Commercial Sex Venues
• Commercial sex venue (CSV) in Los Angeles County (LA County)
• High-risk population that ‘cruise’ for anonymous sex
• LA County requires CSVs to provide HIV testing and education
Barriers to Testing
• CSV culture • Client demographics vary • Busy hours at night versus tester
availability
HIV Home Test Kit
Vending Machines
• Self-contained unit • Remote monitoring • Instructions posted
Initial Concerns
• Cost of HIV home test kits • Emptying the vending machine • Conflict with existing testers • Home test kit window period • Result anxiety • Gateway to more comprehensive
testing
Results
• Scatterplots by week • Tester schedule (orange blocks): – Tuesday 9am-5pm – Thursday 9am-5pm – Sunday 12pm-4pm
Results (12/1-12/7)
12:00 AM
3:00 AM
6:00 AM
9:00 AM
12:00 PM
3:00 PM
6:00 PM
9:00 PM
12:00 AM
11/30/14 12/1/14 12/2/14 12/3/14 12/4/14 12/5/14 12/6/14 12/7/14 12/8/14
Results (12/15-12/21)
12:00 AM
3:00 AM
6:00 AM
9:00 AM
12:00 PM
3:00 PM
6:00 PM
9:00 PM
12:00 AM
12/14/14 12/15/14 12/16/14 12/17/14 12/18/14 12/19/14 12/20/14 12/21/14 12/22/14
Results (12/22-12/28)
12:00 AM
3:00 AM
6:00 AM
9:00 AM
12:00 PM
3:00 PM
6:00 PM
9:00 PM
12:00 AM
12/21/14 12/22/14 12/23/14 12/24/14 12/25/14 12/26/14 12/27/14 12/28/14 12/29/14
Results (12/29-1/4)
12:00 AM
3:00 AM
6:00 AM
9:00 AM
12:00 PM
3:00 PM
6:00 PM
9:00 PM
12:00 AM
12/28/14 12/29/14 12/30/14 12/31/14 1/1/15 1/2/15 1/3/15 1/4/15 1/5/15
Results (1/5-1/11)
12:00 AM
3:00 AM
6:00 AM
9:00 AM
12:00 PM
3:00 PM
6:00 PM
9:00 PM
12:00 AM
1/4/15 1/5/15 1/6/15 1/7/15 1/8/15 1/9/15 1/10/15 1/11/15 1/12/15
Results (1/12-1/18)
12:00 AM
3:00 AM
6:00 AM
9:00 AM
12:00 PM
3:00 PM
6:00 PM
9:00 PM
12:00 AM
1/11/15 1/12/15 1/13/15 1/14/15 1/15/15 1/16/15 1/17/15 1/18/15 1/19/15
Results (1/19-1/25)
12:00 AM
3:00 AM
6:00 AM
9:00 AM
12:00 PM
3:00 PM
6:00 PM
9:00 PM
12:00 AM
1/18/15 1/19/15 1/20/15 1/21/15 1/22/15 1/23/15 1/24/15 1/25/15 1/26/15
Results (1/26-1/31)
12:00 AM
3:00 AM
6:00 AM
9:00 AM
12:00 PM
3:00 PM
6:00 PM
9:00 PM
12:00 AM
1/25/15 1/26/15 1/27/15 1/28/15 1/29/15 1/30/15 1/31/15 2/1/15
Results Summary
• Vending machine – 1,176 hours – 312 tests
• Traditional testers – 64 hours – 58 tests
Results Comments
• Vending machine – Available 24/7 – High volume – No training – Results unknown
• Traditional testers – Limited hours – Low volume – Requires training – Results
Conclusions
• Unique population in an ‘underground’ venue requires a specialized intervention
• HIV testing and social acceptance • Acute infections • Other concerns
Special Thanks
• Lauren Natoli, BA (AHF) • Adam Carl Cohen, MPH (AHF) • Laura Anderson, MPH (UCLA) • Emily Huang (UCLA) • Jeffery Klausner MD, MPH (UCLA) • The UCLA Global Health Program
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