Article Figures & Data
Tables
Yes (n) No (n) Yes (%) 1) Are any patients in your practice living with HIV? 108 28 79.4% 2) If yes, how were they diagnosed? (Participant may select multiple options as may have more than one registered patient) In my practice 37 71 34.3% In another GP practice 14 94 13.0% STI clinic 27 81 25.0% Antenatal screening 10 98 9.3% Secondary care other than antenatal 26 82 24.1% Migration pathway 24 84 22.2% Unknown 37 71 34.3% 3) Do you document their diagnosis as HIV? 101 7 93.5% 4) Do you code their diagnosis as HIV? 82 26 75.9% 5) Have you ever tested a patient for HIV in your practice? 134 2 98.5% 6) If yes, what was the indication for testing? (Select all that apply) Patient request 89 45 66.4% Insurance medical 29 105 21.6% Needlestick injury 63 71 47.0% Symptoms of HIV 41 93 30.6% Screening of persons with occupational risk 37 97 27.6% Where indicated by sexual history 110 24 82.1% Person known to be from a country of high incidence 50 84 37.3% 7) Do you test new patients for HIV routinely? 6 130 4.4% 8) In your opinion, should HIV testing be offered to (tick all that apply) Every patient attending a doctor at least once 33 103 24.3% In those with a disclosed risk 114 22 83.8% Those with possible signs or symptoms of HIV 105 31 77.2% Patients attending for STI services rather than GP 81 55 59.6% 9) Do you use any guidelines in testing for or managing HIV? 26 110 19.1% 10) Are you aware of PEP guidelines? 109 27 80.1% 11) Are you aware of PrEP and its uses? 106 30 77.9% 12) Are you familiar with the concept of (U=U)? 77 59 56.6% 13) Are you familiar with the concept of HIV indicator conditions? 75 61 55.1% HIV = human immunodeficiency virus. PEP = post-exposure prophylaxis. PrEP = pre-exposure prophylaxis. STI = sexually transmitted infection. U=U = undetectable = untransmittable
Questions Urban
Yes (%) n = 43Rural
Yes (%) n = 31OR CI P value Are any patients in your practice living with HIV? 86.0% 74.2% 2.14 0.65 to 6.97 0.205 Have you ever tested a patient for HIV in your practice? 99.9% 96.8% 4.28 0.16 to 108.59 0.881 Have you sent a test based on a patient request? 86.0% 51.6% 5.78 1.89 to 17.60 0.002* Have you sent a test based on symptoms of HIV? 46.5% 12.9% 5.65 1.68 to 18.97 0.005* Have you sent a test as indicated by sexual history? 90.7% 71.0% 3.99 1.09 to 14.46 0.035* Have you sent a test based on origin from a country of high incidence? 62.8% 12.9% 11.39 3.36 to 38.52 <0.001* Do you use any guidelines in testing for or managing HIV? 34.9% 6.5% 7.77 1.62 to 37.11 0.01* Are you aware of PrEP and its uses? 88.4% 71.0% 5.18 1.26 to 21.18 0.022* Are you familiar with the concept of ‘undetectable = untransmittable’ (U=U)? 79.1% 48.4% 3.63 1.33 to 9.82 0.011* HIV = human immunodeficiency virus
Bold and asterisk(*) indicates statistical significance.
2013 2023 P value Response rate 45.6% (120) 21.4% (136) <0.001* Yes % (n) Urban 32.5 (39) 31.6% (43) 0.894 Mixed 35.0% (42) 45.6% (62) 0.098 Rural 32.5% (39) 22.8% (31) 0.093 Are any patients in your practice living with HIV? 59.2% (71) 79.4% (108) <0.001* How were they diagnosed? In my practice 43.7% (31) 34.3% (37) 0.213 In another GP practice 29.6% (21) 12.9% (14) 0.007* STI clinic 35.2% (25) 25.0% (27) 0.178 Antenatal screening 11.3% (8) 9.3% (10) 0.80 Secondary care other than antenatal 32.4 (23) 24.1% (26) 0.235 Have you ever tested a patient for HIV in your practice? 92.5% (111) 98.5% (134) 0.027* Do you use any guidelines in testing for or managing HIV? 15.8% (19) 19.1% (26) 0.515 Are you aware of PEP guidelines? 65.8% (79) 80.1% (109) 0.011* HIV = human immunodeficiency virus. PEP = post-exposure prophylaxis. STI = sexually transmitted infection. U=U = undetectable = untransmittable
Bold and asterisk(*) indicates statistical significance.
Urban % yes (n) Mixed % yes (n) Rural % yes (n) 2013 (n = 39) 2023
(n = 43)P value 2013
(n = 42)2023 (n = 62) P value 2013 (n = 39) 2023
(n = 31)P value Are any patients attending your practice living with HIV? 66.7% (26) 86.0% (37) 0.065 54.8% (23) 74.2% (46) 0.057 53.8% (21) 74.2% (23) 0.089 Have you ever tested a patient for HIV in your practice? 97.4% (38) 100% (43) 0.475 92.9% (39) 98.4% (61) 0.301 79.5% (31) 96.8% (30) 0.038* Bold and asterisk(*) indicates statistical significance.
Supplementary Data
- BR_10.3399BJGPO.2025.0034_supp_v1.pdf -
Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.
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HIV testing in primary care in the West of Ireland: a mixed-method survey between 2013 and 2023
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