Vending Machines and HIV

• Commercial sex venue (CSV) in Los

Angeles County (LA County)

• High-risk population that “cruise” for

anonymous sex

• AHF installed a vending machine to

dispense HIV home test kits

Mail-In Testing and STIs

• Need for cost-effective anatomic site

STI testing for high-risk MSM

• Cepheid GeneXpert “lab-in-a-box”

• AHF asked patients to mail-in self-

collected dry swabs

Vending Machines and HIV

• Self-contained unit

• Remote monitoring

• Instructions posted

Mail-In Testing and STIs

• Dry swab collection guide

• Low-cost to mail, minimal packaging

Vending Machines and HIV

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

Vending Machines and HIV

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

Vending Machines and HIV

• Dates: Jan. 2016 - Jun. 2016

• Total test kits distributed: 566

• Total survey responses: 34

• Self-reported positives: 10

• Confirmed linked to care: 1

Mail-In Testing and STIs

• Embargoed for the CDC STD

Conference in Atlanta, GA

• Gordon K et al. (2016): Poster #THP 61

Conclusions

• Unique populations, such as high-risk

MSM, require specialized interventions

• Social acceptability

• Acute and missed infections

• Questions?

mark.mcgrath@aidshealth.org

Special Thanks

• Lauren Natoli, BA (AHF)

• Sagar Amin, BS (AHF)

• Kristie Gordon, BA (UCLA)

• Rosalba Castro (AHF)

• Adam Carl Cohen, PhD, MPH (AHF)

• Jeffery Klausner MD, MPH (UCLA)