The study's aims were to describe rapid and conventional HIV testing practices and referrals/linkages to services posttest among homeless youth in New York City. We also examined variation among service-involved youth, street youth, and "nomads." Respondent-driven sampling was used to recruit 217 homeless youth who participated in structured interviews. Almost all youth were tested in the past year (82%). Most received pretest/posttest counseling (> 77%). Rapid testing was common and conducted in diverse settings. However, youth reported that rates of referral/linkage to services posttest were low (< 44.4%). Service-involved youth were significantly more likely to receive rapid testing, be tested in the past year, and be tested at a high frequency. Street youth and nomads, those at highest risk for poor health outcomes, had less access to testing and may require creative, low-threshold services. Further, a better understanding of barriers to the use of referrals/linkages to services posttest is needed.
This paper describes the development of a community-based family HIV clinic in south London, an area with one of the highest rates of HIV seroprevalence in the UK. The King's family clinic was developed by broadening existing interdisciplinary services for women with HIV, utilizing the strengths of community-based paediatric care as well as integrating paediatric support from acute hospital-based services. Different models of care for children infected or affected by HIV and problems encountered in developing the service, including ethical dilemmas, and current activity are discussed.
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