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AJPH First Look, published online ahead of print May 2, 2006
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June 2006, Vol 96, No. 6 | American Journal of Public Health 962-964
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2006.089235

EDITORIAL

HIV Counseling and Testing: Less Targeting, More Testing

Douglas J. Koo, MD, MPH, Elizabeth M. Begier, MD, MPH, Matt H. Henn, MPH, Kent A. Sepkowitz, MD and Scott E. Kellerman, MD, MPH

All authors are with the New York City Department of Health and Mental Hygiene, Bureau of HIV/AIDS Prevention and Control, New York, NY.

Correspondence: Requests for reprint should be sent to Scott E. Kellerman, MD, MPH, New York City Department of Health and Mental Hygiene, 40 Worth St., Rm 1502, CN #28, New York, NY (e-mail: skellerm@health.nyc.gov).

Because this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.


   INTRODUCTION
 
Approximately 25% of persons infected with HIV nationwide remain undiagnosed.1 Identifying these individuals represents the biggest challenge for HIV control in the United States. More timely diagnosis of HIV can improve treatment and care of those infected with HIV, prolong survival, and reduce the spread of HIV.

The impact of these late testers on the dynamics of the epidemic is well characterized by the number of persons who are identified with HIV only when they have progressed to AIDS. Each year, more than 1000 New York City residents—3 per day—are diagnosed with concurrent HIV and AIDS,2 and nationally 40% of . . . [Full Text]


   STREAMLINING HIV COUNSELING AND TESTING
 

   DEBATE ON THE ROLE OF PRETEST COUNSELING
 

   LACK OF EVIDENCE ON EFFICACY OF PRETEST COUNSELING
 

   COST-EFFECTIVENESS
 

   CONCLUSIONS
 



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