HIV Testing Histories and Risk Factors Among Migrants and Recent Immigrants Who Received Rapid HIV Testing from Three Community-Based Organizations

Objectives. This article describes the demographic and behavioral characteristics, human immunodeficiency virus (HIV) testing history, and results of HIV testing of transgender (TG) people recruited for rapid HIV testing by community-based organizations (CBOs) in three cities. Methods. CBOs in Miami Beach, Florida, New York City, and San Francisco offered TG people rapid HIV testing and prevention services, and conducted a brief survey. Participants were recruited in outreach settings using various strategies. The survey collected information on demographic characteristics, HIV risk behaviors, and HIV testing history. Results. Among 559 male-to-female (MTF) TG participants, 12% were newly diagnosed with HIV infection. None of the 42 female-to-male participants were newly diagnosed with HIV. A large proportion of MTF TG participants reported high-risk behaviors in the past year, including 37% who reported unprotected receptive anal intercourse and 44% who reported commercial sex work. Several factors were independently associated with increased likelihood of being newly diagnosed with HIV infection among MTF TG participants, including having a partner of unknown HIV status in the past year; being 20–29 or ≥40 years of age; having last been tested for HIV more than 12 months ago; and having been recruited at the New York City site. Conclusions. Based on the high proportion of undiagnosed HIV infection among those tested, TG people represent an important community for enhanced HIV testing and prevention efforts. MTF TG people should be encouraged to have an HIV test at least annually or more often if indicated, based upon clinical findings or risk behaviors. Efforts should continue for developing novel strategies to overcome barriers and provide HIV testing and prevention services to TG people.

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Cost-Effectiveness of Finding New HIV Diagnoses Using Rapid HIV Testing in Community-Based Organizations

Public Health Reports ◽

10.1177/00333549081230s312 ◽

2008 ◽

Vol 123 (3_suppl) ◽

pp. 94-100 ◽

Cited By ~ 43

Author(s):

Ram K. Shrestha ◽

Hollie A. Clark ◽

Stephanie L. Sansom ◽

Binwei Song ◽

Holly Buckendahl ◽

...

Keyword(s):

Cost Effectiveness ◽

Hiv Testing ◽

Kansas City ◽

Hiv Diagnosis ◽

Community Based ◽

Rapid Hiv Testing ◽

Community Based Organizations ◽

The People ◽

Program Costs ◽

The Cost

Objective. We assessed the cost-effectiveness of determining new human immunodeficiency virus (HIV) diagnoses using rapid HIV testing performed by community-based organizations (CBOs) in Kansas City, Missouri, and Detroit, Michigan. Methods. The CBOs performed rapid HIV testing during April 2004 through March 2006. In Kansas City, testing was performed in a clinic and in outreach settings. In Detroit, testing was performed in outreach settings only. Both CBOs used mobile testing vans. Measures of effectiveness were the number of HIV tests performed and the number of people notified of new HIV diagnoses, based on rapid tests. We retrospectively collected program costs, including those for personnel, test kits, mobile vans, and facility space. Results. The CBO in Kansas City tested a mean of 855 people a year in its clinic and 703 people a year in outreach settings. The number of people notified of new HIV diagnoses was 19 (2.2%) in the clinic and five (0.7%) in outreach settings. The CBO in Detroit tested 976 people a year in outreach settings, and the number notified of new HIV diagnoses was 15 (1.5%). In Kansas City, the cost per person notified of a new HIV diagnosis was $3,637 in the clinic and $16,985 in outreach settings. In the Detroit outreach settings, the cost per notification was $13,448. Conclusions. The cost of providing a new HIV diagnosis was considerably higher in the outreach settings than in the clinic. The variation can be largely explained by differences in the number of undiagnosed infections among the people tested and by the costs of purchasing and operating a mobile van.

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P179 Community based local rapid HIV testing campaigns to expand HIV diagnostic coverage

10.1136/sextrans-2019-sti.334 ◽

2019 ◽

Author(s):

Ana Amélia Bones ◽

Mcarthur Barrow ◽

Carlos Andres Casas ◽

Marina Dias ◽

Gabriela Storck ◽

...

Keyword(s):

Hiv Testing ◽

Community Based ◽

Rapid Hiv Testing

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Feasibility and Acceptability of Door-to-Door Rapid HIV Testing Among Latino Immigrants and Their HIV Risk Factors in North Carolina

AIDS Patient Care and STDs ◽

10.1089/apc.2009.0135 ◽

2010 ◽

Vol 24 (3) ◽

pp. 165-173 ◽

Cited By ~ 44

Author(s):

Arlene C. Seña ◽

Juliana P. Hammer ◽

Kate Wilson ◽

Abigail Zeveloff ◽

Julia Gamble

Keyword(s):

Risk Factors ◽

North Carolina ◽

Hiv Testing ◽

Hiv Risk ◽

Latino Immigrants ◽

Rapid Hiv Testing ◽

Hiv Risk Factors

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Community-based rapid HIV testing in homeless and marginally housed adults in San Francisco

HIV Medicine ◽

10.1111/j.1468-1293.2007.00423.x ◽

2007 ◽

Vol 8 (1) ◽

pp. 28-31 ◽

Cited By ~ 38

Author(s):

JB Buchér ◽

KM Thomas ◽

D Guzman ◽

E Riley ◽

N Dela Cruz ◽

...

