The Availability of HIV and Sexually Transmitted Infection Testing and Treatment Services at Crisis Pregnancy Centers in the United States.

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Crisis pregnancy centers (CPCs) are nonprofit organizations that aim to prevent abortion and promote sexual abstinence before marriage only often using misinformation and deceptive tactics. We sought to describe the availability of HIV and sexually transmitted infection (STI) testing, treatment, and referral services at CPCs in the United States. We used CPC Map, an online geocoded directory, to identify US CPCs. From December 2018 to August 2019, we assessed HIV/STI services advertised on CPC Web sites and used a standard script to call CPCs about the availability of services. Referrals were not requested but recorded. Of 2400 CPCs (96.3%) with accessible Web sites, 507 (21.1%) advertised STI testing, 291 (12.1%) STI treatment, and 114 (4.8%) HIV testing. Of 2467 (99.0%) CPCs reached by telephone, 552 (22.4%) offered STI testing, 377 (15.3%) STI treatment, and 208 (8.4%) HIV testing. At centers where services were unavailable, 795 (41.5%) proactively referred for STI testing, 170 (8.1%) for STI treatment, and 170 (7.5%) for HIV-related services. Nearly one-quarter (22.8%) of centers that offered STI testing did not offer treatment or provide a referral. A minority but substantial number of CPCs advertised and offered HIV/STI services. People at risk for pregnancy who seek CPC services likely have outstanding need for HIV/STI services.