@article {3181,
	title = {Evaluation of a rapid HIV testing initiative in an urban, hospital-based dental clinic.},
	journal = {AIDS patient care and STDs},
	volume = {24},
	year = {2010},
	month = {2010 Dec},
	pages = {781-5},
	abstract = {Performing 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.},
	keywords = {Adult, 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},
	issn = {1557-7449},
	doi = {10.1007/s11606-010-1323-z},
	author = {Blackstock, Oni J and King, James R and Mason, Roger D and Lee, Cynthia C and Mannheimer, Sharon B}
}
