142nd APHA Annual Meeting and Exposition

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306929
Changes in Readiness for HIV Testing: Results of a Randomized Trial in Substance Use Disorder Treatment Centers

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Yue Pan, MS , Department of Epidemiology and Public Health Science, University of Miami, Miami, FL
Daniel Feaster, PhD , Department of Public Health Sciences, University of Miami, Miami, FL
Weize Wang, MA , Department of Epidemiology, Robert Stempel College of Public Health & Social Work at Florida International University, Miami, FL
Rui Duan, MPH , Department of Epidemiology and Public Health, University of Miami, Miami, FL
Tiffany L Kyle, PhD , The Center for Drug Free Living, The Center for Drug Free Living, Orlando, FL
Lisa R. Metsch, PhD , Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY
Background: HIV testing is a powerful transmission reduction strategy.  Yet, significant numbers of substance users are not routinely tested, despite their high risk status.

Objective: We examined changes in readiness for HIV testing in a randomized trial of HIV testing strategies.

Methods: A total of 1281 participants from 12 US community-based substance use disorder treatment programs were included in this planned secondary analysis of data from CTN-0032, a trial conducted within the National Drug Abuse Treatment Clinical Trials Network. There were three study arms: (1) referral for off-site HIV testing, (2) HIV risk-reduction counseling with on-site rapid HIV testing, and (3) verbal information about testing with on-site rapid HIV testing.

Results: Participants in both on site testing arms reported significantly higher readiness for HIV testing (30.3% vs 56.3% vs 54.8%), higher HIV test completion (47.6% vs 88.9% vs 89.6%) and a higher proportion of receiving HIV test results (90.1% vs 99.2% vs 99.4%) post-intervention than the off-site referral arm. A significant change in readiness to test across study arms was also reported for those who completed the HIV test (χ2=18.88, p=0.0008) and who received their results (χ2=20.09, p=0.0005). There was no difference in these outcomes between the information only or counseling arms, both of which provided on-site rapid HIV testing.

Conclusions: On-site rapid HIV testing increases participant’s readiness for future testing. Increased availability of on-site rapid HIV testing may increase the likelihood of repeated HIV testing in substance users.

Learning Areas:

Administer health education strategies, interventions and programs
Epidemiology
Planning of health education strategies, interventions, and programs
Protection of the public in relation to communicable diseases including prevention or control
Social and behavioral sciences

Learning Objectives:
Describe and evaluate changes in readiness for HIV testing in a randomized trial of HIV testing strategies for a total of 1281 participants from 12 US community-based substance use disorder treatment programs

Keyword(s): HIV Interventions, Drug Abuse Treatment

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I performed and initiated the analysis and have been part of data analysis team on the larger protocol and quality assurance. Further, I have a background in working with sexual risk behavior among substances use clients.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3364.0: Methods in HIV-Related Research