Gaps in targeting high-risk communities in alameda county's publicly-funded HIV testing program: A place-based analysis
Methods: We analyzed non-identified routine testing data for Alameda County's publicly funded testing sites between-July 2010-July 2011-from the Local Evaluation Online (LEO) system. Fisher's exact tests and logistic regression were used to compare HIV-positivity between racial and risk groups. GIS mapping was used to examine the association between the geographic distributions of positive test results and testing sites utilizing.
Results: Of the total tests conducted (n=6,430), 1.2% were positive. 2.3% of tests with men who have sex with men (MSM) were HIV-positive; MSM were more likely to be HIV-positive than non-MSM males (OR=3.93; 95%CI: 2.08-7.42). African American MSM (5.6%; OR=5.03; 95%CI: 1.72-14.73) and Latino MSM (2.4%; OR=2.32; 95%CI: 1.05-5.16) testers were more likely to be HIV positive than White MSM. In contrast to downtown Oakland, locations such as East and West Oakland with similarly high HIV/AIDS burden had lower volumes of tests and testing sites.
Conclusions: HIV testing programs should consider placement of sites where at-risk populations reside, work, and engage in risky behaviors. Coordinated outreach efforts and social network utilization may assist in targeting high-risk populations.
Learning Areas:Planning of health education strategies, interventions, and programs
Discuss the use of routine program monitoring HIV testing data to inform availability of testing sites
Keyword(s): Urban Health, Geographic Information Systems
Qualified on the content I am responsible for because: I currently serves as Research Director for our Oakland Late Diagnosis of HIV, NIH supported study. I have extensive experience in implementing international and domestic HIV/AIDS programming in low resource. around the world, including the Caribbean, Asia, and the United States.
My research interest include the design and use of rapid assessment and ethnographic methods to inform program development, with emphasis on populations such as male and female sex workers, and people living with HIV/AIDS.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.