Work Description

Title: Annual HIV screening rates for HIV-negative men who have sex with men in primary care Open Access Deposited

h
Attribute Value
Methodology
  • Data were obtained from a computerized search of the Michigan Medicine electronic medical records (EMR) and included patient age, race, sexual partner gender, HIV test order dates, self-reported alcohol consumption, and self-reported illegal drug use, in addition to provider specialty. All HIV test orders were included for analysis, regardless of whether a result was available. For patients who did not have an HIV test ordered, we additionally searched encounter notes for the terms "HIV" and "STI" in conjunction with "counsel," "screen," and "test." The presence of these terms could indicate a pertinent discussion about testing for HIV. Annual rates of HIV screening were calculated in three 12-month time periods by counting at least one HIV test order for a unique person in that 12 -month time period divided by the identified Men who have Sex with Men (MSM) population in that same time frame. Additionally, rates of HIV discussion among MSM were similarly counted through medical note documentation for those without an HIV test order. The same procedure was completed separately for non-MSM.
Description
  • Patients included in this study were all males with no prior HIV diagnosis between 18 and 45 years who had at least one primary care encounter between March 2016 and March 2019. We chose 2016 as the index year because the question of the sexual partners’ gender became coded data elements with the clinic contact. Eligible patients were grouped based on reported sexual partners at the most recent disclosure. Individuals who reported having a male sexual partner or both a male and female partner were included in the MSM group. The non-MSM group included individuals who reported only a female partner or no partner. Patients who did not answer the question were excluded from the study. The study proposal was submitted to the Institutional Review Boards of the University of Michigan Medical School and was exempted from ongoing IRB review (HUM00155091). Individual consent was waived for this study.
Creator
Depositor
  • harperdi@umich.edu
Contact information
Discipline
Funding agency
  • National Institutes of Health (NIH)
Keyword
Resource type
Last modified
  • 11/20/2022
Published
  • 06/27/2022
Language
DOI
  • https://doi.org/10.7302/00fw-qr09
License
To Cite this Work:
Harper Diane M. (2022). Annual HIV screening rates for HIV-negative men who have sex with men in primary care [Data set], University of Michigan - Deep Blue Data. https://doi.org/10.7302/00fw-qr09

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Files (Count: 4; Size: 8.49 MB)

Thumbnailthumbnail-column Title Original Upload Last Modified File Size Access Actions
MSMdata_deidentified.dta 2022-06-21 2022-06-21 5.15 MB Open Access
MSMdata_deidentified.csv 2022-06-22 2022-06-22 3.34 MB Open Access
README.txt 2022-06-23 2022-06-23 3.64 KB Open Access
MSMCode.do 2022-06-27 2022-06-27 1.34 KB Open Access

Read me for the data set: "Annual HIV screening rates for HIV-negative men who have sex with men in primary care"

Author:
- Dr. Diane Harper (University of Michigan, Ann Arbor), diane.m.harper@gmail.com

Description of the Data:
Patients included in this study were all males with no prior HIV diagnosis between 18 and 45 years who had at least one primary care encounter between March 2016 and March 2019. We chose 2016 as the index year because the question of the sexual partners’ gender became coded data elements with the clinic contact. Eligible patients were grouped based on reported sexual partners at the most recent disclosure. Individuals who reported having a male sexual partner or both a male and female partner were included in the MSM group. The non-MSM group included individuals who reported only a female partner or no artner. Patients who did not answer the question were excluded from the study. The study proposal was submitted to the Institutional Review Boards of the University of Michigan Medical School and
was exempted from ongoing IRB review (HUM00155091). Individual consent was waived for this study.

Methodology:
Data were obtained from a computerized search of the Michigan Medicine electronic medical records (EMR) and included patient age, race, sexual partner gender, HIV test order dates, self-reported alcohol consumption, and self-reported illegal drug use, in addition to provider specialty. All HIV test orders were included for analysis, regardless of whether a result was available. For patients who did not have an HIV test ordered, we additionally searched encounter notes for the terms "HIV" and "STI" in conjunction with "counsel," "screen," and "test." The presence of these terms could indicate a pertinent discussion about testing for HIV. Annual rates of HIV screening were calculated in three 12-month time periods by counting at least one HIV test order for a unique person in that 12 -month time period divided by the identified Men who have Sex with Men (MSM) population in that same time frame. Additionally, rates of HIV discussion among MSM were similarly counted through medical note documentation for those without an HIV test order. The same procedure was completed separately for non-MSM.

Description of files:
pat_id
Patient Identifier

age
Patient Age

race
Patient Race

race_recode
Recoded Race (1=White, 2=Black, 3=Asian, 4=Other)

ethnicity
Patient Ethnicity

hispanic
Hispanic Indicator

cur_pcp_id
Current Primary Care Physican (PCP) Identifier

cur_pcp_sex
Current Primary Care Physican (PCP) Gender

cur_pcp_dept
Current Primary Care Physican (PCP) Department (1=Family Medicine, 2=Internal Medicine, 3=Internal Medicine - Pediatrics, 4=Pediatrics)

num_op_visit
Number of Outpatient Visits

any_female_partner
Reported a female partner (1=Yes, 0=No)

any_male_partner
Reported a male partner (1=Yes, 0=No)

timeperiod
Study Time Period

hiv
HIV' term in Clinic Notes (1=Yes, 0=No)

hiv_counsel
HIV Counsel' term in Clinic Notes (1=Yes, 0=No)

hiv_screen
HIV Screen' term in Clinic Notes (1=Yes, 0=No)

hiv_test
HIV Test' term in Clinic Notes (1=Yes, 0=No)

sti
STI' term in Clinic Notes (1=Yes, 0=No)

sti_counsel
STI Counsel' term in Clinic Notes (1=Yes, 0=No)

sti_screen
STI Screen' term in Clinic Notes (1=Yes, 0=No)

sti_test
STI Test' term in Clinic Notes (1=Yes, 0=No)

HIVtests
Number of HIV tests

any_alcohol
Any Alcohol Use (1=Yes, 0=No)

any_illdrug
Any Illegal Drug Use (1=Yes, 0=No)

any_iv
Any intravenous Drug Use (1=Yes, 0=No)

anyHIVtest
Any HIV test in time period (1=Yes, 0=No)

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