Public Health Benefit of Peer-Referral Strategies for Detecting Undiagnosed HIV Infection among High-Risk Heterosexuals in New York City. Gwadz, M., Cleland, C. M, Perlman, D. C, Hagan, H., Jenness, S. M, Leonard, N. R, Ritchie, A. S, & Kutnick, A. Journal of acquired immune deficiency syndromes (1999), 74(5):499–507, April, 2017. ![Public Health Benefit of Peer-Referral Strategies for Detecting Undiagnosed HIV Infection among High-Risk Heterosexuals in New York City [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex Background Identifying undiagnosed HIV infection is necessary for the elimination of HIV transmission in the United States. The present study evaluated the efficacy of three community-based approaches for uncovering undiagnosed HIV among heterosexuals at high-risk (HHR), who are mainly African American/Black and Hispanic. Heterosexuals comprise 24% of newly reported HIV infections in the U.S, but experience complex multi-level barriers to HIV testing. Methods We recruited African American/Black and Hispanic HHR in a discrete urban area with both elevated HIV prevalence and poverty rates. Approaches tested were: 1) respondent-driven sampling (RDS) and confidential HIV testing in two sessions (n=3116); 2) RDS and anonymous HIV testing in one session (n=498); and 3) venue-based sampling (VBS) and HIV testing in a single session (n=403). The main outcome was newly diagnosed HIV infection. Results RDS with anonymous testing and one session reached HHR with less HIV testing experience and more risk factors than the other approaches. Further, RDS with anonymous (4.0%) and confidential (1.0%) testing yielded significantly higher rates of newly diagnosed HIV than VBS (0.3%). Conclusion Peer-referral approaches were more efficacious than VBS for uncovering HHR with undiagnosed HIV, particularly a single-session/anonymous strategy, and have a vital role to play in efforts to eliminate HIV transmission.
@article{gwadz_public_2017,
title = {Public {Health} {Benefit} of {Peer}-{Referral} {Strategies} for {Detecting} {Undiagnosed} {HIV} {Infection} among {High}-{Risk} {Heterosexuals} in {New} {York} {City}},
volume = {74},
issn = {1525-4135},
url = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5341134/},
doi = {10.1097/QAI.0000000000001257},
abstract = {Background
Identifying undiagnosed HIV infection is necessary for the elimination of HIV transmission in the United States. The present study evaluated the efficacy of three community-based approaches for uncovering undiagnosed HIV among heterosexuals at high-risk (HHR), who are mainly African American/Black and Hispanic. Heterosexuals comprise 24\% of newly reported HIV infections in the U.S, but experience complex multi-level barriers to HIV testing.
Methods
We recruited African American/Black and Hispanic HHR in a discrete urban area with both elevated HIV prevalence and poverty rates. Approaches tested were: 1) respondent-driven sampling (RDS) and confidential HIV testing in two sessions (n=3116); 2) RDS and anonymous HIV testing in one session (n=498); and 3) venue-based sampling (VBS) and HIV testing in a single session (n=403). The main outcome was newly diagnosed HIV infection.
Results
RDS with anonymous testing and one session reached HHR with less HIV testing experience and more risk factors than the other approaches. Further, RDS with anonymous (4.0\%) and confidential (1.0\%) testing yielded significantly higher rates of newly diagnosed HIV than VBS (0.3\%).
