Research from R. Macgowan et al broadens understanding of HIV/AIDS
March 16th, 2009
2009 MAR 16 -- In this recent article published in the journal Sexually Transmitted Diseases, scientists in the United States conducted a study "To provide human immunodeficiency virus (HIV) rapid testing to persons in jails, identify previously undiagnosed cases of HIV infection, and refer HIV-infected inmates to care, treatment, and prevention services. Four state health departments (Florida, Louisiana, New York, and Wisconsin) collaborated with jails to implement stand-alone voluntary rapid HIV testing programs."
"Inmates requested or were referred by medical staff for rapid HIV testing. HIV testing was provided by the health department, correctional facility, or a community-based organization. Inmates whose rapid test was reactive were offered confirmatory testing, medical evaluation, prevention services, and discharge planning. From December 2003 through May 2006, rapid HIV testing was provided to 33,211 inmates, more than 99.9% of whom received their test results. Most of the inmates tested were male (79%), black (58%), and less than 35 years of age (60%). A total of 440 (13%) rapid HIV tests were reactive, and 409 (1.2%) of the results were confirmed positive. The testing programs identified 269 (0.8%) previously undiagnosed cases of HIV infection. In the multivariate analyses, new HIV diagnoses were associated with race/ethnicity, report of risky behaviors, and with no report of HIV risk behavior. Almost 40% of diagnoses were for inmates whose only reported risk was heterosexual contact. Rapid HIV testing in jails identified a considerable number of previously undiagnosed cases of HIV infection," wrote R. Macgowan and colleagues.
The researchers concluded: "Rapid HIV testing should be available to all inmates, regardless of whether inmates reported HIV risky behaviors."
Macgowan and colleagues published their study in Sexually Transmitted Diseases (Voluntary Rapid Human Immunodeficiency Virus (HIV) Testing in Jails. Sexually Transmitted Diseases, 2009;36(2 Suppl. S):S9-S13).
Additional information can be obtained by contacting R. Macgowan, US PHS Center Diseases Control & Prevention, 1600 Clifton Rd., MS E-37, Atlanta, GA 30333, USA.
The publisher of the journal Sexually Transmitted Diseases can be contacted at: Lippincott Williams & Wilkins, 530 Walnut St., Philadelphia, PA 19106-3621, USA.
