hiv testing and diagnosis of emergency department patients new jersey, 2005-2008 charlotte...
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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.