is HIV counseling and testing reaching them?
OBJECTIVE: To assess the extent that HIV counseling and testing in STD clinics, an important aspect of HIV prevention strategy, reaches clients at greatest risk for HIV by identifying which factors, including STD diagnoses, patient-reported perceived risk (PR), and behavioral risks, are predictive of clients returning for test results and post-test counseling (TPTC). METHODS: Eligible clients (n = 30,680) attending all 25 public STD clinics in Illinois (excluding Chicago) during a 15-month period were administered risk-assessment questionnaires and offered on-site HIV counseling and testing services. STD diagnoses were recorded. Clients who had “concern” that they may have been exposed to HIV from sex or needle-sharing partners were assessed to have PR. Multiple logistic regression models were used to identify factors associated with clients returning. RESULTS: Of the eligible clients, 15,883 (51.8%) accepted testing. Among those tested, 50.7% were white; 45.8% were black; 29.8% had PR