Screening for HIV infection in high-risk communities by urine antibody testing

Carol Hilton, Beulah P. Sabundayo, Susan J. Langan, Martha Hilton, Charlamaine Henson, Thomas C. Quinn, Joseph B. Margolick, Kenrad E. Nelson

Research output: Contribution to journalArticlepeer-review


Objectives: To evaluate the effectiveness of urine screening to detect HIV-infected individuals in high-prevalence communities. Methods: Urine HIV testing was performed at 16 discrete events and four ongoing testing sites in Baltimore communities with a high incidence of HIV infection. When possible, positive urine test results were confirmed by blood testing. In addition, we attempted to obtain blood samples from subjects who reported a possible exposure to HIV but did not have a positive urine test. Results: From February 1998 to August 2001, we screened 1718 persons. Overall, 210 persons (12%) were HIV-positive, of whom 169 (80%) had never previously tested positive; 87% of those who tested positive received their results, and most were referred for medical care. Conclusions: Urine-based screening for HIV infection in high-prevalence inner city communities can be an effective tool for identifying and treating infected persons who are unaware of their infection.

Original languageEnglish (US)
Pages (from-to)416-421
Number of pages6
JournalJournal of Acquired Immune Deficiency Syndromes
Issue number4
StatePublished - Dec 1 2002


  • Diagnosis of HIV infection
  • HIV test
  • Urine testing

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)


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