Haukoos et al developed the Denver Human Immunodeficiency Virus (HIV) risk score to help to identify patients who should be screened for HIV infection. The authors are from Denver Health Medical Center.
Patient selection: age >= 13 years of age from a sexually-transmitted disease clinic or ED
Parameters:
(1) age in years
(2) gender
(3) race
(4) sex with a male
(5) vaginal intercourse
(6) receptive anal intercourse
(7) injection drug use
(8) past HIV testing
Parameter
Finding
Points
age in years
< 22 years of age
0
22 to 25
4
26 to 32
10
33 to 46
12
47 to 54
10
55 to 60
4
> 60 years of age
0
gender
female
0
male
21
race
black
9
Hispanic
3
other
0
sex with males
no
0
yes
22
vaginal intercourse
no
0
yes
-10
receptive anal intercourse
no
0
yes
8
injection drug use
no
0
yes
9
past HIV testing
no
0
yes
-4
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: -14
• maximum score: 81 (see caption to Figure 1 page 842).
• The higher the score the greater the risk for being HIV-positive.
Score
HIV Prevalence
< 20
0.3%
20 to 29
0.4%
30 to 39
1%
40 to 49
1.6%
>= 50
3.6%
Performance:
• The performance would depend on the prevalence of HIV disease in the population being studied.
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