Navigation Links
HIV Tests Offered to Los Angeles Hispanics Insufficient: Study

A new study has found that the primary care providers who treat Hispanics of Los Angeles County often fail to offer either HIV testing or safer sex advice to them//. Of late the number of HIV infected people among the Hispanics has risen considerably.

The study, published in the March issue of the Journal of the National Medical Association, found that only 41 percent of these primary care providers (PCPs) — including doctors, nurse practitioners and physician assistants — surveyed between March and June 2004 had regularly offered advice about sexually transmitted infection or safe sex to patients during the prior six months. Only 36 percent had offered more than 20 HIV tests during the same period, despite a recommendation by the Centers for Disease Control in 2001 that physicians in high HIV–prevalence areas routinely offer HIV testing to their patients.

“What this study shows is that despite the number of new AIDS cases increasing among Hispanics in Los Angeles County, the primary care providers do not appear to be increasing their offering of HIV testing to the patients,” said Dr. Rosa Solorio, assistant professor of family medicine at the David Geffen School of Medicine at UCLA and a co-author of the study.

The providers served in primarily Hispanic communities, and 57 percent reported that they spoke Spanish with the majority of their patients.

Statistics from the Los Angeles County Department of Health show that between 1992 and 2004, the percentage of new AIDS cases among the Hispanic population rose steadily each year, making Hispanics the group with the highest proportion of new AIDS cases in the county.

The study was conducted by Dr. Mitchell Kushner as part of his master’s thesis at the UCLA School of Public Health. Solorio, who is also a member of the UCLA AIDS Institute, served as Kushner’s thesis advisor. Kushner is now the county Department of Health’s medical director for Service Planning Area 3, which includes the San Gabriel and Pomona valleys. Solorio’s research is supported by the Robert Wood Johnson Foundation, the National Institute of Mental Health, and the UCLA Pacific AIDS Education and Training Center.

Kushner and Solorio also found that the white physicians surveyed were less likely than their Hispanic, Asian or African American counterparts to take a patient’s sexual history. Overall, 59 percent of the providers surveyed were male; 25 percent were white, non-Hispanic; 27 percent were Hispanic; 9 percent were African American; 33 percent were Asian or Pacific Islander; and 6 percent listed themselves as “other.”

Though the study was small — only 85 doctors out of 191 approached responded to the survey — it still indicated that white providers were less likely to take their patients’ sexual histories, Kushner said.

“We really have to improve the sexual history–taking skills of our primary care providers, and we have to work more intensely with the larger percentage of providers, who are white,” Kushner said.

Although 87 percent of the providers surveyed had ordered at least one HIV test for one of their patients during the six-month period, the total number of HIV tests offered to patients was quite low. Six percent of providers had not ordered a single test, 27 percent had offered one to 10 tests, 24 percent had offered 11 to 20, and 36 percent had offered more than 20. Seven percent either did not know or provided no answer. Despite the low number of tests offered, 36 percent of providers reported to having at least one person test positive during the six-month period.

“These findings suggest that providers are largely testing patients who present with symptoms,” Solorio said.

According to the county Health Department, the majority of Hispanics diagnosed with AIDS tested HIV-positive less than one year prior to their AIDS diagnosis. Thus, the challenge to providers pr acticing in predominantly Hispanic communities appears to be early HIV detection.

Los Angeles is the second-largest epicenter for AIDS cases in the United States, behind only New York City, Solorio noted.

The racial and ethnic distribution of AIDS cases differs markedly between Los Angeles County and the rest of the country. According to data from the county Health Department, Hispanics represented the largest racial/ethnic group diagnosed with AIDS in Los Angeles County in 2004, at 48 percent, while Hispanics accounted for 19 percent of all persons diagnosed nationally.

Souce-Newswise
SRM
'"/>




Related medicine news :

1. The Effectiveness Of Screening Tests Questioned
2. Blood Tests Can Help Detect Osteoporosis Early In Life
3. Easier Tests To Detect Tuberculosis
4. Fragile X-Associated Tremor /Ataxia Syndrome Need Guidelines For Diagnostic Tests
5. Genetic Tests Could Become As Affordable As Blood Tests
6. Obese Adults Undergo Less Medical Tests And More Vulnerable To Diseases
7. Delay in Breast Cancer Gene Tests
8. Health Officials Inquire Into OraQuick HIV Tests
9. Move to make HIV Tests mandatory For Soldiers In Northeast
10. Punjab Government To Clamp Down On Sex Determination Tests
11. Free HIV Tests Brings Crowd to the Testing Centers
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:10/13/2017)... ... October 13, 2017 , ... Global Healthcare Management’s 4th Annual Kids ... Milford, NJ. This free event, sponsored by Global Healthcare Management’s CEO, Jon Letko, ... run is geared towards children of all ages; it is a non-competitive, non-timed event, ...
(Date:10/13/2017)... ... October 13, 2017 , ... “America On The Brink”: the Christian ... On The Brink” is the creation of published author, William Nowers. Captain Nowers ... a WWII veteran, he spent thirty years in the Navy. Following his career ...
(Date:10/12/2017)... ... 12, 2017 , ... IsoComforter, Inc. ( https://isocomforter.com ), one of ... innovative new design of the shoulder pad. The shoulder pad provides optimal support ... your pain while using cold therapy. By utilizing ice and water that is circulated ...
(Date:10/12/2017)... ... October 12, 2017 , ... HMP , a leader in ... 2017 Folio Magazine Eddie Digital Award for ‘Best B-to-B Healthcare Website.’ Winners were announced ... 2017. , The annual award competition recognizes editorial and design excellence across a range ...
(Date:10/12/2017)... ... October 12, 2017 , ... In the United ... year. In some states—like New York, New Jersey, Massachusetts, Texas, Virginia, Connecticut, and ... havens have extremely low property-tax rates, which contributes to the relatively lower cost ...
Breaking Medicine News(10 mins):
(Date:9/28/2017)... CHICAGO , Sept. 28, 2017 Hill-Rom ... quarter 2017 earnings conference call and webcast on Friday, ... 8:00 a.m. (EDT) and ending at approximately 8:30 a.m. ... to discussing the company,s 2017 financial performance and guidance ... growth opportunities, initiatives to enhance operational performance, and long-range ...
(Date:9/27/2017)... NEW YORK , Sept. 27, 2017  DarioHealth Corp. (NASDAQ: ... data solutions, today announced that its MyDario product is expected to appear ... listings for when The Dr. Oz Show airs in your area: ... The nine-time Emmy award-winning, The ... ...
(Date:9/23/2017)... , Sept. 22, 2017 Janssen Biotech, ... complete response letter from the U.S. Food and Drug ... approval of sirukumab for the treatment of moderately to ... indicates additional clinical data are needed to further evaluate ... to severely active RA. ...
Breaking Medicine Technology: