Table 3 Primary care practice policy for blood borne virus (BBV) testing for migrant patients
Question | Blood borne virus (BBV) | Total Number (%, 95CI) | P (difference between questions) | By frequency of seeing migrant patients | Â | By practice size | ||||
|---|---|---|---|---|---|---|---|---|---|---|
Frequently Number (%, 95CI) | Sometimes or rarely Number (%, 95CI) | P (frequency of seeing migrant patients) | Number (%, 95CI) | Number (%, 95CI) | Number (%, 95CI) | P (practice size) | ||||
What is your practice policy for offering blood borne virus (BBV) testing to new migrants? | Hepatitis B | HBV new vs existing migrants p = 0.045 |  | < 0.0001 |  | 0.001 | ||||
Universal / ‘opt out’ | 46 (17.8, 13.6–23.0) | 34 (36.2, 27.2–46.2) | 13 (7.9, 4.7–13.1) | 16 (42.1, 27.9–57.8) | 6 (14.3, 6.7–27.8) | 9 (12.9, 6.9–22.7) | ||||
Ad hoc | 113 (43.8, 37.9–49.9) | 37 (39.4, 30.1–49.5) | 76 (46.3, 38.9–54.0) | 11 (28.9, 17.0–44.8) | 18 (42.9, 29.1–57.8) | 31 (44.3, 33.2–55.9) | ||||
Other | 18 (7.0, 4.5–10.8) | 5 (5.3, 2.3–11.9) | 12 (7.3, 4.2–12.4) | 4 (10.5, 4.2–24.1) | 2 (4.8, 1.3–15.8) | 6 (8.6, 4.0–17.5) | ||||
Don’t know | 81 (31.4, 26.0–37.3) | 18 (19.1, 12.5–28.3) | 63 (38.4, 31.3–46.0) | 7 (18.4, 9.2–33.4) | 16 (38.1, 25.0–53.2) | 24 (34.3, 24.2–46.0) | ||||
Total responses | 258 | 94 | 164 | 38 | 42 | 70 | ||||
Hepatitis C | HCV new vs existing migrants p = 0.041 |  | < 0.0001 |  | 0.001 | |||||
Universal / ‘opt out’ | 44 (17.1, 13.0–22.2) | 33 (35.5, 26.5–45.6) | 12 (7.3, 4.2–12.4) | 15 (39.5, 25.6–55.3) | 6 (14.3, 6.7–27.8) | 8 (11.6, 6.0–21.2) | ||||
Ad hoc | 114 (44.4, 38.4–50.5) | 37 (39.8, 30.4–49.9) | 77 (47.0, 39.5–54.6) | 12 (31.6, 19.1–47.5) | 18 (42.9, 29.1–57.8) | 31 (44.9, 33.8–56.6) | ||||
Other | 18 (7.0, 4.5–10.8) | 5 (5.4, 2.3–12.0) | 12 (7.3, 4.2–12.4) | 4 (10.5, 4.2–24.1) | 2 (4.8, 1.3–15.8) | 6 (8.7, 4.0–17.7) | ||||
Don’t know | 81 (31.5, 26.1–37.4) | 18 (19.4, 12.6–28.5) | 63 (38.4, 31.3–46.0) | 7 (18.4, 9.2–33.4) | 16 (38.1, 25.0–53.2) | 24 (34.8, 24.6–46.6) | ||||
Total responses | 257 | 93 | 164 | 38 | 42 | 69 | ||||
HIV | HIV vs HBV, HCV for new migrants p = 0.498 HIV new vs existing migrants p = 0.048 |  | < 0.0001 |  | 0.002 | |||||
Universal / ‘opt out’ | 54 (20.9, 16.4–26.3) | 39 (41.5, 32.1–51.6) | 16 (9.8, 6.1–15.3) | 18 (47.4, 32.5–62.7) | 7 (16.7, 8.3–30.6) | 14 (20.0, 12.3–30.8) | ||||
Ad hoc | 111 (43.0, 37.1–49.1) | 35 (37.2, 28.1–47.3) | 76 (46.3, 38.9–54.0) | 10 (26.3, 15.0–42.0) | 18 (42.9, 29.1–57.8) | 29 (41.4, 30.6–53.1) | ||||
Other | 17 (6.6, 4.2–10.3) | 5 (5.3, 2.3–11.9) | 11 (6.7, 3.8–11.6) | 4 (10.5, 4.2–24.1) | 2 (4.8, 1.3–15.8) | 5 (7.1, 3.1–15.7) | ||||
Don’t know | 76 (29.5, 24.2–35.3) | 15 (16.0, 9.9–24.7) | 61 (37.2, 30.2–44.8) | 6 (15.8, 7.4–30.4) | 15 (35.7, 23.0–50.8) | 22 (31.4, 21.8–43.0) | ||||
Total responses | 258 | 94 | 164 | 38 | 42 | 70 | ||||
What is your practice policy for offering BBV testing to existing migrants? | Hepatitis B | HIV vs HBV, HCV for existing migrants p = 0.480 |  | < 0.0001 |  | 0.001 | ||||
