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Table 2 US Preventive Services Task Force Grade A Recommendations for HIV Screening*

From: Implementing and evaluating a regional strategy to improve testing rates in VA patients at risk for HIV, utilizing the QUERI process as a guiding framework: QUERI Series

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.
  1. Adapted from [15]