Epidemiological Profile of HIV/AIDS in Minnesota

HIV Testing: Counseling, Testing and Referral System

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The Counseling, Testing and Referral (CTR) System consists of MDH-funded agencies that provide free or low-cost HIV testing to Minnesota residents. The system offers anonymous and confidential testing in clinical and office settings or during outreach, and most of these sites have moved to offering rapid HIV testing instead of the more traditional blood draw. Confidential tests are name-based and can therefore be reported to MDH and added to the yearly surveillance statistics. Anonymous tests are code-based and are not included in yearly surveillance, although positive anonymous results are reported to MDH. Occasionally, an anonymous test will be linked to a surveillance case if the individual mentions having received a previous positive diagnosis and recalls the date and site of that test, as well as the code given to him/her.

The number of tests conducted by the CTR agencies has grown from 10,597 in 2005 to 13,808 in 2013. During those years, the positivity rate (percent of positive tests among all tests performed) ranged from 1.0% in 2010 to 1.5% in 2007. However in 2013, the positivity rate dropped to 0.8%

In 2013, 6% of those tested chose an anonymous test, 25% of the tests were done outside of a health care setting.

The majority of those tested in 2013 were males (69%), between the ages of 20 and 49 (82%), and white (46%). Of the 13,808 tests conducted, 27% indicated male-to-male sex, and 6% indicated injection drug use in the past 12 months. The table below shows the number of tests by client characteristics along with positivity rate. Seventeen percent of those tested had never had a previous test. Of those with a previous test, 98% reported a negative result for their most recent HIV test.

CTR System Tests by Gender, Race, and Age, 2013
Client
Characteristics*
Number of Tests
(percent)
Positivity
Rate
Gender
 
 
Male
9,563 (69)
1.0
Female
4,161(30)
0.3
Transgender
56(1)
3.6
Race/Ethnicity
 
 
White
6,340 (46)
0.8
African American/Black
4,419(32)
1.0
Asian/Pacific Islander
485 (4)
0.0
American Indian
1,104(8)
0.2
Multiple Races
394 (3)
1.8
Unknown
1,066 (8)
0.9
Hispanic†
1,334 (10)
0.8
Age
 
 
19 and under
792 (6)
1.0
20 – 49
11,361 (82)
0.8
50 and older
1,610 (12)
1.0
Risk Category
 
 
   MSM
3,593 (26)
2.2
   IDU
629 (5)
0.5
   MSM/IDU
153 (1)
3.3
   High-risk heterosexual contact
3,925 (28)
0.2
   Low-risk heterosexual contact
4,450 (32)
0.2
   Other#
119 (0.9)
0.0
   Unknown Risk
909 (7)
0.9
 
 
 
Total
13,808 (100)
0.8


* Numbers will not add to total
†  Includes all races
#Includes low and high risk sex with transgender person and female to female contact

 

 

Updated Wednesday, February 04, 2015 at 02:47PM