HIV Counseling and Testing in Publicly Funded Sites: 1996 Annual Report

Details

• Corporate Authors:
  National Center for HIV, STD, and TB Prevention (U.S.). Division of HIV/AIDS Prevention—Surveillance and Epidemiology ; Centers for Disease Control and Prevention (U.S.)
• Description:
  Overview, 1989-1996: The number of persons receiving HIV counseling and testing (CT) services at publicly funded sites increased markedly between 1989 and 1992. Since 1992, the number of tests has remained relatively stable; 2,623,873 tests were performed in 1996 (Figure 1). The number of HIV-positive test results peaked at 57,879 in 1991 and decreased to 39,119 in 1996 (Figure 2). As a proportion of all test results, HIV-positive test results declined from 4.4% in 1989 to 1.5% in 1996. Similar trends were observed for most well-defined groups and sites that have more than 50,000 tests annually, including men and women, racial/ ethnic groups, testing sites, age groups, and risk/exposure groups. These findings are consistent with the observation that persons being tested are increasingly likely to have been tested previously and that those found to be HIV-positive tend not to seek repeat testing. The manner in which these data are collected does not allow analysis that would determine whether this decline reflects a true decline in the prevalence or the incidence of HIV infection. A few groups had small increases in the percentage of test results that were positive: prenatal/obstetric sites, uncategorized (.other.) health department sites, and the offices of private medical doctors. The increase at each of these sites was 0.1% between 1995 and 1996.
  
  HIV Counseling and Testing Sites: The proportion of all tests performed in freestanding HIV CT sites declined from 36.8% in 1989 to 28.4% in 1996. Although freestanding CT sites continued to report the largest proportion of HIV-positive test results, this proportion declined from 48.6% in 1989 to 32.5% in 1996. Sexually transmitted disease (STD) clinics reported 26.3% of all tests (Figure 3) and 25.0% of HIV-positive test results in 1996 (Figure 4). Drug treatment facilities and prisons accounted for a small proportion of all tests; however, a high proportion of test results at these sites were HIV-positive (2.6%, Table 1). The only site type with a higher percentage of positive test results was private MD/clinics (Table 1), where clients may be more likely to attend and be tested when symptoms develop that are suggestive of HIV infection. In family planning and prenatal/obstetric clinics, only 0.2% and 0.8% of all test results, respectively, were HIV-positive; nonetheless, these sites together reported 2,458 HIV-positive test results for women (6.3% of all positive tests reported). This percentage has increased substantially since 1994, particularly in prenatal/obstetric clinics, where the number of tests increased from 142,394 in 1994, to 159,874 in 1995 (12% increase) and to 211,552 in 1996 (32% increase). Positive test results in prenatal/ obstetric clinics increased from 632 in 1994 to 1,100 in 1995 (74% increase) and to 1,598 in 1996 (45% increase). This dramatic increase in testing is probably in response to recommendations for voluntary testing of pregnant women and treatment of infected women with antiretroviral therapy to prevent the perinatal transmission of HIV (CDC, 1995).
  
  
• Subjects:
  Counseling HIV Infections / Diagnosis
• Keywords:
  CDC-Funded HIV Testing DHP_HIV_Reports
• Series:
  CDC-Funded HIV Testing
• Publisher:
  Centers for Disease Control and Prevention (CDC) (U.S.)
• Document Type:
  Text
• Genre:
  Report ; Statistics
• Place as Subject:
  Puerto Rico ; Guam ; United States Virgin Islands ; United States
• Rights:
  Public Domain
• CIO:
  National Center for HIV, STD, and TB Prevention (NCHSTP)
• Division:
  DHP - Division of HIV/AIDS Prevention
• Topic:
  Diseases & Conditions
• Location:
  North America
• Pages in Document:
  28 pdf pages
• Citation:
  Suggested Citation: HIV counseling and testing in publicly funded sites: 1996 annual report. Atlanta: U.S. Department of Health and Human Services. Centers for Disease Control and Prevention, May 1998.
• Collection(s):
  Infectious Diseases
• Main Document Checksum:
  urn:sha-512:d61c459f83489b7d13f29e2ba9470e294359c166a08fde616f1763ea6613cb8eaf0b9fd7f3b737d1139bd4798e57ec79f805c397b0f58fc4a8e806121d50015b
• Download URL:
  https://stacks.cdc.gov/view/cdc/11960/cdc_11960_DS1.pdf
• File Type:
  [PDF - 904.79 KB ]