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Published in: AIDS and Behavior 4/2011

01-05-2011 | Original Paper

Provision of HIV Counseling and Testing Services at Five Community-Based Organizations Among Young Men of Color Who Have Sex with Men

Authors: Renee Stein, Kathleen Green, Kelly Bell, Carlos A. Toledo, Gary Uhl, Andrea Moore, Gene A. Shelley, Felicia P. Hardnett

Published in: AIDS and Behavior | Issue 4/2011

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Abstract

In the context of monitoring and improving CDC-funded HIV prevention programs, we describe HIV tests and infections, provision of results, previous HIV tests, and risk behaviors for young (aged 13–29) men of color who have sex with men who received HIV tests at five community-based organizations. Of 1,723 tests provided, 2.1% were positive and 75.7% of positives were previously unaware of their infection. The highest positivity rate was among men aged 25–29 (4.7%). Thirty-four percent of tests were provided to men who were tested for the first time. Over half the tests (53.2%) were provided to men who reported sex with a person of unknown HIV status, and 34% to men who reported sex with an anonymous partner. Continued and more focused prevention efforts are needed to reach and test young men of color who have sex with men and to identify previously undiagnosed HIV infections among this target population.
Literature
1.
go back to reference Hall IH, Song R, Rhodes P, et al. Estimation of HIV incidence in the United States. JAMA. 2008;300(5):520–9.PubMedCrossRef Hall IH, Song R, Rhodes P, et al. Estimation of HIV incidence in the United States. JAMA. 2008;300(5):520–9.PubMedCrossRef
2.
go back to reference Catania JA, Osmond D, Stall RD, et al. The continuing HIV epidemic among men who have sex with men. Am J Public Health. 2001;91:907–14.PubMedCrossRef Catania JA, Osmond D, Stall RD, et al. The continuing HIV epidemic among men who have sex with men. Am J Public Health. 2001;91:907–14.PubMedCrossRef
3.
go back to reference Centers for Disease Control and Prevention. HIV prevalence, unrecognized infection, and HIV testing among men who have sex with men—five U.S. cities, June 2004–April 2005. MMWR Morb Mortal Wkly Rep. 2005;54:597–601. Centers for Disease Control and Prevention. HIV prevalence, unrecognized infection, and HIV testing among men who have sex with men—five U.S. cities, June 2004–April 2005. MMWR Morb Mortal Wkly Rep. 2005;54:597–601.
4.
go back to reference MacKellar DA, Valleroy LA, Secura GM, et al. Unrecognized HIV infection, risk behaviors, and perceptions of risk among young men who have sex with men: opportunities for advancing HIV prevention in the third decade of HIV/AIDS. J Acquir Immune Defic Syndr. 2005;38:603–14.PubMedCrossRef MacKellar DA, Valleroy LA, Secura GM, et al. Unrecognized HIV infection, risk behaviors, and perceptions of risk among young men who have sex with men: opportunities for advancing HIV prevention in the third decade of HIV/AIDS. J Acquir Immune Defic Syndr. 2005;38:603–14.PubMedCrossRef
5.
go back to reference Marks G, Millet GA, Bingham T, et al. Understanding differences in HIV sexual transmission among Latino and black men who have sex with men: the Brothers y Hermanos study. AIDS Behav. 2009;13:682–90.PubMedCrossRef Marks G, Millet GA, Bingham T, et al. Understanding differences in HIV sexual transmission among Latino and black men who have sex with men: the Brothers y Hermanos study. AIDS Behav. 2009;13:682–90.PubMedCrossRef
6.
go back to reference Crepaz N, Marks G, Mansergh G, et al. Age-related risk for HIV infection in men who have sex with men: examination of behavioral, relationship, and serostatus variables. AIDS Educ Prev. 2000;12(5):405–15.PubMed Crepaz N, Marks G, Mansergh G, et al. Age-related risk for HIV infection in men who have sex with men: examination of behavioral, relationship, and serostatus variables. AIDS Educ Prev. 2000;12(5):405–15.PubMed
7.
