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Marcell AV, Okano L, Pilgrim NA, Jennings JM, Page KR, Sanders R, Loosier PS, Dittus PJ. Prevalence of HIV Testing Provision at Community Organizations Serving Young People in a Mid-Atlantic City, 2013-2014. Public Health Rep 2017; 132:203-209. [PMID: 28118800 DOI: 10.1177/0033354916689616] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES Little is known about the prevalence of human immunodeficiency virus (HIV) testing at community organizations or the organizational characteristics associated with testing. The objective of this study was to describe (1) the prevalence of HIV testing at community organizations serving young people in a mid-Atlantic urban city and (2) the characteristics associated with organizations that provide such testing. METHODS We conducted telephone or in-person surveys between February 2013 and March 2014 with 51 directors and administrators of community organizations serving young people. We asked whether the organization provided HIV screening or testing, and we collected data on organizational characteristics (eg, setting, client, and staff member characteristics; services offered). We generated frequencies on measures and used Poisson regression analysis to examine the association between testing and organizational characteristics. RESULTS Of the 51 organizations surveyed, 21 provided HIV testing. Of the 30 organizations that did not provide HIV testing, only 7 had a relationship with programs that did provide it. Characteristics associated with the provision of HIV testing included offering general health services (relative risk [RR] = 4.57; 95% confidence interval [CI], 1.68-12.48; P = .003) and referral services for sexually transmitted infection screening (RR = 5.77; 95% CI, 1.70-19.59; P = .005) and HIV care (RR = 4.78; 95% CI, 1.61-14.21; P = .005), as well as among administrators who perceived their staff members were comfortable talking with young people about sexual health (RR = 3.29; 95% CI, 1.28-8.49; P = .01). CONCLUSIONS The prevalence of HIV testing provision at organizations serving young people in this mid-Atlantic city was low, and few organizations offered linkages to HIV testing. Strategies are needed to increase the provision of HIV testing at community organizations serving young people, whether through direct or linked approaches.
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Affiliation(s)
- Arik V Marcell
- 1 School of Medicine, Johns Hopkins University, Baltimore, MD, USA.,2 Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | - Lauren Okano
- 2 Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | | | - Jacky M Jennings
- 1 School of Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - Kathleen R Page
- 1 School of Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - Renata Sanders
- 1 School of Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - Penny S Loosier
- 4 Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Patricia J Dittus
- 4 Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA
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2
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Esteban-Vasallo MD, Domínguez-Berjón MF, García-Riolobos C, Morán-Arribas M, Rico-Bermejo J, Collado-González S, Aguirre Martín-Gil R, López Arilla G, Ultra-Berzosa J, Jiménez-García R. Factors Associated to a Reactive Result of Rapid-HIV Test in Socio-culturally Adapted Services in Primary Care in Spain. AIDS Behav 2015; 19:2370-9. [PMID: 26267252 DOI: 10.1007/s10461-015-1162-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The Services of Prevention and Early diagnosis of HIV in Madrid (Spain) are set in selected primary care centers. Cultural mediators targeted to vulnerable groups (economic immigrants, MSM, sex workers…) perform risk assessment and counselling. Between 2010 and 2014 they performed 6 039 rapid-HIV test, 27.8 % in MSM, 41.2 % in men who have sex exclusively with women (MSW) and 31.0 % in women; 35.7 % in immigrants, mainly from Latin America. A reactive result was more common among MSM (6.0 %) compared to women (0.6 %) and MSW (0.5 %). In MSM it was associated to being immigrant and to antecedents of sexually transmitted infections (STI). Among MSW the factors associated to a reactive result were: seropositivity of sexual partner and heroine consumption, and in women: infrequent use of condoms, seropositivity of sexual partner and antecedents of STI. Preventive interventions to reduce risk of HIV transmission and for early detection should be adapted and targeted to high risk population.
