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Master Thesis

Dépistage de l’infection par le VIH dans les cabinets de médecine générale parisiens en 2013 : une étude épidémiologique observationnelle

Abstract : Background: Evaluation of Paris general practicioners’ screening strategies for HIV infection in 2013. We wanted to evaluate the modifications since the publication of the 2009 new French guidelines : routine HIV testing for all patients from 15 to 70 years old, independently of the risk factors. Methods: From January to April 2013, after phone agreement, Paris general practicioners answered to a closed-ended questionnaire by mail or email. The statistical analysis has been done with Excel software and Chi square Test. Results: We have collected 407 answers. Except for sexually transmitted infections general pratictioners did not always recognize the situations needing a HIV screenning test. The attitude varied between Paris’ districts. Doctors working in the 1st district and in Paris’northeast were facing HIV infections more often than theirs colleagues, were more prone to propose screening and got positive results more often. Attitudes towards HIV testing also differed according to the practioners’age and sex and their type of practice. Only 45% of the general practitioners were aware of the new French guidelines about routine HIV testing. Collaboration with a medical university was associated with the knowledge of the new French guidelines. Conclusion: Screening strategies among Paris’ general practicioners depend on their demographic features, the area and the type of practice. They have not changed since the publication of the 2009 French guidelines. The reevaluation of the dissemination methods of those guidelines seems to be necessary.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01113907
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Submitted on : Friday, February 6, 2015 - 3:20:48 PM
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Valentina Rocchetti. Dépistage de l’infection par le VIH dans les cabinets de médecine générale parisiens en 2013 : une étude épidémiologique observationnelle. Médecine humaine et pathologie. 2014. ⟨dumas-01113907⟩

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