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