RT Journal A1 Holtgrave DR T1 CDc recommendations for opt-out hiv testing JF JAMA JO JAMA YR 2009 FD January 21 VO 301 IS 3 SP 274 OP 276 DO 10.1001/jama.2008.1007 UL http://dx.doi.org/10.1001/jama.2008.1007 AB I believe that the metrics must include the following: (1) percentage of persons living with HIV aware of their serostatus; (2) percentage of persons newly diagnosed with HIV receiving high-quality, comprehensive health care that includes, but is not limited to, HIV-specific services; (3) percentage of persons testing positive who receive evidence-based, patient-centered HIV prevention services to avoid transmission; (4) percentage of persons testing HIV seronegative but at imminent risk of infection who receive evidence-based, patient-centered HIV prevention services; (5) percentage of persons (stratified by serostatus) reporting changes in HIV risk behavior (metrics should capture magnitude and direction of behavioral change); (6) percentages of persons receiving their test results, understanding the results, and knowing their risk for transmission or infection (it is critical to ensure that persons who test HIV seronegative—or who do not receive their test results—not automatically infer that they are at no risk for infection or transmission); (7) percentage of persons who knew they were tested for HIV and the percentage who provided informed consent; (8) percentage of persons not holding stigmatizing attitudes about HIV; and (9) percentage of persons not experiencing HIV-related discrimination.