Assessing the impact of Federal HIV prevention spending on HIV testing and awareness.

OBJECTIVES: The United States allocates more than $900 million annually for the prevention of HIV infection. We assessed the impact of this funding on HIV testing and knowledge. METHODS: We linked data from the Behavioral Risk Factor Surveillance System with tracking of Centers for Disease Control a...

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Publicado en:American Journal of Public Health Vol. 96; no. 6; pp. 1038 - 1044
Autores principales: Linas BP, Zheng H, Losina E, Walensky RP, Freedberg KA
Formato: research tables/charts Journal Article
Publicado: American Public Health Association Jun2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2006
      vid: 96
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      pub: American Public Health Association
      place: Washington, District of Columbia
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        atl: Assessing the impact of Federal HIV prevention spending on HIV testing and awareness.
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        au:
          Linas BP
          Zheng H
          Losina E
          Walensky RP
          Freedberg KA
        affil: Massachusetts General Hospital, 50 Staniford St, Ninth floor, Boston, 02114; blinas@partners.org
      sug:
        subj:
          AIDS Serodiagnosis Utilization
          Financing, Government
          Health Knowledge Evaluation
          Health Resource Allocation United States
          Health Resource Utilization Evaluation
          HIV Infections Epidemiology
          HIV Infections Prevention and Control
          Adult
          Centers for Disease Control and Prevention (U.S.)
          Confidence Intervals
          Correlational Studies
          Data Analysis Software
          Descriptive Statistics
          Disease Surveillance
          Disease Transmission, Vertical Prevention and Control
          Female
          Funding Source
          Geographic Factors
          Interviews
          Linear Regression
          Logistic Regression
          Male
          Mantel-Haenszel Test
          Medical Record Linkage
          Middle Age
          Models, Statistical
          Odds Ratio
          Surveys
          United States
          Validity
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVES: The United States allocates more than $900 million annually for the prevention of HIV infection. We assessed the impact of this funding on HIV testing and knowledge. METHODS: We linked data from the Behavioral Risk Factor Surveillance System with tracking of Centers for Disease Control and Prevention (CDC) HIV prevention funding. We developed and validated regression models of the relation between HIV prevention funding to a respondent's state and the odds that the respondent (1) had been tested for HIV, and (2) was aware of methods to prevent mother-to-child HIV transmission (MTCT). RESULTS: The odds of having been tested for HIV increased with increased CDC funding to states (P=.009), as did awareness of prevention of MTCT (P=.002). We estimate that CDC HIV prevention funds led to 12.8 million more people being tested for HIV between 1998 and 2003 than would have been tested had all states received funds equal to the lowest quintile of funding. CONCLUSIONS: Federal HIV prevention funds independently correlate with increased HIV testing and knowledge of prevention of MTCT. Proposed reductions in HIV prevention spending would likely have adverse public health consequences.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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