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HIV testing for prisoners based on risk factors may underestimate prevalence of infection.

Publication: Perspectives on Sexual and Reproductive Health
Publication Date: 01-SEP-09 		Format: Online
Delivery: Immediate Online Access
Full Article Title: HIV testing for prisoners based on risk factors may underestimate prevalence of infection.(Digests)

Article Excerpt
Targeted HIV testing programs that rely on prison inmates' self-report of conventional HIV risk behaviors are likely to underestimate HIV prevalence, according to a study of data from the North Carolina Department of Corrections. (1) Among the male and female prisoners who were voluntarily tested, the overall HIV prevalence was 3%. Forty-four percent of HIV-positive prisoners did not report any of the conventional HIV risk behaviors, such as history of multiple partners or sharing needles. In general, HIV risk behaviors were moderately associated with the likelihood of HIV infection, suggesting that testing programs based on prisoners' self-report of such risk factors may underestimate the prevalence of infection. An estimated 24-61% of HIV cases...

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