Missed opportunities for HIV testing among high-risk heterosexuals
Jenness, Samuel M. Murrill, Christopher S. Liu, Kai-Lih. Wendel,
Travis. Begier, Elizabeth. Hagan, Holly.
HIV Epidemiology Program, New York City Department of Health and Mental
Hygiene, New York, New York 10003, USA. firstname.lastname@example.org
Missed opportunities for HIV testing among high-risk heterosexuals.
Sexually Transmitted Diseases. 36(11):704-10, 2009 Nov.
BACKGROUND: HIV testing is an important HIV prevention strategy, yet
heterosexuals at high risk do not test as frequently as other groups. We
examined the association of past year HIV testing and encounters with
institutional settings where the Centers for Disease Control and
Prevention recommends annual testing for high-risk heterosexuals. METHODS:
We recruited high-risk heterosexuals in New York City in 2006 to 2007
through respondent-driven sampling. Respondents were asked the date of
their most recent HIV test and any potential encounters with 4 testing
settings (homeless shelters, jails/prisons, drug treatment programs, and
health care providers). Analyses were stratified by gender. RESULTS: Of
the 846 respondents, only 31% of men and 35% of women had a past year HIV
test, but over 90% encountered at least one testing setting. HIV
seroprevalence was 8%. In multiple logistic regression, recent HIV testing
was significantly associated with recent encounters with homeless shelters
and jails/prisons for men, and encounters with health care providers for
both men and women. CONCLUSIONS: HIV testing was low overall but higher
for those with exposures to potential routine testing settings. Further
expansion of testing in these settings would likely increase testing rates
and may decrease new HIV infections among high-risk heterosexuals.
Journal Article. Research Support, Non-U.S. Gov't. Research Support,
U.S. Gov't, P.H.S..