scholarly journals Use of Social Network Strategy Among Young Black Men Who Have Sex With Men for HIV Testing, Linkage to Care, and Reengagement in Care, Tennessee, 2013-2016

2018 ◽  
Vol 133 (2_suppl) ◽  
pp. 43S-51S ◽  
Author(s):  
Shanell L. McGoy ◽  
April C. Pettit ◽  
Melissa Morrison ◽  
Leah R. Alexander ◽  
Phadre Johnson ◽  
...  
Keyword(s):  
Social Networks ◽  
Social Network ◽  
Hiv Infection ◽  
Hiv Testing ◽  
Black Men ◽  
Linkage To Care ◽  
The United States ◽  
High Risk Population ◽  
Newly Diagnosed ◽  
Sex With Men

Objectives: Tennessee was 1 of 8 states that received funding from the Care and Prevention in the United States Demonstration Project, which aimed to reduce HIV-related morbidity and mortality among racial/ethnic and sexual minority populations. The objective of this study was to describe implementation of a social network strategy (SNS) program, which leverages personal connections in social networks, to reach people with undiagnosed HIV infection for HIV testing. We targeted young black men who have sex with men (MSM) at 3 agencies in Memphis and Nashville, Tennessee, during 2013-2016. Methods: Specialists at the 3 agencies identified MSM with and without diagnosed HIV infection (ie, recruiters) who could recruit members from their social networks for HIV testing (ie, network associates). Both recruiters and network associates received OraQuick rapid and confirmatory HIV tests. We used χ2 and Fisher exact tests to assess differences in demographic characteristics, HIV testing, and care engagement status by agency. Results: Of 1752 people who were tested for HIV in the SNS program, 158 (9.0%) tested positive; of these, 80 (50.6%) were newly diagnosed with HIV. Forty-seven of the 78 (60.3%) people who were previously diagnosed with HIV were not in care in the previous 12 months; of these, 27 (57.4%) were reengaged in medical care. Of 80 people newly diagnosed with HIV, 44 (55.0%) were linked to care. Conclusions: The SNS program ascertained HIV status among a high-risk population in a heavily burdened region. Further program evaluation is needed to understand how to improve linkage to care among people with newly diagnosed HIV.

scholarly journals Incorporating Rapid HIV Testing into Partner Counseling and Referral Services

2008 ◽  
Vol 123 (3_suppl) ◽  
pp. 126-135 ◽  
Author(s):  
Elin B. Begley ◽  
Alexandra M. Oster ◽  
Binwei Song ◽  
Linda Lesondak ◽  
Kelly Voorhees ◽  
...  
Keyword(s):  
High Risk ◽  
Hiv Infection ◽  
Hiv Testing ◽  
The United States ◽  
High Risk Population ◽  
Newly Diagnosed ◽  
Infected People ◽  
Rapid Hiv Testing ◽  
Undiagnosed Hiv ◽  
Locating Information

Objectives. Partner counseling and referral services (PCRS) provide a unique opportunity to decrease transmission of human immunodeficiency virus (HIV) by notifying sex and drug-injection partners of HIV-infected individuals of their exposure to HIV. We incorporated rapid HIV testing into PCRS to reduce barriers associated with conventional HIV testing and identify undiagnosed HIV infection within this high-risk population. Methods. From April 2004 through June 2006, HIV-infected people (index clients) were interviewed, and their partners were notified of their potential exposure to HIV and offered rapid HIV testing at six sites in the United States. The numbers of index clients participating and the numbers of partners interviewed and tested were compared by site. Descriptive and bivariate analyses were performed. Results. A total of 2,678 index clients were identified, of whom 779 (29%) provided partner locating information. A total of 1,048 partners were elicited, of whom 463 (44%) were both interviewed and tested for HIV. Thirty-seven partners (8%) were newly diagnosed with HIV. The number of index clients interviewed to identify one partner with newly diagnosed HIV infection ranged from 10 to 137 at the participating sites. Conclusions. PCRS provides testing and prevention services to people at high risk for HIV infection. Incorporating rapid HIV testing into PCRS and identifying previously undiagnosed infections likely confer individual and public health benefits. Further evaluation is needed to determine the best methods of identifying partners with previously unrecognized HIV infection.

scholarly journals Suboptimal Recent and Regular HIV Testing Among Black Men Who Have Sex With Men in the United States

