CONTEXT: Human immunodeficiency virus (HIV) testing in jails provides an opportunity to reach individuals outside the scope of traditional screening programs. The rapid turnover of jail populations has, in the past, been a formidable barrier to offering routine access to testing. OBJECTIVE: To establish an opt-out, rapid HIV testing program, led by nurses on the jail staff, that would provide undiagnosed yet infected detainees opportunities to learn their status regardless of their hour of entry and duration of stay. DESIGN: Jail nurses offered rapid, opt-out HIV testing. SETTING: Fulton County Jail in Georgia, United States. PARTICIPANTS: A total of 30 316 persons booked to Fulton County Jail. INTERVENTION: In late 2010, we performed a preliminary evaluation of HIV seroprevalence. Starting January 1, 2011, HIV testing via rapid oral mucosal swab was offered to entrants. In March 2013, finger stick was substituted. Detainees identified as positives were assisted with linkage to care. MAIN OUTCOME MEASURES: To estimate an upper limit of overall HIV prevalence among entrants, we determined seroprevalence by age and gender group. To measure program performance, we checked offer and acceptance rates for tests and rate of linkage to care among previously known and newly identified HIV+ detainees. RESULTS: The initial seroprevalence of HIV in Fulton County Jail was at least 2.18%. Between March 2013 and February 2014, 89 new confirmed positives were identified through testing. During these 12 months, 20 947 bookings were followed by an offer of HIV testing (69.10% offer rate), and 17 035 persons accepted (81.32% acceptance rate). A total of 458 previously and newly identified persons were linked to HIV care. Linkage was significantly higher among those aged 40 years and older (P < .05). CONCLUSIONS: A nurse-led, rapid HIV testing model successfully identified new HIV diagnoses. The testing program substantially decreased the number of persons who are HIV-infected but unaware of their status and promoted linkage to care.
CONTEXT: Human immunodeficiency virus (HIV) testing in jails provides an opportunity to reach individuals outside the scope of traditional screening programs. The rapid turnover of jail populations has, in the past, been a formidable barrier to offering routine access to testing. OBJECTIVE: To establish an opt-out, rapid HIV testing program, led by nurses on the jail staff, that would provide undiagnosed yet infected detainees opportunities to learn their status regardless of their hour of entry and duration of stay. DESIGN: Jail nurses offered rapid, opt-out HIV testing. SETTING: Fulton County Jail in Georgia, United States. PARTICIPANTS: A total of 30 316 persons booked to Fulton County Jail. INTERVENTION: In late 2010, we performed a preliminary evaluation of HIV seroprevalence. Starting January 1, 2011, HIV testing via rapid oral mucosal swab was offered to entrants. In March 2013, finger stick was substituted. Detainees identified as positives were assisted with linkage to care. MAIN OUTCOME MEASURES: To estimate an upper limit of overall HIV prevalence among entrants, we determined seroprevalence by age and gender group. To measure program performance, we checked offer and acceptance rates for tests and rate of linkage to care among previously known and newly identified HIV+ detainees. RESULTS: The initial seroprevalence of HIV in Fulton County Jail was at least 2.18%. Between March 2013 and February 2014, 89 new confirmed positives were identified through testing. During these 12 months, 20 947 bookings were followed by an offer of HIV testing (69.10% offer rate), and 17 035 persons accepted (81.32% acceptance rate). A total of 458 previously and newly identified persons were linked to HIV care. Linkage was significantly higher among those aged 40 years and older (P < .05). CONCLUSIONS: A nurse-led, rapid HIV testing model successfully identified new HIV diagnoses. The testing program substantially decreased the number of persons who are HIV-infected but unaware of their status and promoted linkage to care.