go back to reference McAuliffe T, Kelly JA, Sikkema KJ, et al. Sexual HIV risk behavior levels among young and older gay men outside of AIDS epicenters: findings of a 16-city sample. AIDS Behav. 1999;3(2):111–9.CrossRef McAuliffe T, Kelly JA, Sikkema KJ, et al. Sexual HIV risk behavior levels among young and older gay men outside of AIDS epicenters: findings of a 16-city sample. AIDS Behav. 1999;3(2):111–9.CrossRef
8.
go back to reference Centers for Disease Control and Prevention. Unrecognized HIV infection, risk behaviors, and perceptions of risk among young black men who have sex with men—six U.S. cities, 1994–1998. MMWR Morb Mortal Wkly Rep. 2002;51(33):733–6. Centers for Disease Control and Prevention. Unrecognized HIV infection, risk behaviors, and perceptions of risk among young black men who have sex with men—six U.S. cities, 1994–1998. MMWR Morb Mortal Wkly Rep. 2002;51(33):733–6.
9.
go back to reference Centers for Disease Control and Prevention. Advancing HIV prevention: new strategies for a changing epidemic—United States, 2003. MMWR Morb Mortal Wkly Rep. 2003;52(15):329–32. Centers for Disease Control and Prevention. Advancing HIV prevention: new strategies for a changing epidemic—United States, 2003. MMWR Morb Mortal Wkly Rep. 2003;52(15):329–32.
10.
go back to reference Chillag K, Bartholow K, Cordeiro J, et al. Factors affecting the delivery of HIV/AIDS prevention programs by community-based organizations. AIDS Educ Prev. 2002;14(Suppl A):27–37.PubMedCrossRef Chillag K, Bartholow K, Cordeiro J, et al. Factors affecting the delivery of HIV/AIDS prevention programs by community-based organizations. AIDS Educ Prev. 2002;14(Suppl A):27–37.PubMedCrossRef
11.
go back to reference Centers for Disease Control and Prevention. Rapid HIV testing in outreach and other community settings—United States, 2004–2006. MMWR Morb Mortal Wkly Rep. 2007;56(47):1233–7. Centers for Disease Control and Prevention. Rapid HIV testing in outreach and other community settings—United States, 2004–2006. MMWR Morb Mortal Wkly Rep. 2007;56(47):1233–7.
12.
go back to reference Kahn RH, Moseley KE, Thilges JN, Johnson G, Farley TA. Community-based screening and treatment for STDs: results from a mobile clinic initiative. Sex Transm Dis. 2003;30(8):654–8.PubMedCrossRef Kahn RH, Moseley KE, Thilges JN, Johnson G, Farley TA. Community-based screening and treatment for STDs: results from a mobile clinic initiative. Sex Transm Dis. 2003;30(8):654–8.PubMedCrossRef
14.
go back to reference Sanchez T, Finlayson T, Drake A, et al. Human immunodeficiency virus (HIV) risk, prevention, and testing behaviors—United States, National HIV Behavioral Surveillance System: men who have sex with men, November 2003–April 2005. Morb Mortal Wkly Rep. 2006;55(SS06):1–16. Sanchez T, Finlayson T, Drake A, et al. Human immunodeficiency virus (HIV) risk, prevention, and testing behaviors—United States, National HIV Behavioral Surveillance System: men who have sex with men, November 2003–April 2005. Morb Mortal Wkly Rep. 2006;55(SS06):1–16.
15.
go back to reference Centers for Disease Control and Prevention. HIV counseling and testing at CDC-funded sites, United States, Puerto Rico, and the U.S. Virgin Islands, 2005. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, June 2010:1–23. Centers for Disease Control and Prevention. HIV counseling and testing at CDC-funded sites, United States, Puerto Rico, and the U.S. Virgin Islands, 2005. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, June 2010:1–23.
16.
go back to reference Brown J, Shesser R, Simon G, et al. Routine HIV screening in the emergency department using the new US Centers for Disease Control and Prevention Guidelines: results from a high-prevalence area. J Acquir Immune Defic Syndr. 2007;46:395–401.PubMedCrossRef Brown J, Shesser R, Simon G, et al. Routine HIV screening in the emergency department using the new US Centers for Disease Control and Prevention Guidelines: results from a high-prevalence area. J Acquir Immune Defic Syndr. 2007;46:395–401.PubMedCrossRef
17.
go back to reference Clark HA, Bowles KE, Song B, Heffelfinger JD. Implementation of rapid HIV testing programs in community and outreach settings: perspectives from staff at eight community-based organizations in seven U.S. cities. Public Health Rep. 2008;123(Suppl 3):86–93.PubMed Clark HA, Bowles KE, Song B, Heffelfinger JD. Implementation of rapid HIV testing programs in community and outreach settings: perspectives from staff at eight community-based organizations in seven U.S. cities. Public Health Rep. 2008;123(Suppl 3):86–93.PubMed
