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

AIDS and Behavior 2015;19(3):536-542. [doi: 10.1007/s10461-014-0864-2]

Tiffany L. Kyle, PhD (Center for Drug-Free Living, Inc., FNA Node), Viviana E. Horigian, MD (University of Miami Miller School of Medicine, FNA Node), Susan Tross, PhD (New York State Psychiatric Institute, GNY Node), Valerie A. Gruber, PhD, MPH (University of California, San Francisco, WS Node), Margaret Pereyra, DrPH (University of Miami Miller School of Medicine, FNA Node), Raul N. Mandler, MD (Center for the Clinical Trials Network, NIDA), Daniel J. Feaster, PhD (University of Miami Miller School of Medicine, FNA Node), Lisa R. Metsch, PhD (Columbia University, FNA Node).

This is the Results Article for CTN-0045-Ot. Increasing rates of HIV testing within substance use disorder (SUD) treatment clients is an important public health strategy for reducing HIV transmission rates. This study from the National Drug Abuse Treatment Clinical Trials Network ("Rates of HIV Testing and Barriers to Testing in African Americans Receiving Substance Abuse Treatment," CTN-0045Ot) 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. Of those who were tested in the previous 12 months, 5% tested positive, suggesting that testing of SUD treatment clients has the potential to identify new cases of HIV and, thereby, potentially reduce further transmission.

Conclusions: 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. Though the majority of HIV tests will have negative results, the benefits of finding even a small number of cases far outweigh the costs. (Article (Peer-Reviewed), PDF, English, 2014)

Keywords: African Americans | Community health services | CTN platform/ancillary study | CTN platform/ancillary study results | HIV/AIDS | Injection drug use | Sexual risk behavior | Sexually transmitted diseases | Women | AIDS and Behavior (journal)

Document No: 1094, PMID: 25074737, PMCID: PMC4312252.

Submitted by CTN Dissemination Librarians, 9/2/2014.

Feaster, Daniel J. mail
Horigian, Viviana E. mail
Gruber, Valerie A. mail
Kyle, Tiffany L. mail
Mandler, Raul N. mail
Metsch, Lisa R. mail
Pereyra, Margaret
Tross, Susan mail
NIDA-CTN-0045-Ot www
Florida Node Alliance (Lead) www
Greater New York www

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