Vending Machines and HIV • Commercial sex venue (CSV) in Los Angeles County (LA County) • High- risk population that “cruise” for anonymous sex • AHF installed a vending machine to dispense HIV home test kits
Mail-In Testing and STIs • Need for cost-effective anatomic site STI testing for high-risk MSM • Cepheid GeneXpert “lab -in-a- box” • AHF asked patients to mail-in self- collected dry swabs
Vending Machines and HIV • Self-contained unit • Remote monitoring • Instructions posted
Mail-In Testing and STIs • Dry swab collection guide • Low-cost to mail, minimal packaging
Vending Machines and HIV 12:00 AM 9:00 PM 6:00 PM 3:00 PM 12:00 PM 9:00 AM 6:00 AM 3:00 AM 12:00 AM 11/30/14 12/1/14 12/2/14 12/3/14 12/4/14 12/5/14 12/6/14 12/7/14 12/8/14
Vending Machines and HIV 12:00 AM 9:00 PM 6:00 PM 3:00 PM 12:00 PM 9:00 AM 6:00 AM 3:00 AM 12:00 AM 12/14/14 12/15/14 12/16/14 12/17/14 12/18/14 12/19/14 12/20/14 12/21/14 12/22/14
Vending Machines and HIV • Dates: Jan. 2016 - Jun. 2016 • Total test kits distributed: 566 • Total survey responses: 34 • Self-reported positives: 10 • Confirmed linked to care: 1
Mail-In Testing and STIs • Embargoed for the CDC STD Conference in Atlanta, GA • Gordon K et al. (2016): Poster #THP 61
Conclusions • Unique populations, such as high-risk MSM, require specialized interventions • Social acceptability • Acute and missed infections • Questions? mark.mcgrath@aidshealth.org
Special Thanks • Lauren Natoli, BA (AHF) • Sagar Amin, BS (AHF) • Kristie Gordon, BA (UCLA) • Rosalba Castro (AHF) • Adam Carl Cohen, PhD, MPH (AHF) • Jeffery Klausner MD, MPH (UCLA)
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