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Affiliation(s)
- M D Esteban-Vasallo
- Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain.
| | - M F Domínguez-Berjón
- Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain
| | - C García-Riolobos
- Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain
| | - M Morán-Arribas
- Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain
| | - J Rico-Bermejo
- Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain
| | - S Collado-González
- Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain
| | - R Aguirre Martín-Gil
- Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain
| | | | - J Ultra-Berzosa
- Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain
| | - R Jiménez-García
- Preventive Medicine Unit, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón, 28402, Madrid, Spain
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3
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Lewis NM, Gahagan JC, Stein C. Preferences for rapid point-of-care HIV testing in Nova Scotia, Canada. Sex Health 2014; 10:124-32. [PMID: 23369262 DOI: 10.1071/sh12100] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2012] [Accepted: 10/01/2012] [Indexed: 11/23/2022]
Abstract
Rapid point-of-care (POC) testing for HIV has been shown to increase the uptake of testing, rates of clients receiving test results, numbers of individuals aware of their status and timely access to care for those who test positive. In addition, several studies have shown that rapid POC testing for HIV is highly acceptable to clients in a variety of clinical and community-based health care settings. Most acceptability studies conducted in North America, however, have been conducted in large, urban environments where concentrations of HIV testing sites and testing innovations are greatest. Using a survey of client preferences at a sexual health clinic in Halifax, Nova Scotia, we suggest that HIV test seekers living in a region outside of Canada's major urban HIV epicentres find rapid POC testing highly acceptable. We compare the results of the Halifax survey with existing acceptability studies of rapid POC HIV testing in North America and suggest ways in which it might be of particular benefit to testing clients and potential clients in Nova Scotia and other regions of Canada that currently have few opportunities for anonymous or rapid testing. Overall, we found that rapid POC HIV testing was highly desirable at this study site and may serve to overcome many of the challenges associated with HIV prevention and testing outside of well-resourced metropolitan environments.
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Affiliation(s)
- Nathaniel M Lewis
- Gender and Health Promotion Studies Unit, Health Promotion Division, School of Health and Human Performance, Dalhousie University, Halifax, NS B3H 4R2, Canada
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4
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Esteban-Vasallo MD, Morán-Arribas M, García-Riolobos C, Domínguez-Berjón MF, Rico-Bermejo J, Collado-González S, Jiménez-García R, Guionnet A, de la Fuente BP, El Kertat R, Coundoul A, Martín-Gil RA. Targeted rapid HIV testing in public primary care services in Madrid. Are we reaching the vulnerable populations? Int J Infect Dis 2014; 19:39-45. [DOI: 10.1016/j.ijid.2013.10.006] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2013] [Revised: 10/03/2013] [Accepted: 10/05/2013] [Indexed: 11/16/2022] Open
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5
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Glasman LR, Weinhardt LS, Hackl KL. Disparities in access to HIV prevention among men of Mexican descent living in the Midwestern United States. J Immigr Minor Health 2012; 13:1125-33. [PMID: 20686851 DOI: 10.1007/s10903-010-9373-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Men of Mexican descent (MMD) in the U.S. are disproportionately affected by HIV. Understanding MMD's access to HIV prevention is necessary to reduce their transmission rates. We explored disparities in access to HIV prevention among MMD of different assimilation status, healthcare access, and sexual risk behavior. 322 Midwestern MMD completed a survey assessing their access to passive interventions (e.g., lectures), interactive interventions (e.g., counseling), HIV testing, media information, and information from the Internet. 64% MMD had received passive interventions, 36% interactive interventions, 42% HIV testing, 41% information from media, and 12% from the Internet. MMD who were less assimilated to the U.S., had lower healthcare access, and were at risk for HIV, were less likely to have accessed prevention interventions but more likely to have received media information. Access to HIV prevention among Midwestern MMD is tied to their assimilation and healthcare access. Findings have implications for developing strategies of intervention delivery.
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Affiliation(s)
- Laura R Glasman
- Center for AIDS Intervention Research, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI 53202, USA.
