Objective: To determine youth preferences for Food and Drug Administration
(FDA)-approved and investigational human immunodeficiency virus (HIV) antib
ody collection and testing methods before and after subjects learned of tes
t result response times; to determine how influential test result response
times are on participants' preferences.
Design: After health educators explained and demonstrated 6 different HIV a
ntibody collection and testing strategies (3 saliva, 1 urine, and 2 fingers
tick methods), participants completed a confidential survey about test meth
od preference and tried the different testing methods. The participants had
an opportunity to re-rank their test method preference after learning abou
t each test's result response time.
Setting: Health education sessions in both clinical and community settings.
Participants: Youths aged 12 to 24 years.
Results: An oral collection device with a rapid saliva test was the most hi
ghly preferred test method. The preference for this method and the rapid re
sponse test methods via fingerstick procedures improved significantly after
subjects learned of the rapid result response time, while the other method
s were given significantly lower preference rankings after subjects learned
of the longer result response times. Shifts in preference rankings were no
t related to sex, age, ethnic group, experience with HIV testing, or practi
ce of risk behaviors.
Conclusions: Our research supports the use of noninvasive and rapid HIV tes
ting methods with rapid response times for adolescents to assist in the ear
ly identification of HIV status, while offering HIV prevention opportunitie
s and immediate linkage to care.