title: HIV Testing Among Men at Risk for Acquiring HIV Infection Before and After the 2006 CDC Recommendations.
abstract: OBJECTIVE
  Testing for human immunodeficiency virus (HIV) is the key first step in HIV treatment and prevention. In 2006, the Centers for Disease Control and Prevention (CDC) recommended annual HIV testing for people at high risk for HIV infection. We evaluated HIV testing among men with high-risk heterosexual (HRH) contact and sexually active men who have sex with men (MSM) before and after the CDC recommendations.
  
  
  METHODS
  We used data from the National Survey of Family Growth, 2002 and 2006-2010, to assess proportions of HRH respondents and MSM reporting HIV testing in the prior 12 months, compare rates of testing before and after release of the 2006 CDC HIV testing guidelines, and examine demographic variables and receipt of health-care services as correlates of HIV testing.
  
  
  RESULTS
  Among MSM, the proportion tested was 37.2% (95% confidence interval [CI] 28.2, 47.2) in 2002, 38.2% (95% CI 25.9, 52.2) in 2006-2008, and 41.7% (95% CI 29.2, 55.3) in 2008-2010; among HRH respondents, the proportion was 23.7% (95% CI 20.5, 27.3) in 2002, 24.5% (95% CI 20.9, 28.7) in 2006-2008, and 23.9% (95% CI 20.2, 28.1) in 2008-2010. HIV testing was more likely among MSM and HRH respondents who received testing or treatment for sexually transmitted disease in the prior 12 months, received a physical examination in the prior 12 months (MSM only), or were incarcerated in the prior 12 months.
  
  
  CONCLUSIONS
  The rate of annual HIV testing was low for men with sexual risk for HIV infection, and little improvement took place from 2002 to 2006-2010. Interventions aimed at men at risk, especially MSM, in both nonmedical and health-care settings, likely could increase HIV testing.
authors.affiliation: Epidemic Intelligence Service, Atlanta, GA; Current affiliation: New York University School of Medicine, New York, NY.
authors.forename: Candice K
authors.initials: CK
authors.lastname: Kwan
authors.affiliation: Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention, Atlanta, GA.
authors.forename: Charles E
authors.initials: CE
authors.lastname: Rose
authors.affiliation: Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention, Atlanta, GA.
authors.forename: John T
authors.initials: JT
authors.lastname: Brooks
authors.affiliation: Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention, Atlanta, GA.
authors.forename: Gary
authors.initials: G
authors.lastname: Marks
authors.affiliation: Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention, Atlanta, GA.
authors.forename: Catlainn
authors.initials: C
authors.lastname: Sionean
mesh_terms: D015492:AIDS Serodiagnosis / Q000592:standards / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D002487:Centers for Disease Control and Prevention, U.S. / Q000592:standards*; D003430:Cross-Sectional Studies; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control / Q000635:transmission; D006306:Health Surveys; D018451:Homosexuality, Male; D006801:Humans; D015994:Incidence; D007407:Interviews as Topic; D008297:Male; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D012747:Sexual Partners; D014481:United States / Q000453:epidemiology; D047568:Unsafe Sex / Q000706:statistics & numerical data; D055815:Young Adult