ArticlePloS one2014
HIV testing implementation in two urban cities: practice, policy, and perceived barriers.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Innovation and implementation determinants of HIV testing and linkage-to-care in the U.S.: a systematic review.Implementation science communications · 2024Review
- Five point initiative: a community-informed bundled implementation strategy to address HIV in Black communities.BMC public health · 2023Article
- HIV Testing Program Activities and Challenges in Four U.S. Urban Areas.AIDS education and prevention : official publication of the International Society for AIDS Education · 2022Article
- Racial and sex disparities in HIV screening outcomes within emergency departments of Harris County, Texas.Journal of the American College of Emergency Physicians open · 2020Article
- Budgetary Impact of Compliance With STI Screening Guidelines in Persons Living With HIV.Journal of acquired immune deficiency syndromes (1999) · 2017Article
- Feasibility of Using HIV Care-Continuum Outcomes to Identify Geographic Areas for Targeted HIV Testing.Journal of acquired immune deficiency syndromes (1999) · 2017Article
- An overview of recent evidence on barriers and facilitators to HIV testing.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2015Article
- Women's willingness to be tested for human immunodeficiency virus during pregnancy: A review.World journal of virology · 2015Review
- Update on the Epidemiology and Prevention of HIV/AIDS in the United States.Current epidemiology reports · 2015Article
- Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundAlthough funding has supported the scale up of routine, opt-out HIV testing in the US, variance in implementation mechanisms and barriers in high-burden jurisdictions remains unknown.
methodsWe conducted a survey of health care organizations in Washington, DC and Houston/Harris County to determine number of HIV tests completed in 2011, policy and practices associated with HIV testing, funding mechanisms, and reported barriers to testing in each jurisdiction and to compare results between jurisdictions.
resultsIn 2012, 43 Houston and 35 DC HIV-testing organizations participated in the survey. Participants represented 85% of Department of Health-supported testers in DC and 90% of Department of Health-supported testers in Houston. The median number of tests per organization was 568 in DC and 1045 in Houston. Approximately 50% of organizations in both DC and Houston exclusively used opt-in consent and most conducted both pre- and post-test counseling with HIV testing (80% of organizations in DC, 70% in Houston). While the most frequent source of funding in DC was the Department of Health, Houston organizations primarily billed the patient or third-party payers. Barriers to testing most often reported were lack of funding, followed by patient discomfort/refusal with more barriers reported in DC.
conclusionsGiven unique policies, resources and programmatic contexts, DC and Houston have taken different approaches to support routine testing. Many organizations in both cities reported opt-in consent approaches and pre-test counseling, suggesting 2006 national HIV testing recommendations are not being followed consistently. Addressing the barriers to testing identified in each jurisdiction may improve expansion of testing.
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