Scope of Rapid HIV Testing in Private Nonprofit Urban Community Health Settings in the United States
April 9, 2008
To assess the extent of rapid HIV test availability outside the U.S. public health system, the authors examined testing patterns in a multi-stage national random sample of private, nonprofit, urban community clinics and community-based organizations.
Twelve primary metropolitan statistical areas in four regions were randomly sampled; 746 sites were randomly sampled across areas and telephoned. Staff at 575 sites (78 percent) were reached and of these, 375 were eligible and subsequently interviewed from 2005 to 2006.
Rapid HIV testing was offered by 17 percent of sites (22 percent of clinics, 10 percent of community-based organizations). Multivariate models showed rapid test availability was more likely among community clinics in the South (vs. West), clinics in areas with high HIV/AIDS prevalence, clinics with on-site laboratories and multiple locations, and clinics that conducted other diagnostic tests.
"Rapid HIV tests were provided infrequently in private, nonprofit, urban settings. Policies that encourage greater diffusion of rapid testing are needed, especially in community-based organizations and venues with fewer resources and less access to laboratories," the authors concluded.
Am Journal of Public Health
4.2008; Vol. 98; No. 4: P. 736-742; Laura M. Bogart, PhD; Devery Howerton, PhD; James Lange, PhD; Kirsten Becker, MPH; Claude Messan Setodji, PhD; Steven M. Asch, MD, MPH
This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.