Gss codebook 2016 full#

This analysis was limited to respondents who were asked if they were ever tested for HIV infection and provided a “yes” or “no” response. Questions about HIV testing and risk behaviors were part of a computer-assisted self-interview module administered to a randomly selected subset of each survey sample. The median number of days since last test was also compared by survey year. Data collected from the six biennial surveys were aggregated and used to estimate the weighted prevalence and 95% confidence interval (CI) of ever testing for HIV and the median number and interquartile range (IQR) of days since last test, stratified by demographics and HIV risk group. The first three groups were aggregated and categorized as persons with recent HIV risk. § In this analysis, respondents were divided into four mutually exclusive HIV risk groups based on self-report of recent HIV-related risk behaviors: 1) men who had a male sex partner in the past 12 months 2) men who did not have a male sex partner in the past 12 months but had multiple female sex partners, injected drugs, or paid or were paid for sex with a female sex partner in the past 12 months 3) women who had multiple sex partners (male or female), injected drugs, or paid or were paid for sex in the past 12 months and 4) respondents who did not have any of these risks. † During 2006–2016, overall survey response rates ranged from 61.3% to 71.4%. adults aged ≥18 years that, since 2006, has included questions about HIV-related risk behaviors and HIV testing. GSS is a biennial, household-based, multistage probability survey of noninstitutionalized U.S. Population-based surveys such as the Behavioral Risk Factor Surveillance System (BRFSS) can be used to evaluate national HIV screening coverage, but BRFSS and most other population-based surveys lack sufficient information about HIV-related risk behaviors. Because NHSS data are based on reported diagnoses of HIV and do not include persons who test HIV-negative, and NHBS samples only persons at higher risk for HIV who reside in urban areas, these findings are not generalizable to the entire U.S. Despite this recommendation, a recent analysis of National HIV Surveillance System (NHSS) and National HIV Behavioral Surveillance (NHBS) data demonstrated that many persons at higher risk are not screened annually and that HIV diagnosis delays persist ( 2). In 2017, CDC reiterated this annual screening recommendation for sexually active MSM based on a systematic literature review ( 4, 5) that found that HIV incidence could be reduced significantly if MSM were screened annually ( 6, 7). In 2006, CDC recommended one-time HIV screening of all persons aged 13–64 years and annual rescreening of persons at higher risk for HIV, including persons who inject drugs and their sex partners, persons who exchange sex for money or drugs, sex partners of HIV-infected persons, sexually active gay, bisexual, and other men who have sex with men (MSM), and heterosexual persons who themselves or whose sex partners have had more than one sex partner since their most recent HIV test ( 1). Integration of routine screening as standard clinical practice through existing strategies, such as electronic medical record prompts ( 3), or through new, innovative strategies might be needed to increase repeat screening of persons with ongoing risk.

Gss codebook 2016 full#

More frequent screening of persons with ongoing HIV risk is needed to achieve full implementation of CDC’s screening recommendations and to prevent new infections. The percentage of persons ever tested and the interval since last test remained largely unchanged during 2006–2016. Only 62.2% of persons who reported HIV-related risk behaviors in the past 12 months were ever tested for HIV, and the median interval since last test in this group was 512 days (1.4 years). Among persons ever tested, the estimated median interval since last test was 1,080 days or almost 3 years. CDC analyzed 2006–2016 data from the General Social Survey (GSS) * and estimated that only 39.6% of noninstitutionalized U.S.

However, national surveillance data indicate that many persons at higher risk for HIV infection are not screened annually, and delays in diagnosis persist ( 2). Since 2006, CDC has recommended routine screening of all persons aged 13–64 years for human immunodeficiency virus (HIV) and at least annual rescreening of persons at higher risk ( 1).