Prevalence of HIV Testing Provision at Community Organizations Serving Young People in a Mid-Atlantic City, 2013-2014

Arik V Marcell, Lauren Okano, Nanlesta A. Pilgrim, Jacky Jennings, Kathleen R Page, Renata Arrington Sanders, Penny S. Loosier, Patricia J. Dittus

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: 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.

METHODS: 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.

RESULTS: 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).

CONCLUSIONS: 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.

Original languageEnglish (US)
Pages (from-to)203-209
Number of pages7
JournalPublic health reports (Washington, D.C. : 1974)
Volume132
Issue number2
DOIs
StatePublished - Mar 1 2017

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HIV
Organizations
Confidence Intervals
Administrative Personnel
Reproductive Health
Sexually Transmitted Diseases
Telephone
Health Services
HIV-1
Referral and Consultation
Regression Analysis

Keywords

  • adolescents
  • community health
  • health education
  • HIV testing
  • prevention
  • young adults

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Prevalence of HIV Testing Provision at Community Organizations Serving Young People in a Mid-Atlantic City, 2013-2014. / Marcell, Arik V; Okano, Lauren; Pilgrim, Nanlesta A.; Jennings, Jacky; Page, Kathleen R; Sanders, Renata Arrington; Loosier, Penny S.; Dittus, Patricia J.

In: Public health reports (Washington, D.C. : 1974), Vol. 132, No. 2, 01.03.2017, p. 203-209.

Research output: Contribution to journalArticle

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abstract = "OBJECTIVES: 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.METHODS: 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.RESULTS: 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).CONCLUSIONS: 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.",
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