title: [Acceptability of the opportunistic search for human immunodeficiency virus infection by serology in patients recruited in Primary Care Centres in Spain].
abstract: OBJECTIVE
  To assess the acceptability of opportunistic search for human immunodeficiency virus (HIV).
  
  
  METHODS
  Cross-sectional, observational study.
  
  
  METHODS
  Primary Care Centres (PCC) of the Spanish National Health Care System.
  
  
  METHODS
  patients aged 18 to 65 years who had never been tested for HIV, and were having a blood test for other reasons. RECORDED VARIABLES: age, gender, stable partner, educational level, tobacco/alcohol use, reason for blood testing, acceptability of taking the HIV test, reasons for refusing to take the HIV test, and reasons for not having taken an HIV test previously. A descriptive, bivariate, multivariate (logistic regression) statistical analysis was performed.
  
  
  RESULTS
  A total of 208 general practitioners (GPs) from 150 health care centres recruited 3,314 patients. Most (93.1%) of patients agreed to take the HIV test (95%CI: 92.2-93.9). Of these patients, 56.9% reported never having had an HIV test before because they considered not to be at risk of infection, whereas 34.8% reported never having been tested for HIV because their doctor had never offered it to them. Of the 6.9% who refused to take the HIV test, 73.9% considered that they were not at risk. According to the logistic regression analysis, acceptability was positively associated to age (higher among between 26 and 35 year olds, OR=1.79; 95%CI: 1.10-2.91) and non-smokers (OR=1.39; 95%CI: 1.01-1.93). Those living in towns with between 10,000 and 50,000 inhabitants showed less acceptance to the test (OR=0.57; 95%CI: 0.40-0.80). The HIV prevalence detected was 0.24%
  
  
  CONCLUSIONS
  Acceptability of HIV testing is very high among patients having a blood test in primary care settings in Spain. Opportunistic search is cost-effective.
authors.affiliation: Centro de Salud Frölunda, Närhälsan, Gotemburgo, Suecia. Electronic address: rafapuentes82@gmail.com.
authors.forename: Rafael Carlos
authors.initials: RC
authors.lastname: Puentes Torres
authors.affiliation: Centro de Salud Santa Rosa (Córdoba); Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC)/Hospital Universitario Reina Sofía/Universidad de Córdoba, Córdoba, España.
authors.forename: Cristina
authors.initials: C
authors.lastname: Aguado Taberné
authors.affiliation: Unidad Docente de Medicina Familiar y Comunitaria, Distrito Sanitario de Córdoba y Guadalquivir; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC)/Hospital Universitario Reina Sofía/Universidad de Córdoba, Córdoba, España.
authors.forename: Luis Angel
authors.initials: LA
authors.lastname: Pérula de Torres
authors.affiliation: Centro de Salud Santa Rosa (Córdoba); Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC)/Hospital Universitario Reina Sofía/Universidad de Córdoba, Córdoba, España.
authors.forename: José
authors.initials: J
authors.lastname: Espejo Espejo
authors.affiliation: Centro de Salud Santa Rosa (Córdoba); Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC)/Hospital Universitario Reina Sofía/Universidad de Córdoba, Córdoba, España.
authors.forename: Cristina
authors.initials: C
authors.lastname: Castro Fernández
authors.affiliation: Centro de Salud Monteporreiro, SERGAS, Pontevedra, España.
authors.forename: Luís
authors.initials: L
authors.lastname: Fransi Galiana
mesh_terms: D015492:AIDS Serodiagnosis; D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000175:diagnosis*; D006268:Health Facilities; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011320:Primary Health Care; D013030:Spain; D055815:Young Adult
keywords: Aceptabilidad; Case finding; Cribado oportunista; Detección precoz; Early detection; Human immunodeficiency virus; Patient acceptance; Virus de la inmunodeficiencia humana