Conclusion
Peer-referral approaches were more efficacious than VBS for uncovering HHR with undiagnosed HIV, particularly a single-session/anonymous strategy, and have a vital role to play in efforts to eliminate HIV transmission.},
number = {5},
urldate = {2018-04-25},
journal = {Journal of acquired immune deficiency syndromes (1999)},
author = {Gwadz, Marya and Cleland, Charles M and Perlman, David C and Hagan, Holly and Jenness, Samuel M and Leonard, Noelle R and Ritchie, Amanda S and Kutnick, Alexandra},
month = apr,
year = {2017},
pmid = {28267698},
pmcid = {PMC5341134},
pages = {499--507},
}
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The present study evaluated the efficacy of three community-based approaches for uncovering undiagnosed HIV among heterosexuals at high-risk (HHR), who are mainly African American/Black and Hispanic. Heterosexuals comprise 24% of newly reported HIV infections in the U.S, but experience complex multi-level barriers to HIV testing. Methods We recruited African American/Black and Hispanic HHR in a discrete urban area with both elevated HIV prevalence and poverty rates. Approaches tested were: 1) respondent-driven sampling (RDS) and confidential HIV testing in two sessions (n=3116); 2) RDS and anonymous HIV testing in one session (n=498); and 3) venue-based sampling (VBS) and HIV testing in a single session (n=403). The main outcome was newly diagnosed HIV infection. Results RDS with anonymous testing and one session reached HHR with less HIV testing experience and more risk factors than the other approaches. Further, RDS with anonymous (4.0%) and confidential (1.0%) testing yielded significantly higher rates of newly diagnosed HIV than VBS (0.3%). Conclusion Peer-referral approaches were more efficacious than VBS for uncovering HHR with undiagnosed HIV, particularly a single-session/anonymous strategy, and have a vital role to play in efforts to eliminate HIV transmission.","number":"5","urldate":"2018-04-25","journal":"Journal of acquired immune deficiency syndromes (1999)","author":[{"propositions":[],"lastnames":["Gwadz"],"firstnames":["Marya"],"suffixes":[]},{"propositions":[],"lastnames":["Cleland"],"firstnames":["Charles","M"],"suffixes":[]},{"propositions":[],"lastnames":["Perlman"],"firstnames":["David","C"],"suffixes":[]},{"propositions":[],"lastnames":["Hagan"],"firstnames":["Holly"],"suffixes":[]},{"propositions":[],"lastnames":["Jenness"],"firstnames":["Samuel","M"],"suffixes":[]},{"propositions":[],"lastnames":["Leonard"],"firstnames":["Noelle","R"],"suffixes":[]},{"propositions":[],"lastnames":["Ritchie"],"firstnames":["Amanda","S"],"suffixes":[]},{"propositions":[],"lastnames":["Kutnick"],"firstnames":["Alexandra"],"suffixes":[]}],"month":"April","year":"2017","pmid":"28267698","pmcid":"PMC5341134","pages":"499–507","bibtex":"@article{gwadz_public_2017,\n\ttitle = {Public {Health} {Benefit} of {Peer}-{Referral} {Strategies} for {Detecting} {Undiagnosed} {HIV} {Infection} among {High}-{Risk} {Heterosexuals} in {New} {York} {City}},\n\tvolume = {74},\n\tissn = {1525-4135},\n\turl = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5341134/},\n\tdoi = {10.1097/QAI.0000000000001257},\n\tabstract = {Background\nIdentifying undiagnosed HIV infection is necessary for the elimination of HIV transmission in the United States. The present study evaluated the efficacy of three community-based approaches for uncovering undiagnosed HIV among heterosexuals at high-risk (HHR), who are mainly African American/Black and Hispanic. Heterosexuals comprise 24\\% of newly reported HIV infections in the U.S, but experience complex multi-level barriers to HIV testing.\n\nMethods\nWe recruited African American/Black and Hispanic HHR in a discrete urban area with both elevated HIV prevalence and poverty rates. Approaches tested were: 1) respondent-driven sampling (RDS) and confidential HIV testing in two sessions (n=3116); 2) RDS and anonymous HIV testing in one session (n=498); and 3) venue-based sampling (VBS) and HIV testing in a single session (n=403). The main outcome was newly diagnosed HIV infection.\n\nResults\nRDS with anonymous testing and one session reached HHR with less HIV testing experience and more risk factors than the other approaches. Further, RDS with anonymous (4.0\\%) and confidential (1.0\\%) testing yielded significantly higher rates of newly diagnosed HIV than VBS (0.3\\%).\n\nConclusion\nPeer-referral approaches were more efficacious than VBS for uncovering HHR with undiagnosed HIV, particularly a single-session/anonymous strategy, and have a vital role to play in efforts to eliminate HIV transmission.},\n\tnumber = {5},\n\turldate = {2018-04-25},\n\tjournal = {Journal of acquired immune deficiency syndromes (1999)},\n\tauthor = {Gwadz, Marya and Cleland, Charles M and Perlman, David C and Hagan, Holly and Jenness, Samuel M and Leonard, Noelle R and Ritchie, Amanda S and Kutnick, Alexandra},\n\tmonth = apr,\n\tyear = {2017},\n\tpmid = {28267698},\n\tpmcid = {PMC5341134},\n\tpages = {499--507},\n}\n\n\n\n\n\n\n\n\n\n\n\n","author_short":["Gwadz, M.","Cleland, C. M","Perlman, D. C","Hagan, H.","Jenness, S. M","Leonard, N. R","Ritchie, A. 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