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Vending Machines and HIV
• Commercial sex venue (CSV) in Los
Angeles County (LA County)
• High-risk population that “cruise” for
anonymous sex
• AHF installed a vending machine to
dispense HIV home test kits
Mail-In Testing and STIs
• Need for cost-effective anatomic site
STI testing for high-risk MSM
• Cepheid GeneXpert “lab-in-a-box”
• AHF asked patients to mail-in self-
collected dry swabs
Vending Machines and HIV
• Self-contained unit
• Remote monitoring
• Instructions posted
Mail-In Testing and STIs
• Dry swab collection guide
• Low-cost to mail, minimal packaging
Vending Machines and HIV
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Vending Machines and HIV
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Vending Machines and HIV
• Dates: Jan. 2016 - Jun. 2016
• Total test kits distributed: 566
• Total survey responses: 34
• Self-reported positives: 10
• Confirmed linked to care: 1
Mail-In Testing and STIs
• Embargoed for the CDC STD
Conference in Atlanta, GA
• Gordon K et al. (2016): Poster #THP 61
Conclusions
• Unique populations, such as high-risk
MSM, require specialized interventions
• Social acceptability
• Acute and missed infections
• Questions?
Special Thanks
• Lauren Natoli, BA (AHF)
• Sagar Amin, BS (AHF)
• Kristie Gordon, BA (UCLA)
• Rosalba Castro (AHF)
• Adam Carl Cohen, PhD, MPH (AHF)
• Jeffery Klausner MD, MPH (UCLA)