The Dynamics of Repeat HIV Testing, and Interventions for Repeat HIV Testers

Abstract

This paper attempts to better understand the dynamics of repeat HIV testing behavior. It suggests that different types of HIV risk dynamics characterize different types of repeat testers, and proposes a new set of alternatives to use to “triage” repeat testers for further intervention. Those for whom repeat testing is more “optimal” would be tested and counseled as usual (e.g., in the case of those originally tested during the “window period”), or would be tested and then referred to HIV prevention case management (e.g., in the case of chronic high-risk individuals). Those for whom repeat testing is less than optimal (e.g., the neurotic “worried well” those with information deficits prompting repeat testing) may or may not be tested, depending on the specifics of their situation, and would be provided with services to address the causes of their repeat testing and to reduce its occurrence.