RESUMO
Exposure investigations are labor intensive and vulnerable to recall bias. We developed an algorithm to identify healthcare personnel (HCP) interactions from the electronic health record (EHR), and we evaluated its accuracy against conventional exposure investigations. The EHR algorithm identified every known transmission and used ranking to produce a manageable contact list.
Assuntos
Registros Eletrônicos de Saúde , Pessoal de Saúde , Humanos , Atitude do Pessoal de SaúdeRESUMO
Using electronic medical record data and OSOM Trichomonas Rapid Tests, Trichomonas vaginalis prevalence was 9.3% among women attending New York City sexual health clinics in 2016. Positivity was associated with black race (adjusted odds ratios 3.73; 95% confidence interval, 1.9-7.1) and vaginal pH of 4.5 or greater (adjusted odds ratios, 1.9; 95% CI, 1.2-3.3).
Assuntos
Testes Imediatos/estatística & dados numéricos , Tricomoníase/diagnóstico , Tricomoníase/epidemiologia , Vaginite por Trichomonas/diagnóstico , Adolescente , Adulto , Instituições de Assistência Ambulatorial/estatística & dados numéricos , População Negra , Registros Eletrônicos de Saúde , Feminino , Humanos , Concentração de Íons de Hidrogênio , Cidade de Nova Iorque/epidemiologia , Razão de Chances , Prevalência , Estudos Retrospectivos , Vaginite por Trichomonas/epidemiologia , Vaginite por Trichomonas/etnologia , Vagina/química , Adulto JovemRESUMO
This paper assessed characteristics associated with awareness of and willingness to take pre-exposure prophylaxis (PrEP) among Baltimore men who have sex with men (MSM). We used data from BESURE-MSM3, a venue-based cross-sectional HIV surveillance study conducted among MSM in 2011. Multivariate regression was used to identify characteristics associated with PrEP knowledge and acceptability among 399 participants. Eleven percent had heard of PrEP, 48% would be willing to use PrEP, and none had previously used it. In multivariable analysis, black race and perceived discrimination against those with HIV were significantly associated with decreased awareness, and those who perceived higher HIV discrimination reported higher acceptability of PrEP. Our findings indicate a need for further education about the potential utility of PrEP in addition to other prevention methods among MSM. HIV prevention efforts should address the link between discrimination and potential PrEP use, especially among men of color.
