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        "titulo" => "Requests for HIV tests and their performance in primary health care&#46; Study of the Sentinel Physician Network of Castilla y Le&#243;n in Spain&#44; 1990&#8211;1996"
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        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir los patrones de solicitud y realizaci&#243;n del test del VIH en atenci&#243;n primaria &#40;AP&#41; y las caracter&#237;sticas epidemiol&#243;gicas de la poblaci&#243;n con serolog&#237;a realizada&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo de solicitudes del test del VIH en la poblaci&#243;n cubierta por la Red de M&#233;dicos Centinelas de Castilla y Le&#243;n &#40;RMCCyL&#41; entre los a&#241;os 1991 y 1996&#46; La validez de los resultados se asegur&#243; mediante un estudio inicial de representatividad geogr&#225;fica y poblacional y ajustes peri&#243;dicos&#46; La informaci&#243;n se obtuvo de declaraciones semanales efectuadas por m&#233;dicos centinelas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Las tasas de solicitudes por 100&#46;000 habitantes presentaron tendencia creciente hasta 1993&#44; estabiliz&#225;ndose en 1995 y 1996&#46; Existieron diferencias significativas entre los porcentajes de los tests solicitados por el m&#233;dico &#40;55&#44;9&#37;&#41; y por los pacientes &#40;40&#37;&#41;&#44; as&#237; como entre sexos y la media de edad varones&#47;mujeres&#46; El 63&#44;1&#37; de los pacientes con test realizado ten&#237;a alguna pr&#225;ctica de riesgo&#58; 17&#44;5&#37; uso de drogas por v&#237;a parenteral &#40;UDVP&#41; y 11&#44;2&#37; contacto heterosexual de riesgo&#46; En los varones predominaron el contacto heterosexual &#40;31&#44;3&#37;&#41; y el consumo de drogas inyectadas &#40;27&#44;9&#37;&#41;&#44; siendo las proporciones en mujeres del 22&#44;7 y el 6&#44;9&#37;&#44; respectivamente&#46; El 3&#44;2&#37; de tests VIH fueron positivos&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se detect&#243; un aumento de las solicitudes y tests realizados en los primeros a&#241;os &#40;1991-1993&#41; para posteriormente estabilizarse&#44; siendo las cifras inferiores a las de otros estudios&#46; El m&#233;dico es quien realiza principalmente la solicitud&#44; determinando una baja percepci&#243;n del riesgo&#46; Se detect&#243; un descenso de los individuos con UDVP y un aumento porcentual de los contactos heterosexuales de riesgo&#46; AP ocupa un lugar privilegiado en la detecci&#243;n temprana de pr&#225;cticas de riesgo&#44; en la intervenci&#243;n informativa&#44; educativa y preventiva&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe the patterns of requests for and the carrying out of the HIV test in Primary Health Care and the epidemological characteristics of the individuals who have undergone the test&#46;</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A retrospective descriptive study of requests for the HIV test in Primary Health Care&#44; in the area covered by the Sentinel Network of Castile and Leon between 1991 and 1996&#46; The validity of the results was assured through an initial study of geographical representativity and populational diversity&#44; with periodical adjustments&#46; The information was obtained through weekly reports from Sentinel doctors&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The request rate per 100&#46;000 inhabitants showed a tendency to increase until 1993&#44; levelling off in 1995 and 1996&#46; There were significant differences between percentage of test requested by doctors &#40;55&#46;9&#37;&#41; and patients &#40;40&#37;&#41;&#44; as well as between males&#47;females and average for age of these&#46; Of the 63&#46;1&#37; of patients with known risk factor&#58; 17&#46;5&#37; were injected drug users &#40;IDUs&#41; and 11&#46;2&#37; were through unsafe heterosexual contact&#59; these factors being modified over time&#46; The predominant risk factors among males were&#58; heterosexual contact &#40;31&#46;1&#37;&#41; and the use of injected drugs &#40;27&#46;9&#37;&#41;&#46; The case was similar for females&#58; 22&#46;7&#37; and 6&#46;9&#37; respectively&#46; The results were positive in 3&#46;2&#37; of the HIV tests&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">An increase in requests and tests carried out between 1991 and 1993 was detected&#46; The figures later stabilized and&#44; in general&#44; they were lower than in other studies&#46; The doctor was predominantly the origin of the request&#46; A decrease in IDUs and an increase in the percentage of unsafe heterosexual contact&#44; were detected&#44; both in line with data from other research&#46; Primary Health Care had a predominant place in early detection of risk practice and in the areas of prevention&#44; education and information&#46;</p>"
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Solicitud y realización del test del VIH en atención primaria. Estudio de la Red de Médicos Centinelas de Castilla y León 1990–1996
Requests for HIV tests and their performance in primary health care. Study of the Sentinel Physician Network of Castilla y León in Spain, 1990–1996
S. Redondo Martín
Autor para correspondencia
s8995l@teleline.es

Correspondencia: Susana Redondo Martín. C/ Federico Landrove Moiño, 18, 4.º, 2.ª. 47014 Valladolid.
