To assess the association between state per capita allocations of Centers for Disease Control and Prevention (CDC) funding for HIV testing
and the percentage of persons tested for HIV.
Setting and Participants:
We examined data from 2 sources: 2011 Behavioral Risk Factor Surveillance System and 2010-2011 State HIV Budget Allocations Reports. Behavioral Risk Factor Surveillance System data were used to estimate the percentage of persons aged 18 to 64 years who had reported testing for HIV in the last 2 years in the United States by state. State HIV Budget Allocations Reports were used to calculate the state mean annual per capita allocations for CDC-funded HIV testing
reported by state and local health departments in the United States.
The association between the state fixed-effect per capita allocations for CDC-funded HIV testing
and self-reported HIV testing
in the last 2 years among persons aged 18 to 64 years was assessed with a hierarchical logistic regression model adjusting for individual-level characteristics.
The percentage of persons tested for HIV in the last 2 years.
In 2011, 18.7% (95% confidence interval = 18.4-19.0) of persons reported being tested for HIV in last 2 years (state range, 9.7%-28.2%). During 2010-2011, the state mean annual per capita allocation for CDC-funded HIV testing
was $0.34 (state range, $0.04-$1.04). A $0.30 increase in per capita allocation for CDC-funded HIV testing
was associated with an increase of 2.4 percentage points (14.0% vs 16.4%) in the percentage of persons tested for HIV per state.
Providing HIV testing
resources to health departments was associated with an increased percentage of state residents tested for HIV.