808. HIV Testing Behaviors Among US Adults, 2008
Session: Abstracts: Oral Abstract Session: HIV Complications and Pathogenesis
Friday, October 22, 2010: 3:30 PM

In 2006 the Centers for Disease Control and Prevention (CDC) recommended an “opt-out” HIV testing strategy for all persons aged 13-64 years at health care settings to promote detection of HIV infection.  This study was conducted to assess HIV testing behaviors among US adults after the CDC published the recommendation.  


The Behavioral Risk Factors Surveillance System (BRFSS) is an ongoing nationally representative telephone survey to collect behavioral information among US adults >= 18 years.  Comparable questions regarding HIV testing (“Have you ever been tested for HIV” excluding blood donation) were asked for adults 18-64 years after 1996.  The BRFSS 2008 data were utilized, and individuals’ residency states were categorized as “opt-in” and “opt-out” based on the legislation status to HIV testing laws in 2007.  A multivariate logistic regression adjusting for survey designs was performed to examine factors associated with HIV testing.


A total of 284,688 eligible adults were asked HIV testing in 2008.  The proportions of adults who reported ever tested for HIV increased from 40.25% in 1996 to 48.11% in 2000, but decreased by 13% to 35.38% in 2006.  A small increase was seen in 2008 with 38.7% of adults reporting HIV testing.  Private doctor or HMO, clinic, and hospital were main sources of testing.  Only 3.6% of adults reported any high-risk situations for HIV infection. Among younger age groups (<=44 years), females were more likely to report HIV testing than males.  HIV testing was also positively associated with minority race, being single, college degree or higher, perception of poor health, low life satisfaction, and high-risk situations for HIV infection; whereas negatively related to living in rural area (aOR=0.77, p<0.01), no routine checkup within 5 years (aOR=0.71, p<0.01) or never had routine checkup (aOR=0.59, p<0.01), and residing in “opt-in” states with legislative restrictions for HIV testing (aOR=0.93, p=0.03).          


To implement CDC’s recommendation for HIV testing, legislative barriers should be reduced.  Healthcare providers will play a critical role in promote HIV testing in the general population, regardless of individual’s risk.  Strategies need to be developed to reach people who do not have health care resources.   

Subject Category: H. HIV/AIDS and other retroviruses

Ping Du, MD, PhD , Medicine/Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA
Fabian Camacho , Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA
John Zurlo, MD , Pennsylvania State University, Milton S. Hershey Medical Center, Hershey, PA


P. Du, None

F. Camacho, None

J. Zurlo, None

Findings in the abstracts are embargoed until 12:01 a.m. EST Thursday, Oct. 21 with the exception of research findings presented at IDSA press conferences.


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