Opportunities for targeting publicly funded human immunodeficiency virus counseling and testing

Article Abstract:

Certain HIV testing sites and risk groups should be targeted for federal funding. Researchers analyzed 1,281,606 HIV test results from 2,027 US testing sites. Forty percent of the tests occurred in HIV counseling and testing centers, 32% in sexually transmitted disease (STD) clinics and 8% in family planning clinics. Overall, HIV-positivity was five times higher in STD clinics than in family planning clinics. However, HIV-positivity rates varied by site and by region. Sites with low HIV-positivity rates one year were more likely to have a low rate the following year. People who tested negative in a previous visit were likely to test negative on follow-up. At sites with low rates of HIV-positivity, people with no risk factors were likely to test negative. However, at sites with a high rate of HIV-positivity, people with no risk factors were more likely to test positive. Men, blacks and Hispanics and people aged 30 to 39 years were more likely to test positive.

Finance, Demographic aspects, HIV seropositivity, HIV positive

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Eliminating access to anonymous HIV antibody testing in North Carolina: effects on HIV testing and partner notification

Article Abstract:

Eliminating the anonymous nature of HIV tests will reduce the number of people who will be tested but may increase the notification of sexual partners. This was discovered in North Carolina in 1991 when the state phased out anonymous testing in some counties. Although the number of people tested increased overall, the increase was smaller in counties that had eliminated anonymous testing. However, the rates of partner notification increased in these counties. There was no effect on testing or partner notification rates when anonymous testing was restored in 1993.

Analysis, Confidential communications

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Home collection kits for HIV testing: evaluation of three strategies for dealing with insufficient dried blood specimens

Article Abstract:

Performing an enzyme immunoassay test on blood samples from home HIV test kits, even when the quantity of blood is insufficient for a confirmatory Western blot test, would improve home testing. Reporting such test results as "reactive" or "HIV negative", as appropriate, would permit more than 99% of consumers to obtain a result from a single blood sample and thereby require fewer retests.

United States, Statistical Data Included, Diagnosis, HIV infection, HIV infections, Enzyme-linked immunosorbent assay, Home medical tests, HIV home tests

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