title: Self-Reported HIV and HCV Screening Rates and Serostatus Among Substance Abuse Treatment Patients.
abstract: Substance users are at increased risk for HIV and HCV infection. Still, many substance use treatment programs (SUTP) fail to offer HIV/HCV testing. The present secondary analysis of screening data from a multi-site randomized trial of rapid HIV testing examines self-reported HIV/HCV testing patterns and serostatus of 2473 SUTP patients in 12 community-based sites that had not previously offered on-site testing. Results indicate that most respondents screened for the randomized trial tested more than a year prior to intake for HIV (52 %) and HCV (38 %). Prevalence rates were 3.6 and 30 % for HIV and HCV, respectively. The majority of participants that were HIV (52.2 %) and HCV-positive (40.5 %) reported having been diagnosed within the last 1-5 years. Multivariable logistic regression showed that members of high-risk groups were more likely to have tested. Bundled HIV/HCV testing and linkage to care issues are recommended for expanding testing in community-based SUTP settings.
authors.affiliation: Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 W. 168th St, Rm 934, New York, NY, 10032, USA. dh2494@columbia.edu.
authors.forename: Diana
authors.initials: D
authors.lastname: Hernández
authors.affiliation: Miller School of Medicine, University of Miami, Miami, FL, USA.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Feaster
authors.affiliation: Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 W. 168th St, Rm 934, New York, NY, 10032, USA.
authors.forename: Lauren
authors.initials: L
authors.lastname: Gooden
authors.affiliation: University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
authors.forename: Antoine
authors.initials: A
authors.lastname: Douaihy
authors.affiliation: National Institute on Drug Abuse, Bethesda, MD, USA.
authors.forename: Raul
authors.initials: R
authors.lastname: Mandler
authors.affiliation: Department of Psychology, University of New Mexico, Albuquerque, NM, USA.
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Erickson
authors.affiliation: The Center for Drug Free Living, Orlando, FL, USA.
authors.forename: Tiffany
authors.initials: T
authors.lastname: Kyle
authors.affiliation: Medical University of South Carolina, Charleston, SC, USA.
authors.forename: Louise
authors.initials: L
authors.lastname: Haynes
authors.affiliation: Friends Research Institute, Baltimore, MD, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Schwartz
authors.affiliation: School of Medicine, University of California, San Francisco, San Francisco, USA.
authors.forename: Moupali
authors.initials: M
authors.lastname: Das
authors.affiliation: Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 W. 168th St, Rm 934, New York, NY, 10032, USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Metsch
mesh_terms: D055030:Drug Users / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology*; D018023:HIV Seronegativity; D006679:HIV Seropositivity / Q000453:epidemiology; D015528:HIV Seroprevalence; D006526:Hepatitis C / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D015995:Prevalence; D057566:Self Report; D012725:Sexual Behavior; D015819:Substance Abuse, Intravenous / Q000150:complications / Q000453:epidemiology* / Q000628:therapy
keywords: Community based substance abuse treatment programs; HIV/HCV sceening and serostatus; HIV/HCV testing and linkage to care; Substance abuse treatment patients