Seroprevalence Study Using Oral Rapid HIV Testing in a Large Urban Emergency Department

Jain, Sachin H.; Lowman, Erik; Kessler, Adam; Harper, J.; Rumoro, Dino P.; Smith, Kimberly Y.; Purim‐Shem‐Tov, Yanina A.; Kessler, Harold A.

doi:10.1016/j.jemermed.2012.02.021

Cited by 15 publications

(13 citation statements)

References 31 publications

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“…Lack of perceived risk has been identified in prior studies in other venues as a frequent reason for individuals to decline opportunities for testing (23 – 25). In the present sample, groups of individuals in categories that have historically had high seroprevalence, African Americans and injection drug users, were more likely to be tested than other groups.…”

Section: Discussionmentioning

confidence: 96%

Uptake of HIV Testing in Substance Use Disorder Treatment Programs That Offer On-Site Testing

et al. 2014

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Increasing rates of HIV testing within substance use disorder (SUD) treatment clients is an important public health strategy for reducing HIV transmission rates. The present study examined uptake of HIV testing among 1224 clients in five SUD treatment units that offered on-site testing in Florida, New York, and California. Nearly one third (30%) of the participants, who had not previously tested positive, reported not having been tested for HIV within the past twelve months. Women, African Americans, and injection drug users had a higher likelihood of having been tested within the past twelve months. The SUD treatment program was the most frequently identified location of participants’ last HIV test. Despite the availability of free, on-site testing, a substantial proportion of clients were not tested, suggesting that strategies to increase uptake of testing should include addressing barriers not limited to location and cost.

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Section: Discussionmentioning

confidence: 96%

Uptake of HIV Testing in Substance Use Disorder Treatment Programs That Offer On-Site Testing

et al. 2014

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“…4 Studies have shown that adolescents and young adults are more likely to receive an HIV test if the test is offered vs. requested; if the test is given in a convenient setting, such as an emergency department or school-or community-based clinic; and if the result is available immediately. [5][6][7][8][9] A study on HIV testing among individuals aged 13-22 years found that more than 70% of adolescents and young adults preferred rapid HIV testing, which produces preliminary results in 20 minutes, to traditional testing, which produces results after several days. 10 In 2006, the Centers for Disease Control and Prevention (CDC) recommended that health-care settings implement routine, opt-out HIV testing to adolescents and adults aged 13-64 years, regardless of risk.…”

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confidence: 99%

Integrating Routine HIV Testing into Family Planning Clinics That Treat Adolescents and Young Adults

2016

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Objective. Adolescents and young adults remain at high risk for new HIV infections and for unknowingly transmitting the virus to others. Yet, they have demonstrated low rates of testing due to barriers such as stigma and difficulty accessing testing services. Few existing programs have successfully integrated family planning and HIV care services to improve testing and diagnosis rates among young adults and adolescents, particularly those of minority groups. This study describes the process of implementing HIV services into family planning clinics and how to train staff in routine, opt-out testing.Methods. This study used HIV screening data from 10 family planning clinics serving adolescents and young adults in Houston, Texas. A total of 34,299 patients were tested for HIV during a 48-month study period, from January 2010 through December 2014.Results. Patients tested included minors ,18 years of age (25.5%), males (22.8%), and individuals who had missed opportunities for HIV testing at other health-care settings. From the opt-in period (2006)(2007) to the routine, opt-out period (2008)(2009)(2010), the yearly average number of tests administered more than doubled; the yearly average increased again by 50% from the routine, opt-out period to the routine, rapid period (2011)(2012)(2013)(2014). Eighty-eight (0.3%) patients were diagnosed with HIV, a higher seropositivity rate than CDC's recommended threshold of 0.1% for settings where routine screening is warranted.Conclusion. Routine, opt-out HIV testing integrated into family planning clinics increased rates of testing acceptance, receipt of test results, and HIV-positive diagnoses among adolescents and young adults.

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“…The oral fluid-based PoC test allowed access to these individuals for HIV testing for the first time in Bangladesh and it was found to be highly acceptable for diverse reasons ranging from personal tangible benefits, painless test procedure, and availability of the test and its result at the door step. Such preference for oral fluid-based PoC test has also been reported in a rural hospital and among males who have sex with males and truck drivers in India [ 36 , 37 ], among key populations in Australia [ 38 ], clients attending the emergency department in USA [ 39 ] and members of the general population in Tanzania [ 40 ]. A systematic review for both supervised and unsupervised testing among high and low-risk general populations also recorded high acceptance [ 41 ].…”

Section: Discussionmentioning

confidence: 64%

Point of care HIV testing with oral fluid among returnee migrants in a rural area of Bangladesh

Alam

Khan

Reza

et al. 2016

Current Opinion in HIV and AIDS

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ObjectivesTo determine HIV prevalence and assess the acceptability of HIV testing using oral fluid as a point of care (PoC) test method among returnee migrants in a rural area of Bangladesh.DesignA cross-sectional study.MethodsMatlab is a rural area southeast of Dhaka where icddr,b hosts a health and demographic surveillance system covering 225 826 people of whom 934 are returnee migrants. The sample size of 304 was proportionately distributed among randomly selected households. HIV antibodies in oral fluid were tested using OraQuick Rapid HIV 1/2 antibody test. To understand reasons of acceptability a short questionnaire was applied and 32 in-depth interviews were conducted.ResultsOf 304 returnee migrants approached, 97.4% accepted the test. The prevalence of HIV was 0.3% without a confirmatory blood test. Reasons for acceptance included easy accessibility of the test at the door-step which saved resources (i.e., time and money), comfortable test-procedure without any pain and fear, and receiving quick results with confidentiality. Some described knowing HIV status as a way to ‘get certified’ (of sexual fidelity) and to confront a prevailing silent stigma against migrants. Acceptability was moreover found to be grounded in icddr,b's institutional reputation and its close relationship with the local community.ConclusionsThe PoC oral fluid test for HIV has shown for the first time that assessment of HIV prevalence in rural-based returnee migrants is possible. Findings also suggest that PoC oral fluid test has the potential of increasing accessibility to HIV testing as it was found to be highly acceptable.

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Seroprevalence Study Using Oral Rapid HIV Testing in a Large Urban Emergency Department

Cited by 15 publications

References 31 publications

Uptake of HIV Testing in Substance Use Disorder Treatment Programs That Offer On-Site Testing

Uptake of HIV Testing in Substance Use Disorder Treatment Programs That Offer On-Site Testing

Integrating Routine HIV Testing into Family Planning Clinics That Treat Adolescents and Young Adults

Point of care HIV testing with oral fluid among returnee migrants in a rural area of Bangladesh

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