Updating the HIV-Testing Guidelines — A Modest Change with Major Consequences

Martin, Erika G.; Schackman, Bruce R.

doi:10.1056/nejmp1214630

Cited by 24 publications

(21 citation statements)

References 4 publications

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“…37 Under the Affordable Care Act, a greater number of people will have access to HIV testing and more patients with HIV/ AIDS will have their health insurance covered through Medicaid and statebased exchanges, given the updated recommendations of the USPSTF. 7,8 Nevertheless, based on the current study, it seems likely that achieving optimal HIV testing rates will require additional strategies, as noted above.…”

Section: Compliance With Hiv Testing Laws -Kennedy Et Almentioning

confidence: 81%

“…6 In 2013, the US Preventive Services Task Force (USPSTF) gave a similar screening guideline an "A" rating, its highest endorsement, which public and private health insurers use to determine coverage of preventive services. [7][8][9] Following the CDC's revised HIV screening recommendation, nearly all states have adopted compatible laws and administrative codes. 10 In 2010, New York State mandated that health care providers offer HIV testing to every individual aged 13-64 years receiving health services.…”

Section: Introductionmentioning

confidence: 99%

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Compliance with a New York State 2010 HIV Testing Law: Is There Racial/Ethnic Bias in HIV Testing? Experience of Monroe County, New York, 2012

et al. 2016

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Background: While routine HIV testing in the general population is a national recommendation, actual practice may vary.Purpose: To determine risk factors associated with HIV testing after the adoption of a New York State law in 2010 mandating that healthcare providers offer HIV testing in all clinical settings.Methods.: Survey data from Monroe County, New York, were collected in 2012 for adults aged 18-64 years and analyzed in 2014. Logistic regression was used to identify risk factors independently associated with HIV testing and high-risk behavior.Results: Among adults aged 18-34 years, fewer Whites were offered HIV testing in the past year by their doctors compared with Blacks (34% vs 64%) despite having similar rates of any HIV high-risk behavior (20% overall). For adults aged 35-64 years, fewer Whites than Blacks were ever tested for HIV (42% vs 71%), offered HIV testing in past year (17% vs 40%), and reported any HIV high-risk behavior (3% vs 13%). Latinos showed intermediate levels. With logistic regression analysis, ever tested for HIV was independently associated with only race/ethnicity; offered HIV testing in the past year was associated with females, Blacks and Latinos, aged 18-34 years, and having a routine health checkup in past year; any HIV high-risk behavior was associated with only younger age. Conclusions: To improve HIV testing rates as well as compliance with state laws and national guidelines, targeted efforts should be considered that improve perceptions of risk and emphasize the value of routine HIV screening, including those directed at white adults and their health care providers. Ethn Dis. 2016;26(1):91-98; doi:10.18865/ed.26.1.91

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Section: Compliance With Hiv Testing Laws -Kennedy Et Almentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Compliance with a New York State 2010 HIV Testing Law: Is There Racial/Ethnic Bias in HIV Testing? Experience of Monroe County, New York, 2012

et al. 2016

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“…Early diagnosis of HIV through testing is vital to avoid increased transmission and link patients to care, resulting in decreased morbidity and mortality (Granich, Gilks, Dye, De Cock, & Williams, 2009). Advances in drug regimens have transformed HIV into a chronic disease, but this can only be achieved when patients are identified through HIV testing and linked to care (Martin & Schackman, 2013). Yet many adolescents and young adults with high-risk behaviors for HIV are unaware of their HIV status and have never had an HIV test (Balaji et al, 2012; Martin & Schackman, 2013).…”

mentioning

confidence: 99%

“…Advances in drug regimens have transformed HIV into a chronic disease, but this can only be achieved when patients are identified through HIV testing and linked to care (Martin & Schackman, 2013). Yet many adolescents and young adults with high-risk behaviors for HIV are unaware of their HIV status and have never had an HIV test (Balaji et al, 2012; Martin & Schackman, 2013). Current research has demonstrated that HIV testing rates are low among high-risk adolescents and young adults, which is promulgating the number of youth with undiagnosed HIV infection (D’Angelo, 2012).…”

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confidence: 99%

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Understanding HIV Testing Behaviors of Minority Adolescents: A Health Behavior Model Analysis

Schnall

Rojas

Travers

2015

Journal of the Association of Nurses in AIDS Care

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Adolescents and young adults are the fastest-growing age group of people living with HIVinfection in the United States. Yet many adolescents and young adults with high-risk behaviors for HIV are unaware of their HIV status and have never had an HIV test. The purpose of our work was to understand minority adolescents’ beliefs, attitudes, and behaviors related to HIV testing. We conducted focus group sessions with 41 minority adolescents to assess their perceptions about HIV testing. We triangulated the findings from our focus group data with data from a 125-question survey. Analysis of focus group data demonstrated that Perceived Susceptibility, Perceived Severity, Perceived Benefits, Perceived Barriers, and Cues to Action influenced adolescents’ decisions to get tested for HIV. Findings support the need to design interventions that address adolescents’ perceived barriers to HIV testing and increase access to and knowledge about HIV testing.

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Correlates of HIV Testing Among Rural African American Cocaine Users

Wright

Booth

Curran

et al. 2014

Research in Nursing & Health

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Andersen's Revised Behavioral Model of Health Services Use (RBM) was used as a framework in this correlational cross-sectional study to examine factors associated with HIV testing among a sample of 251 rural African American cocaine users. All participants reported using cocaine and being sexually active within the past 30 days. Independent variables were categorized according to the RBM as predisposing, enabling, need, or health behavior factors. Number of times tested for HIV (never, one time, two to four times, five or more times) was the outcome of interest. In ordered logistic regression analyses, HIV testing was strongly associated with being female, of younger age (predisposing factors); having been tested for sexually transmitted diseases or hepatitis, ever having been incarcerated in jail or prison (enabling factors); and having had one sex partner the past 30 days (health behavior factor). Other sexual risk behaviors, drug use, health status, and perception of risk were not associated with HIV testing. Our findings confirm the importance of routine testing in all healthcare settings rather than risk-based testing.

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Updating the HIV-Testing Guidelines — A Modest Change with Major Consequences

Cited by 24 publications

References 4 publications

Compliance with a New York State 2010 HIV Testing Law: Is There Racial/Ethnic Bias in HIV Testing? Experience of Monroe County, New York, 2012

Compliance with a New York State 2010 HIV Testing Law: Is There Racial/Ethnic Bias in HIV Testing? Experience of Monroe County, New York, 2012

Understanding HIV Testing Behaviors of Minority Adolescents: A Health Behavior Model Analysis

Correlates of HIV Testing Among Rural African American Cocaine Users

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