2019 ◽  
Vol 81 (2) ◽  
pp. 125-133 ◽  
Author(s):  
Yu Liu ◽  
Vincent M. B. Silenzio ◽  
Robertson Nash ◽  
Patrick Luther ◽  
Jose Bauermeister ◽  
...  
Keyword(s):  
United States ◽  
Hiv Testing ◽  
Black Men ◽  
The United States ◽  
Sex With Men

scholarly journals Disclosure of newly diagnosed HIV infection and condom use at first sex after diagnosis: a study of young Black men who have sex with men

Sexual Health ◽  
2017 ◽  
Vol 14 (4) ◽  
pp. 325 ◽  
Author(s):  
Richard A. Crosby ◽  
Leandro Mena ◽  
Trisha Arnold
Keyword(s):  
Hiv Infection ◽  
Condom Use ◽  
Black Men ◽  
Male Partner ◽  
Incidence Rates ◽  
Newly Diagnosed ◽  
Cross Sectional ◽  
Southern Us ◽  
Sex With Men ◽  
Α Level

Background The first purpose of the present study was to determine whether young Black men who have sex with men (YBMSM) disclose their newly diagnosed HIV infection to a male or female partner, and to determine whether this disclosure is related to condom use; the second was to identify correlates of disclosing newly diagnosed HIV infection to male sex partners, including a measure of partner-related barriers to condom use. Methods: A sample of 125 HIV-infected YBMSM (age 15–29 years) provided cross-sectional data used for both study purposes. Recruitment occurred in a mid-size city in the southern US experiencing inordinately high prevalence and incidence rates of HIV among YBMSM. Significance was defined by an α level of <0.05. Results: Eighty-eight YBMSM (70.4%) indicated disclosing their newly diagnosed HIV status to the first male partner they had sex with after being diagnosed. Of these, nine (9.1%) reported that condoms were not used during ensuing sex with that partner. However, of the men not disclosing, 27.0% reported not using condoms for ensuing sex (P = 0.009). Similar findings were observed relative to sex with females (P = 0.057). Regarding the second study purpose, in addition to a protective effect of advancing age, men scoring at or above the median on a measure of partner-related barriers to condom use were 2.4-fold more likely to not disclose compared with men scoring below the median (P = 0.04). Conclusion: For YBMSM, a beneficial counselling objective relative to disclosing newly diagnosed HIV may be to help men resolve perceptions of partner-related barriers to condom use.

scholarly journals HIV Testing and ART Adherence Among Unstably Housed Black Men Who Have Sex with Men in the United States

2019 ◽  
Vol 23 (11) ◽  
pp. 3044-3051
Author(s):  
Stephanie L. Creasy ◽  
Emmett R. Henderson ◽  
Leigh A. Bukowski ◽  
Derrick D. Matthews ◽  
Ronald D. Stall ◽  
...  
Keyword(s):  
United States ◽  
Hiv Testing ◽  
Black Men ◽  
The United States ◽  
Art Adherence ◽  
Sex With Men

scholarly journals HIV testing uptake and yield among sexual contacts of HIV-positive men who have sex with men in Zhejiang Province, China, 2014-2016: a cross-sectional pilot study of a choice-based partner tracing and testing package

2019 ◽  
Author(s):  
Mingyu Luo ◽  
Katrina Hann ◽  
Guomin Zhang ◽  
Xiaohong Pan ◽  
Jun Jiang ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Contact Tracing ◽  
Hiv Positive ◽  
High Risk Population ◽  
Newly Diagnosed ◽  
Patient Referral ◽  
Hiv Test ◽  
Testing Uptake ◽  
Sexual Contacts ◽  
Sex With Men

Abstract Background Measures to effectively expand tracing and testing to identify undiagnosed HIV infections are significant for the control of HIV/AIDS epidemic among men who have sex with men (MSM). We piloted a combination tracing and testing package aimed at improving contact tracing and uptake and yield of HIV testing for sexual contacts of newly diagnosed HIV positive MSM. We describe the package components and outcomes. Methods The choice-based tracing and testing package was piloted in Hangzhou and Ningbo cities, June 2014 to June 2016. The package adopted four modes, including couples HIV counselling and testing (CHCT), information-driven assisted partner notification (IDAPN), peer-assisted HIV self-testing (HIVST), and patient referral. If sexual contacts tested positive, they were invited to enroll in the pilot. Contact tracing continued through selected modes until inability to contact, refusal to test, or positive test results exhausted all contacts. Socio-demographic factors, sexual behaviors between HIV-positive MSM and their sexual contacts were collected, as well as tracing and testing outcomes of each mode. Results Among 2,495 newly diagnosed HIV-positive MSM, 446(18%) were enrolled as index cases (ICs) through two rounds of contact tracing. The ICs disclosed a total of 4,716 sexual contacts, of whom 548 (12%) were reachable. The pilot resulted in a testing uptake of 87%(478/548) and a yield of 16% (74/478) among sexual contacts. Logistic regression analysis showed that the odds of a reachable sexual contact enrolled in information-driven mode taking an HIV test were 90% more than that of one enrolled in patient referral (95%CI:0.8, 4.4). Conclusions Choice-based tracing and testing package is feasible in expanding HIV-testing uptake among sexual contacts of HIV-positive MSM and are feasible for case-finding among a high-risk population. IDAPN may be an acceptable option to reach sexual contacts for whom limited contact information is available.

