Community-based rapid HIV testing in homeless and marginally housed adults in San Francisco.

摘要: Background Standard two-step HIV testing is limited by poor return-for-results rates and misses high-risk individuals who do not access conventional facilities. Methods We describe a community-based rapid programme in which homeless marginally housed adults recruited from shelters, free meal programmes single room occupancy hotels San Francisco received OraQuick Rapid HIV-1 Antibody (OraSure Technologies, Bethlehem, PA, USA). Results Over 8 months, 1614 were invited to participate 1213 (75.2%) underwent testing. seroprevalence was 15.4% (187 of individuals) overall 3.5% (37 1063) amongst reporting no previous testing, prior negative test, or without result disclosure. All participants their results. Of 30 newly diagnosed persons confirmatory results, 26 (86.7%) reported at least one contact with primary healthcare provider the 6 months following diagnosis. Conclusions We conclude that feasible, acceptable effective based on numbers tested over short period, participation rate, prevalence new infection, rate disclosure, proportion linked care.