Keyword(s):

Hiv Testing ◽

San Francisco ◽

Community Based ◽

Rapid Hiv Testing ◽

Marginally Housed

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Implementation of Rapid HIV Testing Programs in Community and Outreach Settings: Perspectives from Staff at Eight Community-Based Organizations in Seven U.S. Cities

Public Health Reports ◽

10.1177/00333549081230s311 ◽

2008 ◽

Vol 123 (3_suppl) ◽

pp. 86-93 ◽

Cited By ~ 26

Author(s):

Hollie A. Clark ◽

Kristina E. Bowles ◽

Binwei Song ◽

James D. Heffelfinger

Keyword(s):

High Risk ◽

Hiv Testing ◽

Confirmatory Test ◽

Test Results ◽

Community Based ◽

Hiv Counseling ◽

Community Based Organizations ◽

Counseling And Testing ◽

Hiv Test ◽

Rapid Hiv Test

Objectives. The goals of this research were to evaluate perceptions of staff about the effectiveness of methods used by eight community-based organizations (CBOs) to implement human immunodeficiency virus (HIV) counseling and rapid testing in community and outreach settings in seven U.S. cities, and to identify operational challenges. Methods. A survey was administered to CBO staff to determine their perceptions about the effectiveness of methods used to select testing venues, promote their testing programs, recruit people for testing, provide test results, and link HIV-positive people to health care. Using a Likert scale, respondents rated the effectiveness of methods, their agreement with statements about using mobile testing units (MTUs) and rapid HIV test kits, and operational challenges. Results. Most respondents perceived the methods they used for selecting testing venues, and particularly using recommendations from people receiving testing, to be effective. Most respondents also thought their promotional activities were effective. Respondents believed that using MTUs improved their capacity to reach high-risk individuals, but that MTUs were associated with substantial challenges (e.g., costs to purchase and maintain them). Programmatic challenges included training staff to provide counseling and testing, locating and providing confirmatory test results to people with reactive rapid tests, and sustaining testing programs. Conclusions. CBO staff thought the methods used to select venues for HIV testing were effective and that using MTUs increased their ability to provide testing to high-risk individuals. However, using MTUs was expensive and posed logistical difficulties. CBOs planning to implement similar programs should take these findings into consideration and pay particular attention to training needs and program sustainability.

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Prevalence and the associated risk factors of HIV, STIs and HBV among men who have sex with men in Kunming, China

International Journal of STD & AIDS ◽

10.1177/0956462416688818 ◽

2017 ◽

Vol 28 (11) ◽

pp. 1115-1123 ◽

Cited By ~ 13

Author(s):

Xiujie Zhang ◽

Manhong Jia ◽

Min Chen ◽

Hongbing Luo ◽

Huichao Chen ◽

...

Keyword(s):

Risk Factors ◽

Community Based ◽

Inconsistent Condom ◽

Sexually Transmitted ◽

Multiple Risk Factors ◽

Community Based Organizations ◽

B Virus ◽

Immunodeficiency Virus ◽

Sex With Men ◽

Associated Risk Factors

To investigate the prevalence and the associated risk factors of human immunodeficiency virus (HIV), hepatitis B virus (HBV) and sexually transmitted infections (STIs) among men who have sex with men (MSM) in Kunming, 300 MSM were recruited through community-based organizations between September 2014 and January 2015. The prevalence of HIV, HBsAg, syphilis, Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) were 17.0%, 7.7%, 11.3%, 18.2% and 13.2%, respectively. In the three different anatomic sites (urethra, rectum and pharynx), the prevalence of rectal CT was the highest (15.5%), whereas NG was most commonly found in the pharynx (8.1%). Low education level, homosexuality, inconsistent condom use and drug use in the previous six months were significantly associated with HIV infection, whereas the former three factors were also associated with HBV infection.Older people (aged ≥ 40 years) and those who lacked knowledge of STIs, and younger people (aged <30 years) as well as inconsistent condom users were more at risk of syphilis and CT infections, respectively. NG infection was only associated with reported dating venues. Our study revealed a heavy disease burden and multiple risk factors of HIV/STIs among MSM in Kunming. It is necessary to promote regular screening and proactive treatment of HIV/STIs among MSM.

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