机构：[1]Information Center, Xuanwu Hospital, Capital Medical University, Beijing, China,首都医科大学宣武医院[2]Medical Department, Xuanwu Hospital, Capital Medical University, Beijing, China,首都医科大学宣武医院[3]National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China,[4]Department of Dermatology and Venereology, Xuanwu Hospital, Capital Medical University, Beijing, China,皮肤性病科首都医科大学宣武医院[5]Disease Control Department, Xuanwu Hospital, Capital Medical University, Beijing, China,首都医科大学宣武医院[6]West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China,[7]Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, United States of America
Objectives One-third of people living with HIV in China are still unaware of their status, so we sought to better understand HIV testing in the general hospital setting in China. Methods A cross-sectional study was conducted using the electronic medical records of all patients who attended Xuanwu Hospital in Beijing, January 1, 2011 to December 31, 2016. HIV screening and detection rates and characteristics of patients diagnosed with HIV were assessed. Results Overall, 235,961 patients were screened, for a screening rate of 1.4%. Although most were outpatients (98.4%), screening rate was higher among inpatients (70.0% versus 0.4%), and highest in internal medicine (36.1%) and surgery (33.3%) departments. A total of 140 patients were diagnosed with HIV, for a detection rate of 5.93 per 10,000. Detection rates were highest among outpatients (9.34 per 10,000), and patients attending the dermatology and sexually transmitted infection (STI) department (153.85 per 10,000). Most diagnoses were made among males (91.4%), aged 20-39 (67.1%), who reported becoming infected through homosexual contact (70.0%). Conclusions HIV screening in China's general hospitals needs to be improved. More focus should be placed on screening outpatients, especially in the dermatology and STI department, and young men.
基金：
This work was supported by the National Health and Family Planning Commission of the People’s Republic of China (#131-13-000 -105-01and # 2012ZX10001-007).
第一作者机构：[1]Information Center, Xuanwu Hospital, Capital Medical University, Beijing, China,
通讯作者：
通讯机构：[3]National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China,[7]Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, United States of America
推荐引用方式(GB/T 7714)：
Rui Li,Guoguang Zhao,Jia Li,et al.HIV screening among patients seeking care at Xuanwu Hospital: A cross-sectional study in Beijing, China, 2011-2016[J].PLOS ONE.2018,13(12):e0208008.doi:10.1371/journal.pone.0208008.
APA：
Rui Li,Guoguang Zhao,Jia Li,Jennifer M. McGoogan,Chu Zhou...&Zunyou Wu.(2018).HIV screening among patients seeking care at Xuanwu Hospital: A cross-sectional study in Beijing, China, 2011-2016.PLOS ONE,13,(12)
MLA：
Rui Li,et al."HIV screening among patients seeking care at Xuanwu Hospital: A cross-sectional study in Beijing, China, 2011-2016".PLOS ONE 13..12(2018):e0208008
