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Published on: March 30, 2014
Homeless Shelters: HIV Testing During the Atlanta Tuberculosis Outbreak (2008-2018)
Udodirim N Onwubiko1, Jane C Yoon1, Sophia Ajoku1
1Udodirim N. Onwubiko and Anum N. Khan are with the Rollins School of Public Health, Emory University, Atlanta, GA. Jane C. Yoon and David P. Holland are with the Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA. David P. Holland, Udodirim N. Onwubiko, Sophia Ajoku, and Jane C. Yoon are with the Fulton County Board of Health, Atlanta, GA. Anum N. Khan is with the Windsor-Essex County Health Unit, Windsor, Ontario, Canada.
Abstract:
People experiencing homelessness are at increased risk of tuberculosis (TB) and HIV. We examined the impact of integrating HIV testing and mandatory TB screening on HIV test uptake (HTU) during a multishelter TB outbreak in Atlanta, Georgia (2008-2018). Overall HTU was low; however, the intervention led to a reversal of declining HTU trend (rate ratio = 1.11; 95% confidence interval = 1.04, 1.19). Concerted efforts to increase HIV testing access and uptake alongside robust TB control efforts may increase progress toward the goals of End TB and Ending the HIV Epidemic. (Am J Public Health. 2022;112(6):881-885. https://doi.org/10.2105/AJPH.2022.306801).
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