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From the Centers for Disease Control and Prevention. Anonymous or confidential HIV counseling and voluntary testing in federally funded testing sites--United States, 1995-1997.

HIV Tests — Continued uman immunodeficiency virus (HIV) counseling and voluntary testing (CT) programs have been an important part of national HIV prevention efforts since the first HIV antibody tests became available in 1985 (1 ). In 1995, these programs accounted for approximately 15% of annual HIV antibody testing in the United States, excluding testing for blood donation (1 ). CT opportunities are offered to persons at risk for HIV infection at approximately 11,000 sites, including dedicated HIV CT sites, sexually transmitted disease (STD) clinics, drug-treatment centers, hospitals, and prisons. In 39 states, testing can be obtained anonymously, where persons do not have to give their name to get tested. All states provide confidential testing (by name) and have confidentiality laws and regulations to protect this information. This report compares patterns of anonymous and confidential testing in all federally funded CT programs from 1995 through 1997 and documents the importance of both types of testing opportunities. In CT programs, demographic and HIV risk information is collected, combined with laboratory test results, and reported to CDC after removal of personal identifying information. Federally funded CT programs provided 2.5 million tests (40,605 HIVpositive) in 1995, 2.6 million (39,119 HIV-positive) in 1996, and 2.3 million (34,875 HIVpositive) in 1997. Of the 7.4 million federally funded HIV tests performed during 1995– 1997, client information on 6.3 million tests was available for analysis. Because some persons had more than one HIV test in a year, the proportion of persons tested who had positive results could not be calculated. Thus, the proportion positive reflects the number of positive tests divided by the number of tests provided. From 1995 to 1997, the number of anonymous tests declined 26.6% (from 636,069 to 466,560), and the number of confidential tests increased 2.9% (from 1,394,921 to 1,434,709). Although more tests were provided to women than men each year, more anonymous tests were provided to men than women. In each year, the highest numbers of positive anonymous tests were among white and black men, and the highest number of positive confidential tests were among blacks. In 1997, the most recent year for which complete data were available, STD clinics provided more tests overall (551,838) and more confidential tests (494,414) than other sites, and dedicated HIV CT sites provided the largest number of anonymous tests (302,273). Overall, most HIV-positive tests were reported from specially designated