HIV test-seeking before and after the restriction of anonymous testing in North Carolina

Am J Public Health. 1996 Oct;86(10):1446-50. doi: 10.2105/ajph.86.10.1446.


Objectives: This study assessed the impact on HIV test-seeking of North Carolina's restriction of anonymous testing to 18 of its 100 counties as of September 1, 1991.

Methods: Trends from 4 months prerestriction to the 16-month restriction period in counties retaining vs counties eliminating anonymous testing were compared.

Results: HIV testing increased throughout the state, but more rapidly where anonymous testing was retained than elsewhere: 64% vs 44%. These differences held for all sociodemographic subgroups and were most pronounced among adolescents and African Americans and other non-Whites.

Conclusions: The data are consistent with a detrimental effect of elimination of anonymous testing, although confounding from differences in AIDS awareness or in repeat tests is possible.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Confidentiality / legislation & jurisprudence*
  • Female
  • HIV Infections / diagnosis*
  • Humans
  • Insurance, Health
  • Male
  • Middle Aged
  • North Carolina
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Risk Factors
  • Seasons