Implementing rapid HIV testing with or without risk-reduction counseling in drug treatment centers: results of a randomized trial.

Journal Article (Journal Article)

OBJECTIVES: We examined the effectiveness of risk reduction counseling and the role of on-site HIV testing in drug treatment. METHODS: Between January and May 2009, we randomized 1281 HIV-negative (or status unknown) adults who reported no past-year HIV testing to (1) referral for off-site HIV testing, (2) HIV risk-reduction counseling with on-site rapid HIV testing, or (3) verbal information about testing only with on-site rapid HIV testing. RESULTS: We defined 2 primary self-reported outcomes a priori: receipt of HIV test results and unprotected anal or vaginal intercourse episodes at 6-month follow-up. The combined on-site rapid testing participants received more HIV test results than off-site testing referral participants (P<.001; Mantel-Haenszel risk ratio=4.52; 97.5% confidence interval [CI]=3.57, 5.72). At 6 months, there were no significant differences in unprotected intercourse episodes between the combined on-site testing arms and the referral arm (P=.39; incidence rate ratio [IRR]=1.04; 97.5% CI=0.95, 1.14) or the 2 on-site testing arms (P=.81; IRR=1.03; 97.5% CI=0.84, 1.26). CONCLUSIONS: This study demonstrated on-site rapid HIV testing's value in drug treatment centers and found no additional benefit from HIV sexual risk-reduction counseling.

Full Text

Duke Authors

Cited Authors

  • Metsch, LR; Feaster, DJ; Gooden, L; Matheson, T; Mandler, RN; Haynes, L; Tross, S; Kyle, T; Gallup, D; Kosinski, AS; Douaihy, A; Schackman, BR; Das, M; Lindblad, R; Erickson, S; Korthuis, PT; Martino, S; Sorensen, JL; Szapocznik, J; Walensky, R; Branson, B; Colfax, GN

Published Date

  • June 2012

Published In

Volume / Issue

  • 102 / 6

Start / End Page

  • 1160 - 1167

PubMed ID

  • 22515871

Pubmed Central ID

  • PMC3483949

Electronic International Standard Serial Number (EISSN)

  • 1541-0048

Digital Object Identifier (DOI)

  • 10.2105/AJPH.2011.300460


  • eng

Conference Location

  • United States