, M. Morquecho Gil, C. Berbel Hernández, M.C. Viña Simón, Red de Médicos Centinelas de Castilla y León
Servicio Territorial de Sanidad y Bienestar Social de Valladolid. Junta de Castilla y León.
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    "titulo" => "Solicitud y realizaci&#243;n del test del VIH en atenci&#243;n primaria&#46; Estudio de la Red de M&#233;dicos Centinelas de Castilla y Le&#243;n 1990&#8211;1996"
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        "titulo" => "Requests for HIV tests and their performance in primary health care&#46; Study of the Sentinel Physician Network of Castilla y Le&#243;n in Spain&#44; 1990&#8211;1996"
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        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir los patrones de solicitud y realizaci&#243;n del test del VIH en atenci&#243;n primaria &#40;AP&#41; y las caracter&#237;sticas epidemiol&#243;gicas de la poblaci&#243;n con serolog&#237;a realizada&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo de solicitudes del test del VIH en la poblaci&#243;n cubierta por la Red de M&#233;dicos Centinelas de Castilla y Le&#243;n &#40;RMCCyL&#41; entre los a&#241;os 1991 y 1996&#46; La validez de los resultados se asegur&#243; mediante un estudio inicial de representatividad geogr&#225;fica y poblacional y ajustes peri&#243;dicos&#46; La informaci&#243;n se obtuvo de declaraciones semanales efectuadas por m&#233;dicos centinelas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Las tasas de solicitudes por 100&#46;000 habitantes presentaron tendencia creciente hasta 1993&#44; estabiliz&#225;ndose en 1995 y 1996&#46; Existieron diferencias significativas entre los porcentajes de los tests solicitados por el m&#233;dico &#40;55&#44;9&#37;&#41; y por los pacientes &#40;40&#37;&#41;&#44; as&#237; como entre sexos y la media de edad varones&#47;mujeres&#46; El 63&#44;1&#37; de los pacientes con test realizado ten&#237;a alguna pr&#225;ctica de riesgo&#58; 17&#44;5&#37; uso de drogas por v&#237;a parenteral &#40;UDVP&#41; y 11&#44;2&#37; contacto heterosexual de riesgo&#46; En los varones predominaron el contacto heterosexual &#40;31&#44;3&#37;&#41; y el consumo de drogas inyectadas &#40;27&#44;9&#37;&#41;&#44; siendo las proporciones en mujeres del 22&#44;7 y el 6&#44;9&#37;&#44; respectivamente&#46; El 3&#44;2&#37; de tests VIH fueron positivos&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se detect&#243; un aumento de las solicitudes y tests realizados en los primeros a&#241;os &#40;1991-1993&#41; para posteriormente estabilizarse&#44; siendo las cifras inferiores a las de otros estudios&#46; El m&#233;dico es quien realiza principalmente la solicitud&#44; determinando una baja percepci&#243;n del riesgo&#46; Se detect&#243; un descenso de los individuos con UDVP y un aumento porcentual de los contactos heterosexuales de riesgo&#46; AP ocupa un lugar privilegiado en la detecci&#243;n temprana de pr&#225;cticas de riesgo&#44; en la intervenci&#243;n informativa&#44; educativa y preventiva&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe the patterns of requests for and the carrying out of the HIV test in Primary Health Care and the epidemological characteristics of the individuals who have undergone the test&#46;</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A retrospective descriptive study of requests for the HIV test in Primary Health Care&#44; in the area covered by the Sentinel Network of Castile and Leon between 1991 and 1996&#46; The validity of the results was assured through an initial study of geographical representativity and populational diversity&#44; with periodical adjustments&#46; The information was obtained through weekly reports from Sentinel doctors&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The request rate per 100&#46;000 inhabitants showed a tendency to increase until 1993&#44; levelling off in 1995 and 1996&#46; There were significant differences between percentage of test requested by doctors &#40;55&#46;9&#37;&#41; and patients &#40;40&#37;&#41;&#44; as well as between males&#47;females and average for age of these&#46; Of the 63&#46;1&#37; of patients with known risk factor&#58; 17&#46;5&#37; were injected drug users &#40;IDUs&#41; and 11&#46;2&#37; were through unsafe heterosexual contact&#59; these factors being modified over time&#46; The predominant risk factors among males were&#58; heterosexual contact &#40;31&#46;1&#37;&#41; and the use of injected drugs &#40;27&#46;9&#37;&#41;&#46; The case was similar for females&#58; 22&#46;7&#37; and 6&#46;9&#37; respectively&#46; The results were positive in 3&#46;2&#37; of the HIV tests&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">An increase in requests and tests carried out between 1991 and 1993 was detected&#46; The figures later stabilized and&#44; in general&#44; they were lower than in other studies&#46; The doctor was predominantly the origin of the request&#46; A decrease in IDUs and an increase in the percentage of unsafe heterosexual contact&#44; were detected&#44; both in line with data from other research&#46; Primary Health Care had a predominant place in early detection of risk practice and in the areas of prevention&#44; education and information&#46;</p>"
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ISSN: 02139111
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