title: Prevalence of HIV Testing Provision at Community Organizations Serving Young People in a Mid-Atlantic City, 2013-2014.
abstract: Little is known about the prevalence of human immunodeficiency virus (HIV) testing at community organizations or the organizational characteristics associated with testing. The objective of this study was to describe (1) the prevalence of HIV testing at community organizations serving young people in a mid-Atlantic urban city and (2) the characteristics associated with organizations that provide such testing.
  
  
  
  We conducted telephone or in-person surveys between February 2013 and March 2014 with 51 directors and administrators of community organizations serving young people. We asked whether the organization provided HIV screening or testing, and we collected data on organizational characteristics (eg, setting, client, and staff member characteristics; services offered). We generated frequencies on measures and used Poisson regression analysis to examine the association between testing and organizational characteristics.
  
  
  
  Of the 51 organizations surveyed, 21 provided HIV testing. Of the 30 organizations that did not provide HIV testing, only 7 had a relationship with programs that did provide it. Characteristics associated with the provision of HIV testing included offering general health services (relative risk [RR] = 4.57; 95% confidence interval [CI], 1.68-12.48; P = .003) and referral services for sexually transmitted infection screening (RR = 5.77; 95% CI, 1.70-19.59; P = .005) and HIV care (RR = 4.78; 95% CI, 1.61-14.21; P = .005), as well as among administrators who perceived their staff members were comfortable talking with young people about sexual health (RR = 3.29; 95% CI, 1.28-8.49; P = .01).
  
  
  
  The prevalence of HIV testing provision at organizations serving young people in this mid-Atlantic city was low, and few organizations offered linkages to HIV testing. Strategies are needed to increase the provision of HIV testing at community organizations serving young people, whether through direct or linked approaches.
authors.affiliation: 1 School of Medicine, Johns Hopkins University, Baltimore, MD, USA.|2 Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Arik V
authors.initials: AV
authors.lastname: Marcell
authors.affiliation: 2 Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Lauren
authors.initials: L
authors.lastname: Okano
authors.affiliation: 3 Population Council, Washington, DC, USA.
authors.forename: Nanlesta A
authors.initials: NA
authors.lastname: Pilgrim
authors.affiliation: 1 School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Jacky M
authors.initials: JM
authors.lastname: Jennings
authors.affiliation: 1 School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Kathleen R
authors.initials: KR
authors.lastname: Page
authors.affiliation: 1 School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Renata
authors.initials: R
authors.lastname: Sanders
authors.affiliation: 4 Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Penny S
authors.initials: PS
authors.lastname: Loosier
authors.affiliation: 4 Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Patricia J
authors.initials: PJ
authors.lastname: Dittus
mesh_terms: D000293:Adolescent; D003153:Community Health Services; D015658:HIV Infections / Q000175:diagnosis*; D006270:Health Facility Administrators; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008873:Mid-Atlantic Region / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014505:Urban Population; D055815:Young Adult
keywords: HIV testing; adolescents; community health; health education; prevention; young adults