Missed Opportunities for HIV Testing Among STD Clinic Patients

Sharleen M. Traynor, Lisa Rosen-Metsch, Daniel J. Feaster

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Current HIV testing guidelines recommend that all adolescents and adults aged 13–64 be routinely screened for HIV in healthcare settings. Sexually transmitted disease (STD) clinic patients represent a population at increased risk for HIV, justifying more frequent risk assessment and testing. This analysis describes missed opportunities for HIV testing among a sample of STD clinic patients to identify areas where HIV testing services may be improved. Secondary analysis was conducted using data from Project AWARE, a randomized trial of 5012 adult patients from 9 STD clinics in the United States, enrolled April–December 2010. HIV testing history, healthcare service utilization, and behavioral risks were obtained through audio computer-assisted self-interview. Missed opportunities for HIV testing, defined as having a healthcare visit but no HIV test in the last 12 months, were characterized by location and frequency. Of 2315 (46.2%) participants not tested for HIV in the last 12 months, 1715 (74.1%) had a missed opportunity for HIV testing. These missed opportunities occurred in both traditional (54.9% at family doctor, 20.3% at other medical doctor visits) and non-traditional (28.5% at dental, 19.0% at eye doctor, 13.9% at correctional facility, and 13.3% at psychology visits) testing settings. Of 53 participants positive for HIV at baseline, 16 (30.2%) had a missed testing opportunity. Missed opportunities for HIV testing were common in this population of STD clinic patients. There is a need to increase routinized HIV screening and expand testing services to a broader range of healthcare settings.

Original languageEnglish (US)
Pages (from-to)1128-1136
Number of pages9
JournalJournal of Community Health
Issue number6
StatePublished - Dec 1 2018


  • HIV testing
  • Health screening
  • Missed opportunities
  • Sexually transmitted diseases

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health


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