Yale University

Evaluation of a rapid HIV testing initiative in an urban, hospital-based dental clinic.

TitleEvaluation of a rapid HIV testing initiative in an urban, hospital-based dental clinic.
Publication TypeJournal Article
Year of Publication2010
AuthorsBlackstock, Oni J., James R. King, Roger D. Mason, Cynthia C. Lee, and Sharon B. Mannheimer
JournalAIDS patient care and STDs
Date Published2010 Dec
KeywordsAdult, AIDS Serodiagnosis, Counseling, Delivery of Health Care, Integrated, Dental Clinics, Female, HIV Infections, HIV-1, Hospitals, Urban, Humans, Male, New York City, Patient Acceptance of Health Care, Time Factors
AbstractPerforming rapid HIV testing in nontraditional clinical settings such as dental clinics is a potential method for targeting high-risk individuals who may not otherwise access health care settings that offer HIV testing. In March 2008, Harlem Hospital Center, located in New York City, launched a counselor-based rapid HIV testing initiative in its on-site dental clinic. A full-time, trained counselor consented and tested patients as they waited for their appointments. HIV screening was performed using a whole-blood, finger-stick rapid HIV test. Through this initiative, 3864 HIV tests were performed from March 1, 2008 to December 31, 2009, representing 3565 unique individuals and 97.6% of dental patients approached for testing. Of those tested, the mean age was 38.5 years, with 47.1% female, 75.5% black, and 20.6% Hispanic. Self-reported HIV risk behaviors included 73.5% with recent unprotected heterosexual intercourse, 4.6% with recent or past injection drug use, and 2.6% who identified as men who have sex with men. Nineteen previously undiagnosed individuals (0.53%) were confirmed HIV positive. Of these individuals, mean age was 38.3 years with males representing 84.2%. Fifteen newly diagnosed patients (78.9%) were linked to care. Of those linked to care, median initial CD4 cell count was 317 cells/mm(3); 6 of these individuals (40%) had CD4 cell counts below 200 cells/mm(3). Our results demonstrate that a counselor-based rapid HIV testing program with linkage to specialized HIV care can be successfully integrated into the dental clinic setting.
Alternate JournalAIDS Patient Care STDS

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