Social networks can be leveraged to identify undiagnosed HIV-infected individuals. The NC-LINK clinic-based testing initiative utilized these networks to achieve a 5% (95% CI 1.1–8.9%) positivity rate by providing free HIV testing to anyone who accompanied an HIV-infected patient to their clinic appointment. During 2013–2015, 120 individuals were tested at two clinics (N > 1000 patients each) in North Carolina, with 5 new and 6 total positive results. Of these, three linked to care within 30 days and all within 365 days. If expanded further, this initiative could significantly increase the number of HIV- infected individuals aware of their status. Keywords HIV · Clinic-based testing · Social networks · Newly diagnosed Introduction US occur from HIV-infected individuals who were unaware of their status . Additionally, undiagnosed HIV-infected Approximately 168,000 people (14%) living with HIV in individuals had transmission rates 3–7 times that of those the US are undiagnosed . Similar to national estimates, who were aware of their HIV status . in North Carolina an estimated 4000 HIV-infected individu- When HIV-infected individuals are aware of their diag- als (11%) are unaware of their status . Despite highly nosis, they can link to care, which is a necessary first step effective treatment and free testing,
AIDS and Behavior – Springer Journals
Published: Jun 5, 2018
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