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Table 3 Primary care practice policy for blood borne virus (BBV) testing for migrant patients

From: What do primary care staff know and do about blood borne virus testing and care for migrant patients? A national survey

Question Blood borne virus (BBV) Total Number (%, 95CI) P (difference between questions) By frequency of seeing migrant patients   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   0.052   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   0.026   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
  1. Responses in bold indicate response used when creating dichotomised responses for Chi squared tests