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Opinion EDITORIAL Targeted Testing, Universal Testing, or Both? Allison L. Agwu, MD, ScM; Thomas C. Quinn, MD, MSc The disparate proportion of new human immunodeficiency not even have links in place to refer youths to testing sites. virus (HIV) infections occurring annually among young sexual Given the high incidence, the known barriers to testing, and minority men of color in the United States constitutes a the limited testing uptake, which testing strategy would best public health emergency. improve identification of at-risk young sexual minority men Young men of color who have of color: universal or targeted testing? sex with men between the In this issue of JAMA Pediatrics, Miller et al examined dif- Related article page 532 ages of 13 and 24 years make ferences in the proportion of young sexual minority men aged up a group with high HIV incidence, representing approxi- 13 to 24 years, particularly those of color, living with undiag- mately 20% of new diagnoses in the United States; they are nosed HIV infection identified using either targeted, univer- one of the only groups with rising incidence rates. To sal, or combination testing strategies at 12 adolescent medi- improve HIV diagnosis, the Centers for Disease
JAMA Pediatrics – American Medical Association
Published: Jun 17, 2017
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