Clinicians should screen for HIV all adolescents and adults at increased risk for HIV. |
---|
A person is considered at increased risk for HIV infection if he or she reports one or more individual risk factors or receives health care in a high-prevalence or high-risk clinical setting. HIV Risk factors include: |
• Men who have had sex with men after 1975. |
• Men and women having unprotected sex with multiple partners. |
• Past or present injection drug users. |
• Men and women who exchange sex for money or drugs or have sex partners who do. |
• Individuals whose past or present sex partners were HIV-infected, bisexual, or injection drug users. |
• Persons being treated for sexually transmitted diseases (STDs). |
• Persons with a history of blood transfusion between 1978 and 1985. |
• Persons who request an HIV test despite reporting no individual risk factors. |
High-risk clinical settings: |
• STD clinics, |
• Correctional facilities, |
• Homeless shelters, |
• Tuberculosis clinics, |
• Clinics serving men who have sex with men, and |
• Adolescent health clinics with a high prevalence of STDs. |
High-prevalence settings: |
• High-prevalence settings are defined by the CDC as those known to have a 1% or greater prevalence of infection among the patient population being served. |
Clinicians should screen all pregnant women for HIV |
*As defined by the US Preventive Services Task Force, screening means counseling and testing. |