Marcell Arik V, Okano Lauren, Pilgrim Nanlesta A, Jennings Jacky M, Page Kathleen R, Sanders Renata, Loosier Penny S, Dittus Patricia J
1 School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
2 Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Public Health Rep. 2017 Mar/Apr;132(2):203-209. doi: 10.1177/0033354916689616. Epub 2017 Jan 25.
Little is known about the prevalence of human immunodeficiency virus (HIV) testing at community organizations or the organizational characteristics associated with testing. The objective of this study was to describe (1) the prevalence of HIV testing at community organizations serving young people in a mid-Atlantic urban city and (2) the characteristics associated with organizations that provide such testing.
We conducted telephone or in-person surveys between February 2013 and March 2014 with 51 directors and administrators of community organizations serving young people. We asked whether the organization provided HIV screening or testing, and we collected data on organizational characteristics (eg, setting, client, and staff member characteristics; services offered). We generated frequencies on measures and used Poisson regression analysis to examine the association between testing and organizational characteristics.
Of the 51 organizations surveyed, 21 provided HIV testing. Of the 30 organizations that did not provide HIV testing, only 7 had a relationship with programs that did provide it. Characteristics associated with the provision of HIV testing included offering general health services (relative risk [RR] = 4.57; 95% confidence interval [CI], 1.68-12.48; P = .003) and referral services for sexually transmitted infection screening (RR = 5.77; 95% CI, 1.70-19.59; P = .005) and HIV care (RR = 4.78; 95% CI, 1.61-14.21; P = .005), as well as among administrators who perceived their staff members were comfortable talking with young people about sexual health (RR = 3.29; 95% CI, 1.28-8.49; P = .01).
The prevalence of HIV testing provision at organizations serving young people in this mid-Atlantic city was low, and few organizations offered linkages to HIV testing. Strategies are needed to increase the provision of HIV testing at community organizations serving young people, whether through direct or linked approaches.
关于社区组织中人类免疫缺陷病毒（HIV）检测的流行情况以及与检测相关的组织特征，我们知之甚少。本研究的目的是描述：（1）在大西洋中部一个城市为年轻人服务的社区组织中HIV检测的流行情况，以及（2）提供此类检测的组织的相关特征。
2013年2月至2014年3月期间，我们对51位为年轻人服务的社区组织的负责人和管理人员进行了电话或面对面调查。我们询问该组织是否提供HIV筛查或检测，并收集了组织特征数据（如机构类型、服务对象和工作人员特征；提供的服务）。我们对各项指标进行了频次统计，并使用泊松回归分析来检验检测与组织特征之间的关联。
在接受调查的51个组织中，有21个提供HIV检测。在30个未提供HIV检测的组织中，只有7个与提供HIV检测的项目有合作关系。与提供HIV检测相关的特征包括提供一般健康服务（相对危险度[RR]=4.57；95%置信区间[CI]，1.68 - 12.48；P = 0.003）、性传播感染筛查转诊服务（RR = 5.77；95%CI，1.
