 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 120401t2008 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | 02699370 |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Burns, F.M. |
| 240 ## - UNIFORM TITLE | |
| Uniform title | <a href="AIDS">AIDS</a> |
| 245 ## - TITLE STATEMENT | |
| Title | Missed opportunities for earlier HIV diagnosis within primary and secondary healthcare settings in the UK. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT) | |
| Date of publication, distribution, etc. | 2008 |
| 500 ## - GENERAL NOTE | |
| General note | NMUH Staff Publications |
| 500 ## - GENERAL NOTE | |
| General note | 22 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | <div class="abstr"><h3><span style="font-size: 8pt;">OBJECTIVE<span style="font-weight: normal;">:</span><span style="font-weight: normal;">To identify </span><span class="highlight" style="font-weight: normal;">opportunities</span><span style="font-weight: normal;"> for </span><span class="highlight" style="font-weight: normal;">earlier</span><span style="font-weight: normal;"> </span><span class="highlight" style="font-weight: normal;">HIV</span><span style="font-weight: normal;"> </span><span class="highlight" style="font-weight: normal;">diagnosis</span><span style="font-weight: normal;"> within </span><span class="highlight" style="font-weight: normal;">primary</span><span style="font-weight: normal;"> and </span><span class="highlight" style="font-weight: normal;">secondary</span><span style="font-weight: normal;"> care </span><span class="highlight" style="font-weight: normal;">settings</span><span style="font-weight: normal;"> in the </span><span class="highlight" style="font-weight: normal;">UK</span><span style="font-weight: normal;"> in Africans with newly diagnosed </span><span class="highlight" style="font-weight: normal;">HIV</span><span style="font-weight: normal;"> infection.</span></span></h3><div><h4><span style="font-size: 8pt;">METHODS:<span style="font-weight: normal;">A survey of newly diagnosed </span><span class="highlight" style="font-weight: normal;">HIV</span><span style="font-weight: normal;">-positive Africans attending 15 </span><span class="highlight" style="font-weight: normal;">HIV</span><span style="font-weight: normal;"> treatment centres across London was conducted between April 2004 and February 2006. The survey consisted of a confidential self-completed questionnaire linked to clinician-completed clinical records.</span></span></h4><h4><span style="font-size: 8pt;">RESULTS:<span style="font-weight: normal;">A total of 263 questionnaires were completed, representing an uptake rate of 79.5% of patients approached and 49.8% (131/263) of participants presented with advanced </span><span class="highlight" style="font-weight: normal;">HIV</span><span style="font-weight: normal;"> disease (CD4 cell count &lt; 200 cells/mul at </span><span class="highlight" style="font-weight: normal;">diagnosis</span><span style="font-weight: normal;">). In the year prior to </span><span class="highlight" style="font-weight: normal;">HIV</span><span style="font-weight: normal;"> </span><span class="highlight" style="font-weight: normal;">diagnosis</span><span style="font-weight: normal;"> 76.4% (181/237) had seen their GP, 38.3% (98/256) had attended outpatient services, and 15.2% (39/257) inpatient services, representing </span><span class="highlight" style="font-weight: normal;">missed</span><span style="font-weight: normal;"> </span><span class="highlight" style="font-weight: normal;">opportunities</span><span style="font-weight: normal;"> for </span><span class="highlight" style="font-weight: normal;">earlier</span><span style="font-weight: normal;"> </span><span class="highlight" style="font-weight: normal;">HIV</span><span style="font-weight: normal;"> </span><span class="highlight" style="font-weight: normal;">diagnosis</span><span style="font-weight: normal;">. Of those attending GP services the issue of </span><span class="highlight" style="font-weight: normal;">HIV</span><span style="font-weight: normal;"> and/or </span><span class="highlight" style="font-weight: normal;">HIV</span><span style="font-weight: normal;"> testing was raised for 17.6% (31/176) and 37.1% (78/210) had a previous negative </span><span class="highlight" style="font-weight: normal;">HIV</span><span style="font-weight: normal;"> test, 32.5% of these within the </span><span class="highlight" style="font-weight: normal;">UK</span><span style="font-weight: normal;">. Medical attention was sought for wide ranging reasons, often not obviously connected to underlying </span><span class="highlight" style="font-weight: normal;">HIV</span><span style="font-weight: normal;"> status. Despite the population predominantly coming from countries of high </span><span class="highlight" style="font-weight: normal;">HIV</span><span style="font-weight: normal;"> prevalence personal appreciation of risk was comparatively low and knowledge of benefits of testing lacking.</span></span></h4><h4><span style="font-size: 8pt;">CONCLUSION:<span style="font-weight: normal;">Africans are accessing health services but clinicians are failing to use these </span><span class="highlight" style="font-weight: normal;">opportunities</span><span style="font-weight: normal;"> effectively for preventive and diagnostic purposes with regards to </span><span class="highlight" style="font-weight: normal;">HIV</span><span style="font-weight: normal;"> infection. Comparatively low appreciation of personal risk and lack of perceived ill health within this community means clinicians need to be more proactive in addressing </span><span class="highlight" style="font-weight: normal;">HIV</span><span style="font-weight: normal;">.</span></span></h4></div></div> |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Johnson, A.M. |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Nazroo, J. |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Ainsworth, J. |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Anderson, J. |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Fakoya, A. |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Fakoya, I. |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Hughes, A. |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Jungmann, E. |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Sadiq, S.T. |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Sullivan, A.K. |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Fenton, K.A. |
| 710 ## - ADDED ENTRY--CORPORATE NAME | |
| Corporate name or jurisdiction name as entry element | SONHIA Collaboration Group |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="http://www.ncbi.nlm.nih.gov/pubmed/18090399">http://www.ncbi.nlm.nih.gov/pubmed/18090399</a> |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00002030-200801020-00014&LSLINK=80&D=ovft">http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00002030-200801020-00014&LSLINK=80&D=ovft</a> |
| Withdrawn status | Lost status | Damaged status | Not for loan | Collection code | Home library | Current library | Shelving location | Date acquired | Total Checkouts | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Staff publications for NMDX | Ferriman information and Library Service (North Middlesex) | Ferriman information and Library Service (North Middlesex) | Shelves | 07/06/2022 | 07/06/2022 | 07/06/2022 | Book |