18.
go back to reference Liang TS, Erbelding E, Jacob CA, et al. Rapid HIV testing of clients of a mobile STD/HIV clinic. AIDS Patient Care STDS. 2005;19(4):253–7.PubMedCrossRef Liang TS, Erbelding E, Jacob CA, et al. Rapid HIV testing of clients of a mobile STD/HIV clinic. AIDS Patient Care STDS. 2005;19(4):253–7.PubMedCrossRef
19.
go back to reference Kinsler JJ, Cunningham WE, Davis C, Wong MD. Time trends in failure to return for HIV test results. Sex Transm Dis. 2007;34(6):397–400.PubMed Kinsler JJ, Cunningham WE, Davis C, Wong MD. Time trends in failure to return for HIV test results. Sex Transm Dis. 2007;34(6):397–400.PubMed
20.
go back to reference Grusky O, Roberts KJ, Swanson AN. Failure to return for HIV test results: a pilot study of three community testing sites. J Int Assoc Phys AIDS Care. 2007;6(1):47–55.CrossRef Grusky O, Roberts KJ, Swanson AN. Failure to return for HIV test results: a pilot study of three community testing sites. J Int Assoc Phys AIDS Care. 2007;6(1):47–55.CrossRef
21.
go back to reference Grusky O, Roberts KJ, Swanson AN, Rhoades H, Lam M. Staff strategies for improving HIV detection using mobile HIV rapid testing. Behav Med. 2009;35(4):101–11.CrossRef Grusky O, Roberts KJ, Swanson AN, Rhoades H, Lam M. Staff strategies for improving HIV detection using mobile HIV rapid testing. Behav Med. 2009;35(4):101–11.CrossRef
22.
go back to reference Rotheram-Borus MJ, Klosinski LE, Etzel MA. Differences between proof-of-concept studies and effective implementation: routine, opt-out HIV testing in emergency departments. J Acquir Immune Defic Syndr. 2007;46(4):381–3.PubMedCrossRef Rotheram-Borus MJ, Klosinski LE, Etzel MA. Differences between proof-of-concept studies and effective implementation: routine, opt-out HIV testing in emergency departments. J Acquir Immune Defic Syndr. 2007;46(4):381–3.PubMedCrossRef
23.
go back to reference Centers for Disease Control, Prevention. High-risk sexual behavior by HIV-positive men who have sex with men–16 sites, United States, 2000–2002. MMWR Morb Mortal Wkly Rep. 2004;53(38):891–4. Centers for Disease Control, Prevention. High-risk sexual behavior by HIV-positive men who have sex with men–16 sites, United States, 2000–2002. MMWR Morb Mortal Wkly Rep. 2004;53(38):891–4.
24.
go back to reference Cooper ML. Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence. J Stud Alcohol Suppl. 2002;14:101–17.PubMed Cooper ML. Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence. J Stud Alcohol Suppl. 2002;14:101–17.PubMed
26.
go back to reference Myers HF, Javanbakht M, Martinez M, Obediah S. Psychosocial predictors of risky sexual behaviors in African American men: implications for prevention. AIDS Educ Prev. 2003;15(Supplement A):66–79.PubMedCrossRef Myers HF, Javanbakht M, Martinez M, Obediah S. Psychosocial predictors of risky sexual behaviors in African American men: implications for prevention. AIDS Educ Prev. 2003;15(Supplement A):66–79.PubMedCrossRef
27.
go back to reference Brooks R, Rotheram-Borus MJ, Bing EG, Ayala G, Henry CL. HIV and AIDS among men of color who have sex with men and men of color who have sex with men and women: an epidemiological profile. AIDS Educ Prev. 2003;15(Supplement A):1–6.PubMedCrossRef Brooks R, Rotheram-Borus MJ, Bing EG, Ayala G, Henry CL. HIV and AIDS among men of color who have sex with men and men of color who have sex with men and women: an epidemiological profile. AIDS Educ Prev. 2003;15(Supplement A):1–6.PubMedCrossRef
Metadata
Title
Provision of HIV Counseling and Testing Services at Five Community-Based Organizations Among Young Men of Color Who Have Sex with Men
Authors
Renee Stein
Kathleen Green
Kelly Bell
Carlos A. Toledo
Gary Uhl
Andrea Moore
Gene A. Shelley
Felicia P. Hardnett
Publication date
01-05-2011
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2011
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-010-9821-x

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