Bowles Kristina E, Clark Hollie A, Tai Eric, Sullivan Patrick S, Song Binwei, Tsang Jenny, Dietz Craig A, Mir Julita, Mares-DelGrasso Azul, Calhoun Cindy, Aguirre Daisy, Emerson Cicily, Heffelfinger James D
Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS E-46, Atlanta, GA 30333, USA.
Public Health Rep. 2008 Nov-Dec;123 Suppl 3(Suppl 3):78-85. doi: 10.1177/00333549081230S310.
OBJECTIVES: The goals of this project were to assess the feasibility of conducting rapid human immunodeficiency virus (HIV) testing in outreach and community settings to increase knowledge of HIV serostatus among groups disproportionately affected by HIV and to identify effective nonclinical venues for recruiting people in the targeted populations. METHODS: Community-based organizations (CBOs) in seven U.S. cities conducted rapid HIV testing in outreach and community settings, including public parks, homeless shelters, and bars. People with reactive preliminary positive test results received confirmatory testing, and people confirmed to be HIV-positive were referred to health-care and prevention services. RESULTS: A total of 23,900 people received rapid HIV testing. Of the 267 people (1.1%) with newly diagnosed HIV infection, 75% received their confirmatory test results and 64% were referred to care. Seventy-six percent were from racial/ethnic minority groups, and 58% identified themselves as men who have sex with men, 72% of whom reported having multiple sex partners in the past year. Venues with the highest proportion of new HIV diagnoses were bathhouses, social service organizations, and needle-exchange programs. The acceptance rate for testing was 60% among sites collecting this information. CONCLUSIONS: Findings from this demonstration project indicate that offering rapid HIV testing in outreach and community settings is a feasible approach for reaching members of minority groups and people at high risk for HIV infection. The project identified venues that would be important to target and offered lessons that could be used by other CBOs to design and implement similar programs in the future.
目标:本项目的目标是评估在拓展及社区环境中开展快速人类免疫缺陷病毒(HIV)检测的可行性,以提高受HIV影响尤为严重的群体对HIV血清学状态的知晓率,并确定在目标人群中招募人员的有效非临床场所。 方法:美国七个城市的社区组织(CBO)在拓展及社区环境中开展快速HIV检测,包括公园、无家可归者收容所和酒吧。初步检测结果呈反应性阳性的人接受确证检测,确诊为HIV阳性的人被转介至医疗保健和预防服务机构。 结果:共有23,900人接受了快速HIV检测。在267名新诊断出HIV感染的人(1.1%)中,75%收到了确证检测结果,64%被转介接受治疗。76%来自少数种族/族裔群体,58%自称是男同性恋者,其中72%报告在过去一年中有多个性伴侣。新HIV诊断比例最高的场所是澡堂浴室、社会服务组织和针头交换项目。收集此信息的场所中检测接受率为60%。 结论:该示范项目的结果表明,在拓展及社区环境中提供快速HIV检测是接触少数群体成员和HIV感染高危人群的一种可行方法。该项目确定了需要重点关注的场所,并提供了可供其他社区组织未来用于设计和实施类似项目的经验教训。
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