Uptake of HIV Testing in Substance Use Disorder Treatment Programs That Offer On-Site Testing

Adult Male Cost-Benefit Analysis New York AIDS Serodiagnosis HIV Infections California 3. Good health Behavioral Risk Factor Surveillance System 03 medical and health sciences Risk-Taking 0302 clinical medicine Florida Humans Mass Screening Female Public Health Substance Abuse, Intravenous Program Evaluation
DOI: 10.1007/s10461-014-0864-2 Publication Date: 2014-07-29T16:10:06Z
ABSTRACT
Increasing rates of HIV testing within substance use disorder (SUD) treatment clients is an important public health strategy for reducing HIV transmission rates. The present study examined uptake of HIV testing among 1,224 clients in five SUD treatment units that offered on-site testing in Florida, New York, and California. Nearly one-third (30 %) of the participants, who had not previously tested positive, reported not having been tested for HIV within the past 12 months. Women, African Americans, and injection drug users had a higher likelihood of having been tested within the past 12 months. The SUD treatment program was the most frequently identified location of participants' last HIV test. Despite the availability of free, on-site testing, a substantial proportion of clients were not tested, suggesting that strategies to increase uptake of testing should include addressing barriers not limited to location and cost.
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