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

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,...

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Bibliographic Details
Published in:AIDS and behavior 2015-03, Vol.19 (3), p.536-542
Main Authors: Kyle, Tiffany L., Horigian, Viviana E., Tross, Susan, Gruber, Valerie A., Pereyra, Margaret, Mandler, Raul N., Feaster, Daniel J., Metsch, Lisa R.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
African Americans
AIDS
AIDS Serodiagnosis - statistics & numerical data
AIDS Serodiagnosis - utilization
Behavioral Risk Factor Surveillance System
California - epidemiology
Clients
Constraints
Cost-Benefit Analysis
Diagnostic tests
Disease transmission
Drug abuse
Female
Females
Florida - epidemiology
Health
Health planning
Health Psychology
HIV
HIV Infections - diagnosis
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Infectious Diseases
Male
Mass Screening - methods
Medical screening
Medicine
Medicine & Public Health
Minority & ethnic groups
New York - epidemiology
Original Paper
Program Evaluation
Public Health
Risk-Taking
Substance abuse
Substance abuse treatment
Substance Abuse, Intravenous - complications
Substance Abuse, Intravenous - epidemiology
Substance Abuse, Intravenous - psychology
Substance use
Treatment programs
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Summary: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.
ISSN:1090-7165
1573-3254
1573-3254
DOI:10.1007/s10461-014-0864-2