Candice K Kwan1, Charles E Rose2, John T Brooks2, Gary Marks2, Catlainn Sionean2. 1. Epidemic Intelligence Service, Atlanta, GA; Current affiliation: New York University School of Medicine, New York, NY. 2. Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention, Atlanta, GA.
Abstract
OBJECTIVES: Testing for human immunodeficiency virus (HIV) is the key first step in HIV treatment and prevention. In 2006, the Centers for Disease Control and Prevention (CDC) recommended annual HIV testing for people at high risk for HIV infection. We evaluated HIV testing among men with high-risk heterosexual (HRH) contact and sexually active men who have sex with men (MSM) before and after the CDC recommendations. METHODS: We used data from the National Survey of Family Growth, 2002 and 2006-2010, to assess proportions of HRH respondents and MSM reporting HIV testing in the prior 12 months, compare rates of testing before and after release of the 2006 CDC HIV testing guidelines, and examine demographic variables and receipt of health-care services as correlates of HIV testing. RESULTS: Among MSM, the proportion tested was 37.2% (95% confidence interval [CI] 28.2, 47.2) in 2002, 38.2% (95% CI 25.9, 52.2) in 2006-2008, and 41.7% (95% CI 29.2, 55.3) in 2008-2010; among HRH respondents, the proportion was 23.7% (95% CI 20.5, 27.3) in 2002, 24.5% (95% CI 20.9, 28.7) in 2006-2008, and 23.9% (95% CI 20.2, 28.1) in 2008-2010. HIV testing was more likely among MSM and HRH respondents who received testing or treatment for sexually transmitted disease in the prior 12 months, received a physical examination in the prior 12 months (MSM only), or were incarcerated in the prior 12 months. CONCLUSIONS: The rate of annual HIV testing was low for men with sexual risk for HIV infection, and little improvement took place from 2002 to 2006-2010. Interventions aimed at men at risk, especially MSM, in both nonmedical and health-care settings, likely could increase HIV testing.
OBJECTIVES: Testing for human immunodeficiency virus (HIV) is the key first step in HIV treatment and prevention. In 2006, the Centers for Disease Control and Prevention (CDC) recommended annual HIV testing for people at high risk for HIV infection. We evaluated HIV testing among men with high-risk heterosexual (HRH) contact and sexually active men who have sex with men (MSM) before and after the CDC recommendations. METHODS: We used data from the National Survey of Family Growth, 2002 and 2006-2010, to assess proportions of HRH respondents and MSM reporting HIV testing in the prior 12 months, compare rates of testing before and after release of the 2006 CDC HIV testing guidelines, and examine demographic variables and receipt of health-care services as correlates of HIV testing. RESULTS: Among MSM, the proportion tested was 37.2% (95% confidence interval [CI] 28.2, 47.2) in 2002, 38.2% (95% CI 25.9, 52.2) in 2006-2008, and 41.7% (95% CI 29.2, 55.3) in 2008-2010; among HRH respondents, the proportion was 23.7% (95% CI 20.5, 27.3) in 2002, 24.5% (95% CI 20.9, 28.7) in 2006-2008, and 23.9% (95% CI 20.2, 28.1) in 2008-2010. HIV testing was more likely among MSM and HRH respondents who received testing or treatment for sexually transmitted disease in the prior 12 months, received a physical examination in the prior 12 months (MSM only), or were incarcerated in the prior 12 months. CONCLUSIONS: The rate of annual HIV testing was low for men with sexual risk for HIV infection, and little improvement took place from 2002 to 2006-2010. Interventions aimed at men at risk, especially MSM, in both nonmedical and health-care settings, likely could increase HIV testing.
Authors: James M Lepkowski; William D Mosher; Karen E Davis; Robert M Groves; John van Hoewyk; Jennifer Willem Journal: Vital Health Stat 2 Date: 2006-07
Authors: Bernard M Branson; H Hunter Handsfield; Margaret A Lampe; Robert S Janssen; Allan W Taylor; Sheryl B Lyss; Jill E Clark Journal: MMWR Recomm Rep Date: 2006-09-22
Authors: Michael Ohl; Janet Tate; Mona Duggal; Melissa Skanderson; Matthew Scotch; Peter Kaboli; Mary Vaughan-Sarrazin; Amy Justice Journal: Med Care Date: 2010-12 Impact factor: 2.983
Authors: Charu L Jain; Christina M Wyatt; Ryan Burke; Kent Sepkowitz; Elizabeth M Begier Journal: AIDS Patient Care STDS Date: 2009-03 Impact factor: 5.078
Authors: Becky L White; Joan Walsh; Swati Rayasam; Donald E Pathman; Adaora A Adimora; Carol E Golin Journal: J Int Assoc Provid AIDS Care Date: 2014-03-18
Authors: Kimberly M Nelson; David W Pantalone; Kristi E Gamarel; Michael P Carey; Jane M Simoni Journal: AIDS Patient Care STDS Date: 2017-12-12 Impact factor: 5.078
Authors: Frank R Dillon; Austin Eklund; Ryan Ebersole; Melissa M Ertl; Jessica L Martin; Michael G Verile; Sarai Rosas Gonzalez; September Johnson; Danielle Florentin; Lianna Wilson; Shane Roberts; Nancy Fisher Journal: Psychol Men Masc Date: 2019-04