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. 2013:2013:789413.
doi: 10.1155/2013/789413. Epub 2013 Sep 17.

Point-of-Care HIV Testing and Linkage in an Urban Cohort in the Southern US

Anne Zinski  1 , Sarah M Dougherty, Ashutosh Tamhane, Kelly L Ross-Davis, James L Raper
Affiliations

Point-of-Care HIV Testing and Linkage in an Urban Cohort in the Southern US

Anne Zinski et al. AIDS Res Treat. 2013.

Abstract

The Southern states experience the highest rates of HIV and AIDS in the US, and point-of-care (POC) testing outside of primary care may contribute to status awareness in medically underserved populations in this region. To evaluate POC screening and linkage to care at an urban south site, analyses were performed on a dataset of 3,651 individuals from an integrated rapid-result HIV testing and linkage program to describe this test-seeking cohort and determine trends associated with screening, results, and linkage to care. Four percent of the population had positive results. We observed significant differences by test result for age, race and gender, reported risk behaviors, test location, and motivation for screening. The overall linkage rate was 86%, and we found significant differences for clients who were linked to HIV care versus persons whose linkage could not be confirmed with respect to race and gender, location, and motivation. The linkage rate for POC testing that included a comprehensive intake visit and colocated primary care services for in-state residents was 97%. Additional research on integrated POC screening and linkage methodologies that provide intake services at time of testing is essential for increasing status awareness and improving linkage to HIV care in the US.

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Figures

Figure 1
Figure 1
Race-Gender Distribution by year, AL, 2007–2012.
Figure 2
Figure 2
Time to Linkage in days for HIV+ Alabama Residents who participated in an integrated linkage program, AL, 2007–2012.
See this image and copyright information in PMC

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