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

Oni J. Blackstock, James R. King, Roger D. Mason, Cynthia C. Lee, Sharon B. Mannheimer

Research output: Contribution to journalArticle

21 Citations (Scopus)

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/mm3; 6 of these individuals (40%) had CD4 cell counts below 200 cells/mm3. 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.

Original languageEnglish (US)
Pages (from-to)781-785
Number of pages5
JournalAIDS Patient Care and STDs
Volume24
Issue number12
DOIs
StatePublished - Dec 1 2010
Externally publishedYes

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Dental Clinics
Urban Hospitals
HIV
CD4 Lymphocyte Count
Heterosexuality
Risk-Taking
Hispanic Americans
Fingers
Appointments and Schedules
Tooth
Delivery of Health Care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Blackstock, O. J., King, J. R., Mason, R. D., Lee, C. C., & Mannheimer, S. B. (2010). Evaluation of a rapid HIV testing initiative in an urban, hospital-based dental clinic. AIDS Patient Care and STDs, 24(12), 781-785. https://doi.org/10.1089/apc.2010.0159

Evaluation of a rapid HIV testing initiative in an urban, hospital-based dental clinic. / Blackstock, Oni J.; King, James R.; Mason, Roger D.; Lee, Cynthia C.; Mannheimer, Sharon B.

In: AIDS Patient Care and STDs, Vol. 24, No. 12, 01.12.2010, p. 781-785.

Research output: Contribution to journalArticle

Blackstock, OJ, King, JR, Mason, RD, Lee, CC & Mannheimer, SB 2010, 'Evaluation of a rapid HIV testing initiative in an urban, hospital-based dental clinic', AIDS Patient Care and STDs, vol. 24, no. 12, pp. 781-785. https://doi.org/10.1089/apc.2010.0159
Blackstock, Oni J. ; King, James R. ; Mason, Roger D. ; Lee, Cynthia C. ; Mannheimer, Sharon B. / Evaluation of a rapid HIV testing initiative in an urban, hospital-based dental clinic. In: AIDS Patient Care and STDs. 2010 ; Vol. 24, No. 12. pp. 781-785.
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