Provision of Test Results and Posttest Counseling at STD Clinics in 24 Health Departments: U.S., 2007

Begley, Elin; VanHandel, Michelle

doi:10.1177/003335491212700411

Cited by 5 publications

(5 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 Expanded focus on (re-)linkage for persons previously diagnosed with HIV may have the potential to reduce disparities in HIV care outcomes and incidence outside NYC as well, as SHCs nationwide are a high-volume provider of HIV testing, diagnosis, and linkage services to underserved populations with substantial HIV prevalence. 13,19,28 Despite all patients in our study having received HIV diagnoses at least 12 months before their SHC visit, 7% received an HIV test, suggesting that they did not opt out of testing or inform the provider about a previous diagnosis. These patients were more likely to have been born female, exposed to HIV via heterosexual contact, diagnosed with HIV within the previous 1-3 years, and be accessing clinic services for the first time within a year.…”

Section: Discussionmentioning

confidence: 90%

HIV Care and Viral Load Suppression After Sexual Health Clinic Visits by Out-of-Care HIV-Positive Persons

Tymejczyk

Jamison

Pathela

et al. 2018

AIDS Patient Care and STDs

View full text Add to dashboard Cite

Outcomes among people living with HIV (PLWH) in New York City (NYC) remain suboptimal. To assess the potential role of the city's sexual health clinics (SHCs) in improving HIV outcomes and reducing HIV transmission, we examined HIV care status and its correlates among HIV-positive SHC patients in NYC. Clinic electronic medical records were merged with longitudinal NYC HIV surveillance data to identify HIV-positive patients and derive their retrospective and prospective HIV care status. Evidence of HIV care and viral load suppression (VLS) after clinic visit were considered outcomes. Logistic regression models were used to assess their correlates. A third of the 1045 PLWH who visited NYC SHCs in 2012 were out of HIV care (OOC) in the 12 months preceding the clinic visit, and were less likely than those previously in HIV care (IC) to have subsequent evidence of HIV care (42% vs. 72%) or VLS in the 12 months after the visit (39% vs. 76%). VLS was particularly low among patients diagnosed with ‡2 sexually transmitted infections (46%). The odds of VLS were lowest among those OOC before the clinic visit [versus those IC, adjusted odds ratio (aOR): 0.21, 95% confidence interval (CI): 0.16-0.29], non-Hispanic blacks (versus non-Hispanic whites, aOR: 0.58, 95% CI: 0.37-0.90), and residents of high-poverty neighborhoods (>30% vs. <10%, aOR: 0.51, 95% CI: 0.29-0.89). Our findings suggest that SHCs could serve as an intervention point to (re-)link PLWH to HIV care. Real-time provider alerts about patients' OOC status could help achieve that goal.

show abstract

Section: Discussionmentioning

confidence: 90%

HIV Care and Viral Load Suppression After Sexual Health Clinic Visits by Out-of-Care HIV-Positive Persons

Tymejczyk

Jamison

Pathela

et al. 2018

AIDS Patient Care and STDs

View full text Add to dashboard Cite

show abstract

“…29,30 HIV-infected youth testing at STD clinics were more likely to return to receive confirmatory testing than older HIV-infected adults. 31 Engaging young black MSM in the health system, offering HIV-preventative services, and providing routine HIV testing could decrease the number of new infections among the group with the highest HIV incidence.…”

Section: Correlates Of Hiv Infectionmentioning

confidence: 99%

The Adolescent and Young Adult HIV Cascade of Care in the United States: Exaggerated Health Disparities

Zanoni

Mayer²

2014

AIDS Patient Care and STDs

359

315

View full text Add to dashboard Cite

Little is known about how adolescents and young adults contribute to the declines in the cascade of care from HIV-1 diagnosis to viral suppression. We reviewed published literature from the Unites States reporting primary data for youth (13-29 years of age) at each stage of the HIV cascade of care. Approximately 41% of HIVinfected youth in the United States are aware of their diagnosis, while only 62% of those diagnosed engage medical care within 12 months of diagnosis. Of the youth who initiate antiretroviral therapy, only 54% achieve viral suppression and a further 57% are not retained in care. We estimate less than 6% of HIV-infected youth in the United States remain virally suppressed. We explore the cascade of care from HIV diagnosis through viral suppression for HIV-infected adolescents and young adults in the United States to highlight areas for improvement in the poor engagement of the infected youth population.

show abstract

“…These findings are consistent with previous findings indicating that STD clinics serve populations who are disproportionately at risk for HIV. 13,16–20 …”

Section: Discussionmentioning

confidence: 99%

“…13,16,17 In addition, they are more likely to reach clients who are younger, male, African American, and heterosexual persons who are at high risk for HIV infection, as well as MSM. 13,18–20 Previous studies have indicated that STD clinics report a higher frequency of HIV testing than other health care settings and are more likely to identify persons who are HIV-positive. 13,20,21 …”

mentioning

confidence: 99%

See 1 more Smart Citation

HIV Testing and HIV Service Delivery to Populations at High Risk Attending Sexually Transmitted Disease Clinics in the United States, 2011–2013

et al. 2015

View full text Add to dashboard Cite

Objectives We evaluated HIV testing and service delivery in Centers for Disease Control and Prevention (CDC)–funded sexually transmitted disease (STD) clinics. Methods We assessed HIV testing, HIV positivity, receipt of HIV test results, linkage to medical care, and referral services from 61 health department jurisdictions from 2011 to 2013. Results In 2013, 18.6% (621 010) of all CDC-funded HIV-testing events were conducted in STD clinics, and 0.8% were newly identified as HIV-positive. In addition, 27.3% of all newly identified HIV-positive persons and 30.1% of all newly identified HIV-positive men who have sex with men were identified in STD clinics. Linkage to care within any time frame was 63.8%, and linkage within 90 days was 55.3%. Although there was a decrease in first-time HIV testers in STD clinics from 2011 to 2013, identification of new positives increased. Conclusions Although linkage to care and referral to partner services could be improved, STD clinics appear successful at serving populations disproportionately affected by HIV. These clinics may reach persons who may not otherwise seek HIV testing or medical services and provide an avenue for service provision to these populations.

show abstract

Provision of Test Results and Posttest Counseling at STD Clinics in 24 Health Departments: U.S., 2007

Cited by 5 publications

References 25 publications

HIV Care and Viral Load Suppression After Sexual Health Clinic Visits by Out-of-Care HIV-Positive Persons

HIV Care and Viral Load Suppression After Sexual Health Clinic Visits by Out-of-Care HIV-Positive Persons

The Adolescent and Young Adult HIV Cascade of Care in the United States: Exaggerated Health Disparities

HIV Testing and HIV Service Delivery to Populations at High Risk Attending Sexually Transmitted Disease Clinics in the United States, 2011–2013

Contact Info

Product

Resources

About