title: HIV testing practices among New England college health centers.
abstract: BACKGROUND
  The prevalence of human immunodeficiency virus (HIV) continues to increase among certain populations including young men who have sex with men (MSM). College campuses represent a potential setting to engage young adults and institute prevention interventions including HIV testing. The purpose of this study was to evaluate testing practices for HIV and other sexually transmitted infections (STIs) on college campuses.
  
  
  METHODS
  Medical directors at four-year residential baccalaureate college health centers in New England were surveyed from June, 2011 to September, 2011. Thirty-one interviews were completed regarding experiences with HIV testing, acute HIV infection, other STI testing, and outreach efforts targeting specific at-risk groups such as MSM.
  
  
  RESULTS
  Among schools that responded to the survey, less than five percent of students were tested for HIV at their local college health center in the past academic year (2010-2011). Significant barriers to HIV testing included cost and availability of rapid antibody testing. One-third of college health medical directors reported that their practitioners may not feel comfortable recognizing acute HIV infection.
  
  
  CONCLUSIONS
  Improved HIV testing practices are needed on college campuses. Programs should focus on outreach efforts targeting MSM and other at-risk populations.
authors.affiliation: Alpert Medical School of Brown University, Division of Infectious Diseases, The Miriam Hospital, 1125 North Main Street, Providence, RI 02904, USA. PChan@lifespan.org.
authors.forename: Nilay
authors.initials: N
authors.lastname: Patel
authors.forename: Aadia
authors.initials: A
authors.lastname: Rana
authors.forename: Alyssa
authors.initials: A
authors.lastname: Thomas
authors.forename: John C
authors.initials: JC
authors.lastname: Barnhart
authors.forename: Timothy P
authors.initials: TP
authors.lastname: Flanigan
authors.forename: Jacob J
authors.initials: JJ
authors.lastname: van den Berg
authors.forename: Philip A
authors.initials: PA
authors.lastname: Chan