“HIV Is Still Real”: Perceptions of HIV Testing and HIV Prevention Among Black Men Who Have Sex With Men in New York City

2008 ◽  
Vol 3 (2) ◽  
pp. 150-164 ◽  
Author(s):  
José Nanín ◽  
Tokes Osubu ◽  
Ja'Nina Walker ◽  
Borris Powell ◽  
Donald Powell ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Hiv Testing ◽  
Black Men ◽  
York City ◽  
The United States ◽  
Infection Rates ◽  
Factors Affecting ◽  
Race And Class ◽  
Sex With Men

Rising HIV infection rates have been recently occurring among Black men who have sex with men (BMSM) in the United States. As a result, promoting HIV testing among members of this population is now considered a priority among local and federal health officials. A study was conducted to explore concerns about HIV testing among BMSM in New York City. In early 2006, data were gathered from focus groups with 29 BMSM. Discussions revealed factors affecting HIV testing, including stigma, sexuality, religion, race, and class, emphasizing responsibility, testing concerns, and media influences, among others. Recommendations were submitted to New York City health officials to inform HIV testing and prevention efforts.

scholarly journals Understanding Structural Barriers to Accessing HIV Testing and Prevention Services Among Black Men Who Have Sex with Men (BMSM) in the United States

2014 ◽  
Vol 18 (5) ◽  
pp. 972-996 ◽  
Author(s):  
Matthew E. Levy ◽  
Leo Wilton ◽  
Gregory Phillips ◽  
Sara Nelson Glick ◽  
Irene Kuo ◽  
...  
Keyword(s):  
United States ◽  
Hiv Testing ◽  
Black Men ◽  
The United States ◽  
Structural Barriers ◽  
Prevention Services ◽  
Sex With Men

scholarly journals 1273. Routine Opt-out HIV Screening and Detection of HIV Infection Among Emergency Department Patients

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S388-S388
Author(s):  
Nada Fadul ◽  
Ciarra Dortche ◽  
Richard Baltaro ◽  
Tim Reeder
Keyword(s):  
Emergency Department ◽  
Hiv Infection ◽  
Hiv Testing ◽  
Medical Center ◽  
Linkage To Care ◽  
Hiv Care ◽  
Hiv Positive ◽  
Newly Diagnosed ◽  
Opt Out ◽  
Post Test

Abstract Background The Southeastern United States bears a disproportionate burden of HIV infection, accounting for nearly half of all new cases. The Centers for Disease Control and Prevention released routine opt-out testing recommendations in 2006. Our emergency department collaborated with our infectious diseases clinic (ECU-ID) to implement suggested guidelines among adults since March 2017. Methods Our primary aim was to implement routine, opt-out HIV testing in the Vidant Medical Center Emergency Department (ED) for patients between 18 and 65 years of age who have blood work completed, and have not had a test documented in the electronic medical record (EMR) in the last year. A secondary aim was to successfully link HIV-positive patients to care at ECU-ID or preferred clinic. Methods defining programmatic success included developing nurse directed opt-out ordering protocol, integrating testing into normal ED workflow, utilizing the existing EMR to prompt testing, and hiring a linkage coordinator to initiate post-test counseling and linkage-to-care. Results Since March 2, 2017, a total of 7,109 HIV tests were performed; an average of 592 monthly tests conducted compared with a previous average of 10 stat tests. Testing increased 5,820% compared with 2015. Of the 21 HIV-positive patients found, 16 were newly diagnosed. Among those newly diagnosed, 14 (87.5%) were linked to care; and among the five known positives, two (40%) were linked to care. Reasons why patients could not be linked included incarceration, refusal to link to care, and re-location. Conclusion Joined with the implementation of a routinized ED HIV testing program, a seamless process was developed to link persons found to be positive in the ED to HIV care services; therefore, establishing a systems-level prevention model. Future plans include expanding testing to adolescents and utilizing similar methods to integrate Hepatitis C testing. Disclosures All Authors. Gilead Sciences, Inc.: Grant Investigator, Grant recipient and Salary.

Sign in / Sign up

Export Citation Format

Share Document