title: Comparison of free and anonymous testing for HIV and sexually transmitted infections between the University Hospital and Health Center.
abstract: We gathered data regarding age, sex, and positivity rates for human immunodeficiency virus (HIV), syphilis, gonococcus, and chlamydia from individuals who underwent free and anonymous sexually transmitted infection (STI) testing conducted at the Jikei University School of Medicine Hospital (our hospital). These data were compared to results of subjects who underwent similar testing at the Minato Health Center and several private facilities of urologists and gynecologists belonging to the Minato Ward Medical Association. The positivity rate of chlamydia was found to be high in female subjects, particularly at the Minato Health Center, with 15 of 194 subjects (7.73 %) testing positive. In our hospital, we only detected 3 of 133 subjects (2.26 %) who were gonococcus positive. On the other hand, at the doctor's facilities, 10 of 188 male subjects (5.32 %) were syphilis positive, and 8 of 185 male subjects (4.32 %) were chlamydia positive, thus showing high positivity rates for both infections. At our hospital, 1 of 231 subjects was positive for gonococcus and 4 of 230 subjects (1.74 %) were positive for chlamydia, thus showing lower positivity rates for both infections. HIV-positive subjects were, however, only confirmed at our hospital, with 2 of 243 subjects (0.82 %) being positive. We were able to diagnose infected patients using free and anonymous STI testing at hospitals, and the same as at doctors' facilities. This result suggests that the hospitals that have many opportunities to diagnose HIV patients may become potential candidates for the development of new consultation facilities, establishment of testing facilities, and enhancement of consultation processes that include STI prevention.
authors.affiliation: Department of Infectious Diseases and Infection Control, The Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan. myoshida@jikei.ac.jp
authors.forename: Masaki
authors.initials: M
authors.lastname: Yoshida
authors.forename: Akio
authors.initials: A
authors.lastname: Chiba
authors.forename: Shinji
authors.initials: S
authors.lastname: Kawano
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Kato
authors.forename: Fumiya
authors.initials: F
authors.lastname: Sato
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Horino
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Nakazawa
authors.forename: Koji
authors.initials: K
authors.lastname: Yoshikawa
authors.forename: Shoichi
authors.initials: S
authors.lastname: Onodera
authors.forename: Seiji
authors.initials: S
authors.lastname: Hori
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D035041:Anonymous Testing / Q000706:statistics & numerical data*; D002648:Child; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D006785:Hospitals, University / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012749:Sexually Transmitted Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D014041:Tokyo / Q000453:epidemiology