Universal / ‘opt out’ | 29 (11.2, 7.9–15.7) | 21 (22.3, 15.1–31.8) | 8 (4.9, 2.5–9.3) | 11 (28.9, 17.0–44.8) | 3 (7.1, 2.5–19.0) | 3 (4.3, 1.5–11.9) | ||||
Ad hoc | 133 (51.6, 45.5–57.6) | 46 (48.9, 39.1–58.9) | 87 (53.0, 45.4–60.5) | 17 (44.7, 30.1–60.3) | 21 (50.0, 35.5–64.5) | 39 (55.7, 44.1–66.8) | ||||
Other | 25 (9.7, 6.6–13.9) | 11 (11.7, 6.7–19.8) | 14 (8.5, 5.2–13.8) | 5 (13.2, 5.8–27.3) | 4 (9.5, 3.8–22.1) | 7 (10.0, 4.9–19.2) | ||||
Don’t know | 71 (27.5, 22.4–33.3) | 16 (17.0, 10.8–25.9) | 55 (33.5, 26.8–41.1) | 5 (13.2, 5.8–27.3) | 14 (33.3, 21.0–48.4) | 21 (30.0, 20.5–41.5) | ||||
Total | 258 | 94 | 164 | 38 | 42 | 70 | ||||
Hepatitis C |  | < 0.0001 |  | < 0.0001 | ||||||
Universal / ‘opt out’ | 27 (10.7, 7.5–15.1) | 20 (21.5, 14.4–30.9) | 7 (4.4, 2.1–8.8) | 11 (30.6, 18.0–46.9) | 2 (5.0, 1.4–16.5) | 2 (2.9, 0.8–10.0) | ||||
Ad hoc | 131 (52.0, 45.8–58.1) | 46 (49.5, 39.5–59.4) | 85 (53.5, 45.7–61.0) | 16 (44.4, 29.5–60.4) | 20 (50.0, 35.2–64.8) | 39 (56.5, 44.8–67.6) | ||||
Other | 25 (9.9, 6.8–14.2) | 11 (11.8, 6.7–19.9) | 14 (8.8, 5.3–14.2) | 5 (13.9, 6.1–28.7) | 4 (10.0, 4.0–23.1) | 7 (10.1, 5.0–19.5) | ||||
Don’t know | 69 (27.4, 22.2–33.2) | 16 (17.2, 10.9–26.1) | 53 (33.3, 26.5–41.0) | 4 (11.1, 4.4–25.3) | 14 (35.0, 22.1–50.5) | 21 (30.4, 20.8–42.1) | ||||
Total | 252 | 93 | 159 | 36 | 40 | 69 | ||||
HIV |  | < 0.0001 |  | < 0.0001 | ||||||
Universal / ‘opt out’ | 36 (14.0, 10.3–18.7) | 24 (25.5, 17.8–35.2) | 12 (7.3, 4.2–12.4) | 14 (36.8, 23.4–52.7) | 4 (13.8, 5.5–30.6) | 5 (9.8, 4.3–21.0) | ||||
Ad hoc | 133 (51.6, 45.5–57.6) | 46 (48.9, 39.1–58.9) | 87 (53.0, 45.4–60.5) | 16 (42.1, 27.9–57.8) | 21 (72.4, 54.3–85.3) | 39 (76.5, 63.2–86.0) | ||||
Other | 25 (9.7, 6.6–13.9) | 11 (11.7, 6.7–19.8) | 14 (8.5, 5.2–13.8) | 5 (13.2, 5.8–27.3) | 4 (13.8, 5.5–30.6) | 7 (13.7, 6.8–25.7) | ||||
Don’t know | 64 (24.8, 19.9–30.4) | 13 (13.8, 8.3–22.2) | 51 (31.1, 24.5–38.5) | 3 (7.9, 2.7–20.8) | 13 (44.8, 28.4–62.5) | 19 (37.3, 25.3–51.0) | ||||
Total | 258 | 94 | 164 | 38 | 29 | 51 | ||||
How are existing migrants identified for testing? | Opportunistic during consultation | n/a | Â | 0.052 | Â | 0.111 | ||||
Yes | 191 (78.9, 73.4–83.6) | 77 (85.6, 76.8–91.4) | 114 (75.0, 67.6–81.2) | 34 (89.5, 75.9–95.8) | 30 (71.4, 56.4–82.8) | 53 (75.7, 64.5–84.2) | ||||
No | 9 (3.7, 2.0–6.9) | 5 (5.6, 2.4–12.4) | 4 (2.6, 1.0–6.6) | 1 (2.6, 0.5–13.5) | 2 (4.8, 1.3–15.8) | 4 (5.7, 2.2–13.8) | ||||
Don’t know | 42 (17.4, 13.1–22.6) | 8 (8.9, 4.6–16.6) | 34 (22.4, 16.5–29.6) | 3 (7.9, 2.7–20.8) | 10 (23.8, 13.5–38.5) | 13 (18.6, 11.2–29.2) | ||||
Total | 242 | 90 | 152 | 38 | 7 | 70 | ||||
Any periodic flagging | n/a | Â | 0.026 | Â | 0.04 | |||||
Yes | 33 (13.6, 9.9–18.5) | 18 (20.0, 13.0–29.4) | 15 (9.9, 6.1–15.6) | 10 (26.3, 15.0–42.0) | 4 (9.5, 3.8–22.1) | 7 (10.0, 4.9–19.2) | ||||
No/don’t know | 209 (86.4, 81.5–90.1) | 72 (80.0, 70.6–87.0) | 137 (90.1, 84.4–93.9) | 28 (73.7, 58.0–85.0) | 38 (90.5, 77.9–96.2) | 63 (90.0, 80.8–95.1) | ||||
Total | 242 | 90 | 152 | 38 | 42 | 70 | ||||