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6
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Farnham PG, Sansom SL, Hutchinson AB. How Much Should We Pay for a New HIV Diagnosis? A Mathematical Model of HIV Screening in US Clinical Settings. Med Decis Making 2012; 32:459-69. [DOI: 10.1177/0272989x11431609] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective. To develop a model to assist clinical setting decision makers in determining how much they can spend on human immunodeficiency virus (HIV) screening and still be cost-effective. Design. The authors developed a simple mathematical model relating the program cost per new HIV diagnosis to the cost per HIV infection averted and the cost per quality-adjusted life year (QALY) saved by screening. They estimated outcomes based on behavioral changes associated with awareness of HIV infection and applied the model to US sexually transmitted disease clinics. Methods. The authors based the cost per new HIV diagnosis (2009 US dollars) on the costs of testing and the proportion of persons who tested positive. Infections averted were calculated from the reduction in annual transmission rates between persons aware and unaware of their infections. The authors defined program costs from the sexually transmitted disease clinic perspective and treatment costs and QALYs saved from the societal perspective. They undertook numerous sensitivity analyses to determine the robustness of the base case results. Results. In the base case, the cost per new HIV diagnosis was $2528, the cost per infection averted was $40,516, and the cost per QALY saved was less than zero, or cost-saving. Given the model inputs, the cost per new diagnosis could increase to $22,909 to reach the cost-saving threshold and to $63,053 for the cost-effectiveness threshold. All sensitivity analyses showed that the cost-effectiveness results were consistent for extensive variation in the values of model inputs. Conclusions. HIV screening in a clinical setting is cost-effective for a wide range of testing costs, variations in positivity rates, reductions in HIV transmissions, and variation in the receipt of test results.
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Affiliation(s)
- Paul G. Farnham
- Centers for Disease Control and Prevention, Atlanta, Georgia (PGF, SLS, ABH)
| | - Stephanie L. Sansom
- Centers for Disease Control and Prevention, Atlanta, Georgia (PGF, SLS, ABH)
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7
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Ober AJ, Iguchi MY, Weiss RE, Gorbach PM, Heimer R, Ouellet LJ, Shoptaw S, Anglin MD, Zule WA. The relative role of perceived partner risks in promoting condom use in a three-city sample of high-risk, low-income women. AIDS Behav 2011; 15:1347-58. [PMID: 20976538 PMCID: PMC3180610 DOI: 10.1007/s10461-010-9840-7] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
We examined the effect of women’s perceptions of sexual partner risks on condom use. Women from three US cities (n = 1,967) were recruited to provide data on HIV risks. In univariate models, increased odds of condom use were associated with perceiving that partners had concurrent partners and being unaware of partners': (a) HIV status, (b) bisexuality, (c) concurrency; and/or (d) injection drug use. In multivariate models, neither being unaware of the four partner risk factors nor perceiving a partner as being high risk was associated with condom use. Contextual factors associated with decreased odds of condom use were having sex with a main partner, homelessness in the past year, alcohol use during sex, and crack use in the past 30 days. Awareness of a partner’s risks may not be sufficient for increasing condom use. Contextual factors, sex with a main partner in particular, decrease condom use despite awareness of partner risk factors.
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Affiliation(s)
- Allison J Ober
- Integrated Substance Abuse Programs, David Geffen School of Medicine, Semel Institute for Neuroscience and Behavior, University of California, Los Angeles, 90025, USA.
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8
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Thompson MP, Hidalgo D, Kim A, Qasim Ansari M. The VITROS Immunodiagnostics Products Anti-HIV 1+2 Assay: A Rapid and Reliable Method for HIV Screening. Lab Med 2011. [DOI: 10.1309/lmvs6pfqp97hiuyv] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Johns MM, Bauermeister JA, Zimmerman MA. Individual and Neighborhood Correlates of HIV testing among african american youth transitioning from adolescence into young adulthood. AIDS EDUCATION AND PREVENTION : OFFICIAL PUBLICATION OF THE INTERNATIONAL SOCIETY FOR AIDS EDUCATION 2010; 22:509-22. [PMID: 21204627 PMCID: PMC3051374 DOI: 10.1521/aeap.2010.22.6.509] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
Disparities in HIV testing rates exist among socially disadvantaged communities. Using a longitudinal sample of urban African American youth followed from adolescence into young adulthood (n = 396; 51% female), we examined whether HIV testing was associated with individual (e.g., gender, socioeconomic status [SES], education, and history of sexually transmitted infections [STIs]) and area (i.e., neighborhood disadvantage and HIV prevalence) characteristics. In our multilevel regressions, we found females were more likely to have tested for HIV, with the magnitude of this association increasing if they lived in areas of greater disadvantage yet decreasing in higher HIV prevalence areas. Those without a high school degree, with a lower SES, or with a history of STIs in adolescence were less likely to test if they lived in greater disadvantage and HIV prevalence areas. We discuss the implications of these findings from an ecological perspective and propose recommendations for increasing testing among African American youth.
