Routine Opt-Out HIV Testing Strategies in a Female Jail Setting A Prospective Controlled Trial 英文参考文献.docVIP

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Routine Opt-Out HIV Testing Strategies in a Female Jail Setting A Prospective Controlled Trial 英文参考文献.doc

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RoutineOpt-OutHIVTestingStrategiesinaFemaleJail Setting:AProspectiveControlledTrial RaviKavasery,DuncanSmith-RohrbergMaru,JoshuaCornman-Homonoff,LaurieN.Sylla,DavidSmith, FrederickL.Altice* YaleUniversitySchoolofMedicine,SectionofInfectiousDiseases,AIDSProgram,NewHaven,Connecticut,UnitedStatesofAmerica Abstract Background:TenmillionAmericansenterjailsannually.TheobjectivewastoevaluatenewCDCguidelinesforroutineopt- out HIV testing and examine the optimal time to implement routine opt-out HIV testing among newly incarcerated jail detainees. Methods:Thisprospective,controlledtrialofroutineopt-outHIVtestingwasconductedamong323newlyincarcerated femaleinmatesinConnecticut’sonlywomen’sjail.323sequentialentrantstothewomen’sjailoverafiveweekperiodin August and September 2007 were assigned to be offered routine opt-out HIV testing at one of three points after incarceration:immediate(sameday,n=108),early(nextday,n=108),ordelayed(7days,n=107).Theprimaryoutcome wastheproportionofwomenineachgroupconsentingtotesting. Results:Routineopt-outHIVtestingwassignificantlyhighest(73%)amongtheearlytestinggroupcomparedto55%for immediateand50%for7dayspost-entrygroups.Otherfactorssignificantly(p=0.01)associatedwithbeingHIVtestedwere youngerageandlowlikelihoodofearlyreleasefromjailbasedonbondvalueortypeofchargeforwhichwomenwere arrested. Conclusions:Inthiscorrectionalfacility,routineopt-outHIVtestinginajailsettingwasfeasible,withhighestratesoftesting if performed the day after incarceration. Lower testing rates were seen with immediate testing, where there is a high prevalence of inability or unwillingness to test, and with delayed testing, where attrition from jail increases with each passingday. TrialRegistration:ClinicalTNCCitation: Kavasery R, Maru DS-R, Cornman-Homonoff J, Sylla LN, Smith D, et al. (2009) Routine Opt-Out HIV Testing Strategies in a Female Jail Setting: A ProspectiveControlledTrial.PLoSONE4(11):e7648.doi:10.1371/journal.pone.0007648 Editor:EsperGeorgesKallas,Un