Date Available

5-6-2025

Year of Publication

2025

Document Type

Graduate Capstone Project

Degree Name

Master of Public Health (M.P.H.)

College

Public Health

Department/School/Program

Public Health

Faculty

Benji Bryant

Committee Member

Richard Ingram

Faculty

Richard Ingram

Faculty

Richard Ingram

Abstract

The University of Kentucky’s Target 4 project aims to expand HIV testing and provide accessible, confidential services throughout Kentucky, focusing on individuals at highest risk for HIV and Hepatitis C. In December 2023, the Target 4 project implemented a new, expanded HIV screening form, increasing the number of questions from seven to eighteen. This study analyzes the impact of the new screening form on risk factor identification and HIV positivity rates in Region 9, a 16-county area in central Kentucky, from September 2021 to November 2023. Data from 11,187 encounters before the implementation of the new screening form and 2,585 encounters afterward were analyzed. Results showed an increase in the HIV positivity rate from 0.2% to 0.4%, with the new screening form identifying more individuals at high risk for HIV transmission, including those with recent unprotected sex, drug use, and involvement in other high-risk behaviors. The new form also allowed for improved identification of individuals eligible for PrEP, a key HIV prevention tool. The new form was designed using an evidence-based approach through research. The screening questions are validated in research to correlate with HIV transmission, such as sexual behaviors, substance use, STI history, partner characteristics, etc. The screening questions were designed to help target individuals at the highest risk of contracting and transmitting HIV. These findings suggest that the expanded screening form enhances the program’s ability to target high-risk populations and improve linkage to care, contributing to the larger goal of reducing HIV transmission in Kentucky. Further research is needed to assess the impact on long-term care linkage and outcomes.

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