HIV Prevalence among Injury Patients Compared to Other High-Risk Groups in Tanzania
Sixty-eight percent of persons infected with HIV live in Africa, but as few as 67% of those know their infection status. The emergency department (ED) might be a critical access point to HIV testing. This study sought to measure and compare HIV prevalence in an ED injury population with other clinic...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Trauma Care |
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| Online Access: | https://www.mdpi.com/2673-866X/2/3/41 |
| _version_ | 1797481744050421760 |
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| author | Loren K. Barcenas Anna Tupetz Shay Behrens Arthi S. Kozhumam Eleanor Strand Megan von Isenburg Philoteus A. Sakasaka Matthew P. Rubach Joao Ricardo Nickenig Vissoci Lawrence P. Park Janet Prvu Bettger Blandina T. Mmbaga Catherine A. Staton |
| author_facet | Loren K. Barcenas Anna Tupetz Shay Behrens Arthi S. Kozhumam Eleanor Strand Megan von Isenburg Philoteus A. Sakasaka Matthew P. Rubach Joao Ricardo Nickenig Vissoci Lawrence P. Park Janet Prvu Bettger Blandina T. Mmbaga Catherine A. Staton |
| author_sort | Loren K. Barcenas |
| collection | DOAJ |
| description | Sixty-eight percent of persons infected with HIV live in Africa, but as few as 67% of those know their infection status. The emergency department (ED) might be a critical access point to HIV testing. This study sought to measure and compare HIV prevalence in an ED injury population with other clinical and nonclinical populations across Tanzania. Adults (≥18 years) presenting to Kilimanjaro Christian Medical Center ED with acute injury of any severity were enrolled in a trauma registry. A systematic review and meta-analysis was conducted to compare HIV prevalence in the trauma registry with other population groups. Further, 759 injury patients were enrolled in the registry; 78.6% were men and 68.2% consented to HIV counseling and testing. The HIV prevalence was 5.02% (tested), 6.25% (self-report), and 5.31% (both). The systematic review identified 79 eligible studies reporting HIV prevalence (tested) in 33 clinical and 12 nonclinical population groups. Notable groups included ED injury patients (3.53%, 95% CI), multiple injury patients (10.67%, 95% CI), and people who inject drugs (17.43%, 95% CI). These findings suggest that ED injury patients might be at higher HIV risk compared to the general population, and the ED is a potential avenue to increasing HIV testing among young adults, particularly men. |
| first_indexed | 2024-03-09T22:18:53Z |
| format | Article |
| id | doaj.art-1537ff3952cc47f59c4b09767db909a5 |
| institution | Directory Open Access Journal |
| issn | 2673-866X |
| language | English |
| last_indexed | 2024-03-09T22:18:53Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Trauma Care |
| spelling | doaj.art-1537ff3952cc47f59c4b09767db909a52023-11-23T19:17:36ZengMDPI AGTrauma Care2673-866X2022-09-012348750910.3390/traumacare2030041HIV Prevalence among Injury Patients Compared to Other High-Risk Groups in TanzaniaLoren K. Barcenas0Anna Tupetz1Shay Behrens2Arthi S. Kozhumam3Eleanor Strand4Megan von Isenburg5Philoteus A. Sakasaka6Matthew P. Rubach7Joao Ricardo Nickenig Vissoci8Lawrence P. Park9Janet Prvu Bettger10Blandina T. Mmbaga11Catherine A. Staton12Department of Emergency Medicine, School of Medicine, Duke University, Durham, NC 27705, USADepartment of Emergency Medicine, School of Medicine, Duke University, Durham, NC 27705, USASchool of Medicine, Duke University, Durham, NC 27705, USADuke Global Health Institute, Duke University, Durham, NC 27705, USADepartment of Emergency Medicine, School of Medicine, Duke University, Durham, NC 27705, USADuke Global Health Institute, Duke University, Durham, NC 27705, USAKilimanjaro Clinical Research Institute, Moshi M8JG+2X7, TanzaniaDuke Global Health Institute, Duke University, Durham, NC 27705, USADepartment of Emergency Medicine, School of Medicine, Duke University, Durham, NC 27705, USADuke Global Health Institute, Duke University, Durham, NC 27705, USADuke Global Health Institute, Duke University, Durham, NC 27705, USADuke Global Health Institute, Duke University, Durham, NC 27705, USADepartment of Emergency Medicine, School of Medicine, Duke University, Durham, NC 27705, USASixty-eight percent of persons infected with HIV live in Africa, but as few as 67% of those know their infection status. The emergency department (ED) might be a critical access point to HIV testing. This study sought to measure and compare HIV prevalence in an ED injury population with other clinical and nonclinical populations across Tanzania. Adults (≥18 years) presenting to Kilimanjaro Christian Medical Center ED with acute injury of any severity were enrolled in a trauma registry. A systematic review and meta-analysis was conducted to compare HIV prevalence in the trauma registry with other population groups. Further, 759 injury patients were enrolled in the registry; 78.6% were men and 68.2% consented to HIV counseling and testing. The HIV prevalence was 5.02% (tested), 6.25% (self-report), and 5.31% (both). The systematic review identified 79 eligible studies reporting HIV prevalence (tested) in 33 clinical and 12 nonclinical population groups. Notable groups included ED injury patients (3.53%, 95% CI), multiple injury patients (10.67%, 95% CI), and people who inject drugs (17.43%, 95% CI). These findings suggest that ED injury patients might be at higher HIV risk compared to the general population, and the ED is a potential avenue to increasing HIV testing among young adults, particularly men.https://www.mdpi.com/2673-866X/2/3/41HIVAIDSprevalenceinjuryemergency departmentTanzania |
| spellingShingle | Loren K. Barcenas Anna Tupetz Shay Behrens Arthi S. Kozhumam Eleanor Strand Megan von Isenburg Philoteus A. Sakasaka Matthew P. Rubach Joao Ricardo Nickenig Vissoci Lawrence P. Park Janet Prvu Bettger Blandina T. Mmbaga Catherine A. Staton HIV Prevalence among Injury Patients Compared to Other High-Risk Groups in Tanzania Trauma Care HIV AIDS prevalence injury emergency department Tanzania |
| title | HIV Prevalence among Injury Patients Compared to Other High-Risk Groups in Tanzania |
| title_full | HIV Prevalence among Injury Patients Compared to Other High-Risk Groups in Tanzania |
| title_fullStr | HIV Prevalence among Injury Patients Compared to Other High-Risk Groups in Tanzania |
| title_full_unstemmed | HIV Prevalence among Injury Patients Compared to Other High-Risk Groups in Tanzania |
| title_short | HIV Prevalence among Injury Patients Compared to Other High-Risk Groups in Tanzania |
| title_sort | hiv prevalence among injury patients compared to other high risk groups in tanzania |
| topic | HIV AIDS prevalence injury emergency department Tanzania |
| url | https://www.mdpi.com/2673-866X/2/3/41 |
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