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Affiliation(s)
- Michelle Marie Johns
- Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan
| | - José A. Bauermeister
- Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan
| | - Marc A. Zimmerman
- Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan
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10
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Pinkerton SD, Bogart LM, Howerton D, Snyder S, Becker K, Asch SM. Cost of rapid HIV testing at 45 U.S. hospitals. AIDS Patient Care STDS 2010; 24:409-13. [PMID: 20578906 DOI: 10.1089/apc.2009.0348] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
In 2006, the United States Centers for Disease Control and Prevention (CDC) recommended expanded and routine use of single-session rapid HIV tests in all health care settings to increase the proportion of persons who learn their HIV status. Limited empiric information is available regarding the costs of rapid testing and pre- and posttest counseling in health care settings. We surveyed 45 U.S. hospitals during 2005 through 2006 to assess the costs associated with rapid testing and counseling. Cost analyses were conducted from the provider (hospital) perspective, and results were expressed in year 2006 U.S. dollars. The mean per-test cost of rapid HIV testing and counseling was $48.07 for an HIV-negative test and $64.17 for a preliminary-positive test. Pre- and posttest counseling costs accounted for 38.4% of the total cost of rapid testing for HIV-negative patients. Counseling costs were significantly correlated with overall test costs. Many hospitals contained overall test costs by limiting time spent in pre- and posttest counseling or by using lower-paid personnel for counseling activities or both. Counseling costs constituted a significant proportion of the overall costs of rapid testing and counseling activities at study hospitals. Our data provide useful baseline data before implementation of the CDC's 2006 recommendations. Costs can be reduced by limiting time spent in pre- and posttest counseling or by using lower-paid personnel for counseling activities or both.
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Affiliation(s)
- Steven D. Pinkerton
- Center for AIDS Intervention Research, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin
| | - Laura M. Bogart
- RAND Corporation Health Program, Santa Monica, California
- Children's Hospital Boston/Harvard Medical School, Boston, Massachusetts
| | - Devery Howerton
- Laboratory Practice Evaluation and Genomics Branch, Division of Laboratory Systems, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Susan Snyder
- VA Greater Los Angeles Healthcare Network, Los Angeles, California
| | - Kirsten Becker
- RAND Corporation Health Program, Santa Monica, California
| | - Steven M. Asch
- RAND Corporation Health Program, Santa Monica, California
- VA Greater Los Angeles Healthcare Network, Los Angeles, California
- David Geffen School of Medicine at UCLA, Los Angeles, California
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11
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Bogart LM, Howerton D, Lange J, Setodji CM, Becker K, Klein DJ, Asch SM. Provider-related barriers to rapid HIV testing in U.S. urban non-profit community clinics, community-based organizations (CBOs) and hospitals. AIDS Behav 2010; 14:697-707. [PMID: 18770022 DOI: 10.1007/s10461-008-9456-3] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2008] [Accepted: 08/22/2008] [Indexed: 10/21/2022]
Abstract
We examined provider-reported barriers to rapid HIV testing in U.S. urban non-profit community clinics, community-based organizations (CBOs), and hospitals. 12 primary metropolitan statistical areas (PMSAs; three per region) were sampled randomly, with sampling weights proportional to AIDS case reports. Across PMSAs, all 671 hospitals and a random sample of 738 clinics/CBOs were telephoned for a survey on rapid HIV test availability. Of the 671 hospitals, 172 hospitals were randomly selected for barriers questions, for which 158 laboratory and 136 department staff were eligible and interviewed in 2005. Of the 738 clinics/CBOs, 276 were randomly selected for barriers questions, 206 were reached, and 118 were eligible and interviewed in 2005-2006. In multivariate models, barriers regarding translation of administrative/quality assurance policies into practice were significantly associated with rapid HIV testing availability. For greater rapid testing diffusion, policies are needed to reduce administrative barriers and provide quality assurance training to non-laboratory staff.
