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Enhancing HIV Testing and Linkage to Care With Peer Recruitment, - - PowerPoint PPT Presentation
Enhancing HIV Testing and Linkage to Care With Peer Recruitment, - - PowerPoint PPT Presentation
Enhancing HIV Testing and Linkage to Care With Peer Recruitment, Financial Incentives, and Persons Living with HIV Infection: The Oakland Connect Study Sandi McCoy, Karen Shiu, Carla Dillard Smith, Loris Mattox, Phillipe Smith, Dale Gluth,
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Background
- Timely detection of HIV infection and linkage to care and
treatment are associated with increased survival and reduced onward transmission.
- However, 1 in 5 people living with HIV/AIDS (PLHIV) in
the U.S. do not know their serostatus.
- New non-stigmatizing strategies to increase demand for
HIV testing are needed, especially among African American adults who are disproportionately affected by HIV/AIDS.
Source: CDC. Vital Signs: HIV Testing and Diagnosis Among Adults --- United States, 2001—2009. MMWR 2010;59(47):1550-1555
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Alameda County AIDS Case Rates
20 40 60 80 100 120 140
Whites African Amer Asian/Pac Isl Latinos
Source: Bautista E & Marr A. HIV & AIDS Cases in Alameda County. Presentation to the CCPC, August 24, 2011.
4x
Per 100,000 population
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Oakland Connect Objectives
- 1. Compare the effectiveness of respondent driven
sampling (RDS) with two incentive structures for increasing demand for HIV testing among 30-60 year
- ld African American adults residing in Oakland,
California.
- 2. Determine if the HIV status of recruiters is associated
with differences in the total number of recruits and the number of high-risk recruits.
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Two Reward Schemes for Recruiting Others
Flat Rewards Bonus Rewards
Networks Initiated by HIV- and HIV+ “seeds”
PLHIV New HIV+
10 HIV+ seeds 30 high-risk HIV- seeds 8 low-risk HIV- seeds 243 recruits
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Results
- Incentives were critical for recruitment, but no difference in
the number of total or high risk recruits between the two incentive schemes (p=0.53 and 0.40, respectively).
- Networks initiated by PLHIV had more high-risk recruits than
networks initiated by HIV- seeds (83% vs. 67%, p<0.05).
- Nine (3.7%) recruits tested HIV positive; 7 (78%) were
previously reported to the Alameda County Public Health Department (ACPHD)
- Six had no evidence of care in the last 6 months
- A unexpected finding: Is RDS a good mechanism
to help re-connect PLHIV into care?
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Acknowledgements
UC Berkeley Karen Shiu Tyler Martz Heena Shah Nancy Padian Get Screened Oakland Marsha Martin Adriann McCall Kerry Barlow AHF/Out of the Closet Dale Gluth Ses Soltani Amber Young Juba Johnson CAL-PEP Jamila Shipp Carla Dillard Smith Lisa Ryan Gloria Lockett Volunteers of America Phillipe Smith Maurice Tobin Sharyn Grayson HEPPAC Michael Snow Melissa Struzzo Braunz Courtney Loris Mattox