title: [Promoting routine human immunodeficiency virus testing in primary care].
abstract: OBJECTIVE
  To promote human immunodeficiency virus (HIV) testing in the primary care setting and to describe patients' attitudes toward this practice.
  
  
  METHODS
  A non-randomized intervention was conducted on five physicians of an urban primary care center attending patients aged 18-65 years old, who were scheduled to undergo blood tests for other reasons. The patients were systematically offered HIV blood testing if they reported having had sex without a condom with a person of unknown HIV status. Not being tested required active refusal. The intervention period was from October to December 2008 and the control period was from October to December 2007. The main variable was the difference in the number of HIV tests requested. The proportion of patients accepting the test was also analyzed.
  
  
  RESULTS
  Demographic factors were similar in patients in the two periods. The number of HIV tests increased from 3.7% (22/599) to 27.2% (212/780), p <0.001. A total of 209 patients were offered the HIV test. Their mean age was 45.6 years (SD 11.7), 141 were women (68%) and 11 were born outside Spain (5%). One hundred and ninety-five patients (93%) admitted the possibility of having been or being at risk. Of these patients, only three (1.5%), refused the HIV test.
  
  
  CONCLUSIONS
  Routine HIV testing in the primary care setting is feasible and few patients refuse to be tested.
authors.affiliation: Centro de Salud Pedro Laín Entralgo, Alcorcón, Madrid, España.
authors.forename: Rosa
authors.initials: R
authors.lastname: Martín-Cabo
authors.forename: Juan E
authors.initials: JE
authors.lastname: Losa-García
authors.forename: Higinio
authors.initials: H
authors.lastname: Iglesias-Franco
authors.forename: Rosario
authors.initials: R
authors.lastname: Iglesias-González
authors.forename: Angélica
authors.initials: A
authors.lastname: Fajardo-Alcántara
authors.forename: Asunción
authors.initials: A
authors.lastname: Jiménez-Moreno
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D054242:Emigrants and Immigrants / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D006801:Humans; D007258:Informed Consent; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011320:Primary Health Care / Q000379:methods*; D013030:Spain / Q000453:epidemiology; D013383:Suburban Population; D016312:Treatment Refusal / Q000706:statistics & numerical data; D047568:Unsafe Sex; D055815:Young Adult