Supporting Widespread Testing and Timely Linkage to Care
Nearly one in seven people living with HIV in the U.S. are unaware of their infection. As a result, they are not accessing the care and treatment they need to stay healthy and reduce the likelihood of transmitting the virus to their partners. The National HIV/AIDS Strategy prioritizes widespread HIV testing to reduce undiagnosed HIV infection in order to improve the health of people living with HIV and reduce new HIV infections. Many federal agencies are engaged in activities to provide more people with testing, increase repeat testing in high risk populations, and to make sure that those diagnosed with the virus are linked to prompt, ongoing HIV care.
Knowledge of One’s HIV Status Is Empowering
When individuals test positive, they can be connected to life-saving treatment with antiretroviral therapy (ART) and medical care that allows them to stay healthy and significantly reduces their risk of transmitting HIV to others. When individuals test negative, they can be linked to important prevention services to help them stay that way.
Testing Helps Reduce the Spread of HIV
Undiagnosed infection remains an important factor fueling the HIV epidemic—an analysis by researchers at the Centers for Disease Control and Prevention (CDC) found that 30 percent of new HIV infections can be attributed to transmission from people who did not know they were infected, highlighting the importance of getting tested. In addition, late HIV diagnosis is associated with poorer health outcomes and higher death rates. Testing is the only way to ensure that more people living with HIV are aware of their status. When people know they have HIV, research shows that they take steps to protect their own health and prevent transmission to others. The most important step they can take is to start and stay on HIV treatment to maintain a very low or undetectable viral load.
Everyone Should be Tested at Least Once. Some People at Least Once a Year.
CDC recommends that all Americans aged 13 to 64 get tested for HIV at least once as part of routine health care, and that people with certain risk factors get tested more often. For example, people with more than one sex partner, people with other sexually transmitted diseases (STDs), gay and bisexual men, and people who inject drugs are considered likely to be at high risk and should get tested at least once a year. Read more about who should get tested for HIV.
National Priority: Reduce Undiagnosed HIV Infection
The scientific evidence about the importance of HIV testing is recognized in the National HIV/AIDS Strategy: Updated to 2020, which calls for increased testing and linkage to care, enabling people living with HIV to access and care treatment early in the course of their HIV infection. The Strategy monitors the impact of HIV testing using an indicator assessing the percentage of people living with HIV who know their serostatus. It established a target of 90 percent of people living with HIV knowing their status by 2020. Programs that receive federal funds for HIV testing are expected to link people who are diagnosed with HIV to medical care as soon as possible within the 30 days after diagnosis.
Federal Efforts to Reduce Undiagnosed HIV Infection
Across the Federal government, agencies are working to make HIV testing more widely available to persons who have never been tested and those who are at increased risk for HIV infection. These efforts include campaigns to educate the public and healthcare providers about the importance of HIV testing and programs with state and local health departments and community-based organizations to improve the reach of HIV testing in communities with the greatest burden of undiagnosed infection. Research is being conducted on how to do this most efficiently and effectively, improve linkage to care, and testing technologies that can detect and confirm HIV test results even earlier after infection and be used anywhere by anyone.
Scroll down to read about the HIV testing activities of individual agencies and offices.