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- Title
Implementing Rapid HIV Testing With or Without Risk-Reduction Counseling in Drug Treatment Centers: Results of a Randomized Trial.
- Authors
Metsch, Lisa R.; Feaster, Daniel J.; Gooden, Lauren; Matheson, Tim; Mandler, Raul N.; Haynes, Louise; Tross, Susan; Kyle, Tiffany; Gallup, Dianne; Kosinski, Andrzej S.; Douaihy, Antoine; Schackman, Bruce R.; Das, Moupali; Lindblad, Robert; Erickson, Sarah; Korthuis, P. Todd; Martino, Steve; Sorensen, James L.; Szapocznik, José; Walensky, Rochelle
- Abstract
Objectives. We examined the effectiveness of risk reduction counseling and the role of on-site HIV testing in drug treatment. Methods. Between January and May 2009, we randomized 1281 HIV-negative (or status unknown) adults who reported no past-year HIV testing to (1) referral for off-site HIV testing, (2) HIV risk-reduction counseling with on-site rapid HIV testing, or (3) verbal information about testing only with on-site rapid HIV testing. Results. We defined 2 primary self-reported outcomes a priori: receipt of HIV test results and unprotected anal or vaginal intercourse episodes at 6-month follow-up. The combined on-site rapid testing participants received more HIV test results than off-site testing referral participants (P < .001; Mantel-Haenszel risk ratio = 4.52; 97.5% confidence interval [CI] = 3.57, 5.72). At 6 months, there were no significant differences in unprotected intercourse episodes between the combined on-site testing arms and the referral arm (P = .39; incidence rate ratio [IRR] = 1.04; 97.5% CI = 0.95, 1.14) or the 2 on-site testing arms (P = .81; IRR = 1.03; 97.5% CI = 0.84, 1.26). Conclusions. This study demonstrated on-site rapid HIV testing's value in drug treatment centers and found no additional benefit from HIV sexual risk-reduction counseling.
- Subjects
UNITED States; SUBSTANCE abuse treatment; BEHAVIOR modification; BEHAVIORAL assessment; CLUSTER analysis (Statistics); COMPARATIVE studies; COMPUTER-aided design; CONFIDENCE intervals; COUNSELING; EPIDEMIOLOGY; HEALTH; LONGITUDINAL method; MEDICAL referrals; RESEARCH funding; RISK-taking behavior; STATISTICAL sampling; SELF-evaluation; INFORMATION resources; DATA analysis; TREATMENT programs; UNSAFE sex; RANDOMIZED controlled trials; EARLY medical intervention; STATISTICAL models; DESCRIPTIVE statistics; AIDS serodiagnosis
- Publication
American Journal of Public Health, 2012, Vol 102, Issue 6, p1160
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2011.300460