title: Family practitioners screening for HIV infection.
abstract: BACKGROUND
  We assessed how family physicians screened for HIV infection in Paris, in 2013 and whether their practice had changed after publication of the HAS (French National Authority for Health) recommendation for systematic screening.
  
  
  METHODS
  Family practitioners (FPs) in Paris answered a questionnaire by e-mail or regular mail from January to April 2013. The statistical analysis was performed with the Chi(2) test.
  
  
  RESULTS
  Four hundred and seven FPs answered (77.8% response rate). FPs did not always identify risk cases: 78% in case of sexually transmitted infection, but 32% for partner change, 39% for patients from a highly HIV endemic country, and 21% for sexually active teenagers or adults. Practices differed according to districts. FPs in the 1st and in the Northeastern Paris districts detected risk cases for HIV more often than their colleagues, and they used screening more often, with, consequently, more frequently positive results. The screening strategies also differed according to the FPs' demographic characteristics and their type of practice: young (P = 0.0002) female (P = 0.02) FPs working in "sector 1 (patients fully reimbursed)" (P = 8.10(-5)) prescribed more HIV blood tests. Surprisingly, only 45% of FPs was aware of the recent recommendation for systematic screening of HIV.
  
  
  CONCLUSIONS
  The Paris FP screening practices differ according to demographic characteristics, place, and type of practice. Screening practices have not changed since the publication of the new screening strategy.
authors: Centre hospitalier de Versailles A.-Mignot, 177, rue de Versailles, 78150 Le Chesnay, France. Electronic address: valerocchetti@yahoo.fr.
authors: V
authors: V
authors: Rocchetti
authors: Hôtel-Dieu, 1, Parvis-Notre-Dame - place Jean-Paul-II, 75004 Paris, France. Electronic address: jean-paul.viard@htd.aphp.fr.
authors: J P
authors: JP
authors: Viard
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D001291:Attitude of Health Personnel; D054242:Emigrants and Immigrants; D005180:Faculty, Medical; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods* / Q000706:statistics & numerical data; D008875:Middle Aged; D010297:Paris; D010821:Physicians, Family / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012307:Risk Factors; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014505:Urban Population
chemical_list: D019380:Anti-HIV Agents
keywords: Dépistage systématique; Family practice; HIV; Médecine générale; Systematic screening; VIH