Abstract

Despite the magnitude of the HIV epidemic in India, few centers exist that provide anonymous HIV testing that is also accompanied by adequate counseling and referral. This study describes the trends in demographic profiles, HIV serostatus, and risk factors among 1,745 male and female clients who accessed an anonymous counseling and testing center in Chennai, India from 1994 to 1998. The prevalence of HIV in this sample was 51%, indicating that the clinic is successful in its outreach to at-risk individuals. The increasing number of clients over time suggests that this clinic has been well-received by the community. Correlates of being HIV-positive included occasional condom use, being married, being referred by an HIV-positive sex partner, working as a truck driver or migrant, or having a spouse in these professions. The success of this clinic serves as a model for similar centers in India, and points to the widespread need for anonymous testing and counseling.

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