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12
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Marsh KA, Reynolds GL, Rogala BE, Fisher DG, Napper LE. Who Chooses a Rapid Test for HIV in Los Angeles County, California? Eval Health Prof 2010; 33:177-96. [DOI: 10.1177/0163278710361929] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The purpose of this study was to determine who chooses a rapid test for HIV when given a choice in a community-based or mobile van setting in Long Beach, California. Individuals were given a choice of either rapid or standard HIV testing either alone or in conjunction with testing for sexually transmitted diseases (STD). Of the 2,752 HIV tests performed between March 2005 and March 2009, 917 (33%) were rapid tests. Preference for rapid HIV testing was among men who have sex with men (MSM), who reported using alcohol in the last 48 hr but who did not endorse the use of illicit drugs; individuals reporting sex trading were also more likely to choose the rapid HIV test. African Americans, regardless of sexual identification, were significantly less likely to choose an HIV rapid test. Strategies are needed to encourage HIV rapid testing among both noninjection and injection drug users, and other at-risk groups.
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Affiliation(s)
- Kimberly A. Marsh
- Center for Behavioral Research and Services, California State University, Long Beach, CA, SA
| | - Grace L. Reynolds
- Center for Behavioral Research and Services, California State University, Long Beach, CA, SA,
| | - Bridget E. Rogala
- Center for Behavioral Research and Services, California State University, Long Beach, CA, SA
| | - Dennis G. Fisher
- Center for Behavioral Research and Services, California State University, Long Beach, CA, SA
| | - Lucy E. Napper
- Center for Behavioral Research and Services, California State University, Long Beach, CA, SA
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13
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Tucker JD, Yang LG, Zhu ZJ, Yang B, Yin YP, Cohen MS, Chen XS. Integrated syphilis/HIV screening in China: a qualitative analysis. BMC Health Serv Res 2010; 10:58. [PMID: 20205942 PMCID: PMC2839979 DOI: 10.1186/1472-6963-10-58] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2009] [Accepted: 03/07/2010] [Indexed: 11/21/2022] Open
Abstract
Background The last decade has seen enormous advances in HIV treatment and care, but how to implement scaled up HIV testing, prevention, and treatment in low-income areas still presents a formidable public health challenge. South China faces expanding syphilis and sexually transmitted HIV epidemics, but health systems characteristics important for scaling up syphilis and HIV testing have not been defined. Methods A purposive sample to ensure public, private, and public-private hybrid STI clinic inclusion was selected in a South China city. Eight key informant interviews were conducted with the STI clinic manager, followed by eight focus group discussions with physicians. Data collection relied on a semi-structured format that included questions in each of the following domains: 1) clinical facilities; 2) laboratory capacity with a focus on syphilis/HIV diagnosis; 3) clinic personnel; 4) physical space with a focus on locations to disclose confidential results; 5) financial support. Results Public STI clinics had free syphilis testing/treatment and laboratory facilities to perform essential syphilis and HIV tests. However, despite serving a large number of STI patients, private STI clinics lacked nontreponemal syphilis testing, HIV testing, and had fewer connections to the public health infrastructure. Formally trained assistant physicians were 2.5 times as common as physicians at STI clinics. Only one of the 8 sites had onsite voluntary counseling and testing (VCT) services available. Conclusion These STI case studies reveal the potential for expanding integrated syphilis/HIV services at public STI clinics in China. More health services research is needed to guide scale-up of syphilis/HIV testing in China.
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Affiliation(s)
- Joseph D Tucker
- Division of Infectious Diseases, Massachusetts General Hospital, Boston, MA, USA.
