12/28/2023 0 Comments Gss 2016 codebook![]() Because NHSS data are based on reported diagnoses of HIV and do not include persons who test HIV-negative, and NHBS samples only persons at higher risk for HIV who reside in urban areas, these findings are not generalizable to the entire U.S. Despite this recommendation, a recent analysis of National HIV Surveillance System (NHSS) and National HIV Behavioral Surveillance (NHBS) data demonstrated that many persons at higher risk are not screened annually and that HIV diagnosis delays persist ( 2). In 2017, CDC reiterated this annual screening recommendation for sexually active MSM based on a systematic literature review ( 4, 5) that found that HIV incidence could be reduced significantly if MSM were screened annually ( 6, 7). In 2006, CDC recommended one-time HIV screening of all persons aged 13–64 years and annual rescreening of persons at higher risk for HIV, including persons who inject drugs and their sex partners, persons who exchange sex for money or drugs, sex partners of HIV-infected persons, sexually active gay, bisexual, and other men who have sex with men (MSM), and heterosexual persons who themselves or whose sex partners have had more than one sex partner since their most recent HIV test ( 1). Integration of routine screening as standard clinical practice through existing strategies, such as electronic medical record prompts ( 3), or through new, innovative strategies might be needed to increase repeat screening of persons with ongoing risk. More frequent screening of persons with ongoing HIV risk is needed to achieve full implementation of CDC’s screening recommendations and to prevent new infections. ![]() The percentage of persons ever tested and the interval since last test remained largely unchanged during 2006–2016. Only 62.2% of persons who reported HIV-related risk behaviors in the past 12 months were ever tested for HIV, and the median interval since last test in this group was 512 days (1.4 years). Among persons ever tested, the estimated median interval since last test was 1,080 days or almost 3 years. CDC analyzed 2006–2016 data from the General Social Survey (GSS)* and estimated that only 39.6% of noninstitutionalized U.S. However, national surveillance data indicate that many persons at higher risk for HIV infection are not screened annually, and delays in diagnosis persist ( 2). Since 2006, CDC has recommended routine screening of all persons aged 13–64 years for human immunodeficiency virus (HIV) and at least annual rescreening of persons at higher risk ( 1). Integration of routine screening as standard clinical practice through existing strategies, such as electronic medical record prompts, or new, innovative strategies might be needed to increase repeat screening of persons with ongoing risk. What are the implications for public health practice?Įfforts to identify persons at higher risk and ensure that they receive annual HIV screening can reduce morbidity, mortality, and transmission to others. The median interval since last test among persons with recent HIV risk was shorter than that of other persons tested but exceeded 1 year. Many persons at higher risk are not screened annually.Īnalysis of 2006–2016 national population-based data found that the percentage of persons ever tested and median interval since last test remained unchanged. CDC recommends routine human immunodeficiency virus (HIV) screening of persons aged 13–64 years and annual rescreening of persons at higher risk.
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