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Editor's Correspondence |

Human Immunodeficiency Virus Testing and Behavior Change—Reply

Kenneth A. Freedberg, MD, MSc; Jeffrey H. Samet, MD, MA, MPH
Arch Intern Med. 2000;160(10):1537-1538. doi:.
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In reply

We appreciate Weinhardt's comments and support for the idea of changing the paradigm of human immunodeficiency virus (HIV) testing to one of screening rather than diagnosis.1 We read his recent meta-analysis with interest.2 With current types of posttest counseling, learning that one is infected with HIV appears to result in safer sexual behaviors. Unfortunately, this is not the case for those who receive results showing they are not infected.2 We agree that individuals with negative test results for HIV will require the more intensive posttest behavioral counseling that Kamb et al3 have shown to be effective. This intervention will require an even more substantial commitment of resources than we discussed in our article. That type of commitment, however, may provide significant public health benefit.

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