Optimizing Community-Based HIV Testing and Linkage to Care for Young Persons in Metropolitan Atlanta

AIDS Patient Care and STDs
Ashley MurrayAndres F Camacho-Gonzalez

Abstract

HIV continuum of care analyses in Georgia during 2013 revealed that 82% of adolescents and adults living with HIV knew their diagnosis and that 75% were linked to care. However, of all persons in Georgia living with HIV in 2014, only 60% had at least one HIV care visit, and just 48% were retained in care. Understanding barriers for HIV testing, linkage, and retention in youth may strengthen HIV-related encounters and improve patient outcomes. We conducted 17 qualitative focus groups with HIV-positive and -negative youth, ages 18-24 years, from the Atlanta Metropolitan Statistical Area. Using computer-assisted thematic analyses, we examined focus group responses on ways to approach youth for community-based HIV testing and how service providers should discuss a new positive HIV diagnosis with youth. Of 68 participants, 85% were male, 90% were African American, 68% were HIV positive, and 50% had high school education or less. Mean age was 21.5 years (standard deviation: 1.8 years). Thematic analyses identified the following three key themes for approaching someone for HIV testing: (1) discretion, (2) being candid about testing, and (3) incentivizing testing. When service providers discuss an HIV positive test, participants recomm...Continue Reading

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Citations

Oct 26, 2018·AIDS and Behavior·Ann AveryRhoderick Machekano
Aug 10, 2021·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Holger Nordstr M MunckSusan Cowan
Oct 2, 2021·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Holger Nordstrom MunckSusan Cowan

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