HIV Testing and Diagnosis ofEmergency Department Patients

New Jersey, 2005-2008

  

Charlotte Sadashige, MSS*; Sindy Paul, MD, MPH*; Eugene Martin, PhD **

* New Jersey Department of Health and Senior Services** Robert Wood Johnson Medical School

Availability of Publicly-funded HIV Testing at EDs by County

2

9

14

4

1

3

5

6

7

11

10

12

1316

15

19

18

17

21

20

0.0 - 199.9

200.0 - 399.9

400.0 - 599.9

600.0 +

Statewide HIV/AIDS Prevalence 410 per 100,000

HIV/AIDS Seroprevalence byCTS Site Type – New Jersey, 2005 - 2008

Source: NJDHSS, DHSTS

Insurance Status of ED and All HIV/AIDS Diagnoses -- New Jersey, 2005 - 2008

Private Insurance

22%

Medicaid19%

No Insurance36%

Other Public4%

Other/Unk19%

ED Diagnoses

Private Insurance

19%

Medicaid22%

No Insurance17%

Other Public7%

Other/Unk35%

All Diagnoses

Source: New Jersey HIV/AIDS Registry as of December 2010

Percentage of Late ED Diagnoses –New Jersey, 2005 - 2008

By Race/Ethnicity By Transmission

Conclusions HIV/AIDS prevalence among persons screened at CTS

EDs was the highest by site type among all publicly-funded HIV counseling and testing sites.

A higher percentage of patients diagnosed at EDs had no health insurance compared with all persons diagnosed with HIV/AIDS in New Jersey during the same time period.

Disparities based on race/ethnicity and transmission category exist among persons diagnosed with HIV/AIDS late in their disease progression at EDs.

HIV screening in EDs integrates HIV services into medical care, and may provide an efficient gateway to HIV prevention and care particularly for persons with limited access to health care and persons with a lower perception of HIV risk. Patients receive their preliminary HIV test result before leaving the ED.