In the routine HIV testing era, primary care physicians in community health centers remain unaware of HIV testing recommendations.
BACKGROUND
Despite the 2006 U.S. Centers for Disease Control and Prevention (CDC) recommendations for routine HIV testing in health care settings, many persons remain untested.


OBJECTIVE
To determine physician barriers to HIV testing, we surveyed primary care physicians in community health centers in a high HIV prevalence city.


METHODS
Primary care physicians were invited via e-mail to participate in a Web-based survey. One hundred and thirty-seven physicians participated (response rate: 43.9%).


RESULTS
Fifty-five physicians (41.0%) were unaware of updated CDC HIV testing recommendations. Physicians were unaware that testing should be routinely offered in primary care settings caring for adolescents (62 physicians, 45.6%) and primary care settings caring for adults (33, 24.3%). Physicians were also unaware that teenage years patients aged 13 to 17 years (68, 49.6%) and adult patients aged 18 to 64 years (40, 29.2%) should be routinely HIV tested.


CONCLUSIONS
With the new 2013 US Preventive Services Task Force recommendations to support routine HIV testing, it is critical to address ongoing physician HIV testing barriers to mitigate the HIV epidemic.
Monisha
M
Arya
Micha Yin
MY
Zheng
Amber Bush
AB
Amspoker
Michael Anthony
MA
Kallen
Richard Lewis
RL
Street
Kasisomayajula
K
Viswanath
Thomas Peter
TP
Giordano
D000293:Adolescent; D000328:Adult; D002487:Centers for Disease Control and Prevention, U.S.; D003151:Community Health Centers; D005260:Female; D019983:Guideline Adherence; D015658:HIV Infections / Q000175:diagnosis*; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D058007:Physicians, Primary Care; D017410:Practice Guidelines as Topic; D014481:United States; D055815:Young Adult