142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Kaiser Community Based HIV Test + Treat Initiative

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014 : 1:00 PM - 1:15 PM

Jennifer Yore, MPH , Division of Global Public Health, Department of Medicine, University of California, San Diego, San Diego, CA
Lianne Urada, PhD, MSW, LCSW , Medicine, Division of Global Public Health, Center on Gender Equity and Health, University of California, San Diego, La Jolla, CA
Anita Raj, PhD , Division of Global Public Health, Department of Medicine, University of California, San Diego, San Diego, CA
Alexandra Caraballo , Community Benefit- Program Offices, Kaiser Foundation Health Plan, Inc., Oakland, CA
John Edmiston , Community Engagment, Kaiser Permanente, Oakland, CA
Pamela Schwartz, MPH , Kaiser Permanente, Community Benefit, Oakland, CA
Kaiser Community-Based HIV Test and Treat Initiative was developed in 2013 to support sites around the country to implement and evaluate innovative models of HIV linkage to care for vulnerable minority and underserved populations living with HIV. This initiative aims to improve early identification of new HIV cases and to increase the HIV care acquisition and maintenance of newly diagnosed individuals in minority communities disproportionately affected by the HIV epidemic.

Seven Community Based Organizations (CBOs) have been supported to conduct this work with HIV-infected individuals who are MSM, transgender, substance using, prison releasees, low income minority, and/or rural residents. The cross-site evaluation will identify populations that can be reached via a community HIV test and treat approach, with regard to HIV risk profiles and vulnerabilities attached to HIV linkage to care. 

Recruitment of HIV infected individuals via community rather than clinical outreach efforts is slow, but yields populations contending with substantial social and health risks that likely impede their HIV care acquisition. Data collection is ongoing, but analysis of baseline data will describe a) participant social risks related to poverty, homelessness, incarcerated in the past year; b) sexual risks including unprotected sex/multiple partners and a history of sex trade involvement, c) substance use, and d) HIV care, including past 12 month visit and use of ART if need clinically indicated.

Community-based projects engaging in innovative programmatic approaches have the potential to increase HIV testing among populations at risk for HIV and provide immediate linkage to care for those newly diagnosed.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Public health or related research

Learning Objectives:
Describe novel community based HIV linkage to care interventions being implemented among vulnerable populations in the U.S. Name participant social risks related to poverty, homelessness, incarceration, sexual risks, including unprotected sex and multiple partners, as well as sex trade involvement. Explain the association between social risks and HIV linkage and retention in care

Keyword(s): Adherence, Community-Based Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Mrs. Yore is a Progam Manager for UCSD’s Center on Gender Equity and Health. Currently, she manages multiple intervention and evaluation studies for Dr. Anita Raj, PhD. She has a MPH in International Health and Development from Tulane University. Mrs. Bentley has programmatic as well as research experience in maternal and child/reproductive health, HIV/AIDS, tobacco prevention and control, and community health.
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.