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HIV testing in nonhealthcare facilities among adolescent MSM

Marano, Mariette R.a; Stein, Reneea; Williams, Weston O.b; Wang, Guoshena; Xu, Songlia; Uhl, Garya; Cheng, Qid; Rasberry, Catherine N.c

doi: 10.1097/QAD.0000000000001508
Supplement Article

Objectives: To describe the extent to which Centers for Disease Control and Prevention (CDC)-funded HIV testing in nonhealthcare facilities reaches adolescent MSM, identifies new HIV infections, and links those newly diagnosed to medical care.

Methods/design: We describe HIV testing, newly diagnosed positivity, and linkage to medical care for adolescent MSM who received a CDC-funded HIV test in a nonhealthcare facility in 2015. We assess outcomes by race/ethnicity, HIV-related risk behaviors, and US geographical region.

Results: Of the 703 890 CDC-funded HIV testing events conducted in nonhealthcare facilities in 2015, 6848 (0.9%) were provided to adolescent MSM aged 13–19 years. Among those tested, 1.8% were newly diagnosed with HIV, compared with 0.7% among total tests provided in nonhealthcare facilities regardless of age and sex. The odds of testing positive among black adolescent MSM were nearly four times that of white adolescent MSM in multivariable analysis (odds ratio = 3.97, P < 0.001). Among adolescent MSM newly diagnosed with HIV, 67% were linked to HIV medical care. Linkage was lower among black (59%) and Hispanic/Latino adolescent MSM (71%) compared with white adolescent MSM (88%).

Conclusion: CDC-funded nonhealthcare facilities can reach and provide HIV tests to adolescent MSM and identify new HIV infections; however, given the low rate of HIV testing overall and high engagement in HIV-related risk behaviors, there are opportunities to increase access to HIV testing and linkage to care for HIV-positive adolescent MSM. Efforts are needed to identify and address the barriers that prevent black and Hispanic/Latino adolescent MSM from being linked to HIV medical care in a timely manner.

aDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia

bPublic Health Analytic Consulting Services, Inc., Miami, Florida

cDivision of Adolescent and School Health, Centers for Disease Control and Prevention

dKarna, LLC, Atlanta, Georgia, USA.

Correspondence to Mariette R. Marano, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Mailstop E-59, Atlanta, GA 30333, USA. E-mail:

Received 31 January, 2017

Revised 7 April, 2017

Accepted 10 April, 2017

This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

Copyright © 2017 Wolters Kluwer Health, Inc.