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Implementing an HIV Rapid Testing–Linkage-to-Care Project Among Homeless Individuals in Los Angeles County: A Collaborative Effort Between Federal, County, and City Government
Author(s) -
Henry D. Anaya,
Jaimi N. Butler,
Herschel Knapp,
Kee Chan,
Erin E. Conners,
Sophia F. Rumanes
Publication year - 2014
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2014.302213
Subject(s) - human immunodeficiency virus (hiv) , government (linguistics) , linkage (software) , gerontology , environmental health , medicine , county government , family medicine , political science , public administration , philosophy , linguistics , biochemistry , chemistry , gene
Objectives. We developed and implemented an HIV rapid testing-linkage-to-care initiative between federal and local government. Methods. We used mixed methodology; HIV testing data were collected on-site, and qualitative data were collected via telephone. We used postintervention stakeholder and staff interviews to evaluate barriers and facilitators to this initiative. Results. We tested 817 individuals. We identified and confirmed 7 preliminary HIV positive individuals (0.86% seropositivity), 5 of whom were linked to care. Mean testing cost was $48.95 per client; cost per positive result was $5714. Conclusions. This initiative can be used as a template for other health departments and research teams focusing on homelessness and mitigation of the HIV/AIDS epidemic.

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