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

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 w...

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Autores principales: Zinski, Anne, Dougherty, Sarah M., Tamhane, Ashutosh, Ross-Davis, Kelly L., Raper, James L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3789279/
https://www.ncbi.nlm.nih.gov/pubmed/24159384
http://dx.doi.org/10.1155/2013/789413
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author Zinski, Anne
Dougherty, Sarah M.
Tamhane, Ashutosh
Ross-Davis, Kelly L.
Raper, James L.
author_facet Zinski, Anne
Dougherty, Sarah M.
Tamhane, Ashutosh
Ross-Davis, Kelly L.
Raper, James L.
author_sort Zinski, Anne
collection PubMed
description 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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spelling pubmed-37892792013-10-24 Point-of-Care HIV Testing and Linkage in an Urban Cohort in the Southern US Zinski, Anne Dougherty, Sarah M. Tamhane, Ashutosh Ross-Davis, Kelly L. Raper, James L. AIDS Res Treat Research Article 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. Hindawi Publishing Corporation 2013 2013-09-17 /pmc/articles/PMC3789279/ /pubmed/24159384 http://dx.doi.org/10.1155/2013/789413 Text en Copyright © 2013 Anne Zinski et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Zinski, Anne
Dougherty, Sarah M.
Tamhane, Ashutosh
Ross-Davis, Kelly L.
Raper, James L.
Point-of-Care HIV Testing and Linkage in an Urban Cohort in the Southern US
title Point-of-Care HIV Testing and Linkage in an Urban Cohort in the Southern US
title_full Point-of-Care HIV Testing and Linkage in an Urban Cohort in the Southern US
title_fullStr Point-of-Care HIV Testing and Linkage in an Urban Cohort in the Southern US
title_full_unstemmed Point-of-Care HIV Testing and Linkage in an Urban Cohort in the Southern US
title_short Point-of-Care HIV Testing and Linkage in an Urban Cohort in the Southern US
title_sort point-of-care hiv testing and linkage in an urban cohort in the southern us
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3789279/
https://www.ncbi.nlm.nih.gov/pubmed/24159384
http://dx.doi.org/10.1155/2013/789413
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