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14
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Outlaw AY, Naar-King S, Parsons JT, Green-Jones M, Janisse H, Secord E. Using motivational interviewing in HIV field outreach with young African American men who have sex with men: a randomized clinical trial. Am J Public Health 2010; 100 Suppl 1:S146-51. [PMID: 20147689 DOI: 10.2105/ajph.2009.166991] [Citation(s) in RCA: 70] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES We sought to determine whether field outreach with motivational interviewing, as compared with traditional field outreach, leads to increases in HIV counseling and testing and rates of return for test results among young African American men who have sex with men (MSM). METHODS In a randomized, 2-group, repeated-measures design, 96 young African American MSM completed a motivational interviewing-based field outreach session and 92 young African American MSM completed a traditional field outreach session. The percentages of participants agreeing to traditional HIV counseling and testing (an oral swab of the cheek) and returning for test results were the primary outcome measures. RESULTS More of the participants in the motivational interviewing condition than the control condition received HIV counseling and testing (49% versus 20%; chi(2)(1) = 17.94; P = .000) and returned for test results (98% versus 72%; chi(2)(1) = 10.22; P = .001). CONCLUSIONS The addition of motivational interviewing to field outreach is effective in encouraging high-risk young African American MSM to learn their HIV status. Also, peer outreach workers can be effectively trained to reduce health disparities by providing evidence-based brief counseling approaches targeting high-risk minority populations.
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Affiliation(s)
- Angulique Y Outlaw
- Carman and Ann Adams Department of Pediatrics, Wayne State University, Detroit, MI 48201, USA.
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15
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Pinkerton SD, Bogart LM, Howerton D, Snyder S, Becker K, Asch SM. Cost of OraQuick oral fluid rapid HIV testing at 35 community clinics and community-based organizations in the USA. AIDS Care 2009; 21:1157-62. [DOI: 10.1080/09540120902729940] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Steven D. Pinkerton
- a Department of Psychiatry and Behavioral Medicine , Center for AIDS Intervention Research, Medical College of Wisconsin , Milwaukee , WI , USA
| | - Laura M. Bogart
- b RAND Corporation, Health Program , Santa Monica , CA , USA
- c Children's Hospital Boston/Harvard Medical School , USA
| | - Devery Howerton
- d Laboratory Practice Evaluation and Genomics Branch, Centers for Disease Control and Prevention, Division of Laboratory Systems , Atlanta , GA , USA
| | - Susan Snyder
- d Laboratory Practice Evaluation and Genomics Branch, Centers for Disease Control and Prevention, Division of Laboratory Systems , Atlanta , GA , USA
| | - Kirsten Becker
- b RAND Corporation, Health Program , Santa Monica , CA , USA
| | - Steven M. Asch
- b RAND Corporation, Health Program , Santa Monica , CA , USA
- e VA Greater Los Angeles Healthcare Network , Los Angeles , CA , USA
- f David Geffen School of Medicine at UCLA , Los Angeles , CA , USA
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16
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Tepper NK, Farr SL, Danner SP, Maupin R, Nesheim SR, Cohen MH, Rivero YA, Webber MP, Bulterys M, Lindsay MK, Jamieson DJ. Rapid human immunodeficiency virus testing in obstetric outpatient settings: the MIRIAD study. Am J Obstet Gynecol 2009; 201:31.e1-6. [PMID: 19398094 DOI: 10.1016/j.ajog.2009.02.023] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2008] [Revised: 12/01/2008] [Accepted: 02/26/2009] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To evaluate the acceptability and feasibility of rapid human immunodeficiency virus testing in obstetric outpatient settings. STUDY DESIGN The Mother-Infant Rapid Intervention at Delivery (MIRIAD) study was a prospective, multicenter study. Women were offered rapid and conventional human immunodeficiency virus testing if they presented to outpatient settings late in pregnancy with undocumented human immunodeficiency virus status. We compared median times between conventional and rapid testing and between rapid point-of-care and rapid laboratory-based testing. RESULTS Among eligible women who were offered participation, 90% accepted testing. The median time from blood draw to result available was faster for rapid testing (25 minutes) than conventional testing (23 hours; P < .0001). For rapid tests, point-of-care testing was faster than laboratory-based testing (24 minutes vs 35 minutes; P < .0001). Almost 96% of rapid test results were available within 1 hour. CONCLUSION Rapid human immunodeficiency virus testing is acceptable, feasible, and provides results far sooner than conventional testing in obstetric outpatient settings.
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Affiliation(s)
- Naomi K Tepper
- Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
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