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American Journal of Public Health, Vol. 86, Issue 10 1446-1450, Copyright © 1996 by American Public Health Association

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HIV test-seeking before and after the restriction of anonymous testing in North Carolina.

I Hertz-Picciotto, L W Lee and C Hoyo

Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill 27599-7400, USA.

OBJECTIVES: This study assessed the impact on HIV test-seeking of North Carolina's restriction of anonymous testing to 18 of its 100 counties as of September 1, 1991. METHODS: Trends from 4 months prerestriction to the 16-month restriction period in counties retaining vs counties eliminating anonymous testing were compared. RESULTS: HIV testing increased throughout the state, but more rapidly where anonymous testing was retained than elsewhere: 64% vs 44%. These differences held for all sociodemographic subgroups and were most pronounced among adolescents and African Americans and other non-Whites. CONCLUSIONS: The data are consistent with a detrimental effect of elimination of anonymous testing, although confounding from differences in AIDS awareness or in repeat tests is possible.


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Copyright © 1996 by the American Public Health Association