Authors: Anne C Spaulding; Sebastian D Perez; Ryan M Seals; Madhura A Hallman; Ravi Kavasery; Paul S Weiss Journal: Am J Public Health Date: 2011-10-28 Impact factor: 9.308
Authors: Anne C Spaulding; Kimberly R Jacob Arriola; Theodore Hammett; Sofia Kennedy; Melinda Tinsley Journal: Sex Transm Dis Date: 2009-02 Impact factor: 2.830
Authors: Lisa R Metsch; Daniel J Feaster; Lauren Gooden; Bruce R Schackman; Tim Matheson; Moupali Das; Matthew R Golden; Shannon Huffaker; Louise F Haynes; Susan Tross; C Kevin Malotte; Antoine Douaihy; P Todd Korthuis; Wayne A Duffus; Sarah Henn; Robert Bolan; Susan S Philip; Jose G Castro; Pedro C Castellon; Gayle McLaughlin; Raul N Mandler; Bernard Branson; Grant N Colfax Journal: JAMA Date: 2013-10-23 Impact factor: 56.272
Authors: Henry D Anaya; Tuyen Hoang; Joya F Golden; Matthew Bidwell Goetz; Allen Gifford; Candice Bowman; Teresa Osborn; Douglas K Owens; Gillian D Sanders; Steven M Asch Journal: J Gen Intern Med Date: 2008-04-18 Impact factor: 5.128
Authors: Robin Macgowan; Andrew Margolis; April Richardson-Moore; Terry Wang; Marlene Lalota; P Tyler French; James Stodola; Jennifer McKeever; Jack Carrel; Jolene Mullins; Michelle Llanas; Sean David Griffiths Journal: Sex Transm Dis Date: 2009-02 Impact factor: 2.830
Authors: Elizabeth M Begier; Yussef Bennani; Lisa Forgione; Amado Punsalang; David B Hanna; Jeffrey Herrera; Lucia Torian; Maria Gbur; Kent A Sepkowitz; Farah Parvez Journal: J Acquir Immune Defic Syndr Date: 2010-05-01 Impact factor: 3.731
Authors: Ravi Kavasery; Duncan Smith-Rohrberg Maru; Joshua Cornman-Homonoff; Laurie N Sylla; David Smith; Frederick L Altice Journal: PLoS One Date: 2009-11-25 Impact factor: 3.240
Authors: Anne C Spaulding; Ryan M Seals; Matthew J Page; Amanda K Brzozowski; William Rhodes; Theodore M Hammett Journal: PLoS One Date: 2009-11-11 Impact factor: 3.240
Authors: Travis H Sanchez; Patrick S Sullivan; Richard E Rothman; Emily H Brown; Lisa K Fitzpatrick; Angela F Wood; Paloma I Hernandez; Amy S Nunn; Martin L Serota; Lisa Moreno-Walton Journal: JMIR Res Protoc Date: 2014-07-31
Authors: Ben T Schoenbachler; Bryce D Smith; Arlene C Seña; Alison Hilton; Sallie Bachman; Mulamba Lunda; Anne C Spaulding Journal: Public Health Rep Date: 2016 May-Jun Impact factor: 2.792
Authors: Katherine S Elkington; Jessica Jaiswal; Anya Y Spector; Heidi Reukauf; James M Tesoriero; Denis Nash; Robert H Remien Journal: J Health Care Poor Underserved Date: 2016
Authors: Alysse G Wurcel; Jessica Reyes; Julia Zubiago; Peter J Koutoujian; Deirdre Burke; Tamsin A Knox; Thomas Concannon; Stephenie C Lemon; John B Wong; Karen M Freund; Curt G Beckwith; Amy M LeClair Journal: PLoS One Date: 2021-05-26 Impact factor: 3.240
Authors: Seth Francis-Graham; Nnenna Adaniya Ekeke; Corey Andrew Nelson; Tin Yan Lee; Sulaima El Haj; Tim Rhodes; Cecilia Vindrola; Tim Colbourn; William Rosenberg Journal: BMC Health Serv Res Date: 2019-03-08 Impact factor: 2.655
Authors: Sheena K Gardner; Katherine S Elkington; Danica K Knight; Sofia Huang; Ralph J DiClemente; Anne C Spaulding; Carrie B Oser; Angela A Robertson; Connie Baird-Thomas Journal: Health Justice Date: 2019-09-04
Authors: Anne C Spaulding; Ana Drobeniuc; Paula M Frew; Tiffany L Lemon; Emeli J Anderson; Colin Cerwonka; Chava Bowden; John Freshley; Carlos Del Rio Journal: PLoS One Date: 2018-03-30 Impact factor: 3.240