What is HIV Antibody Testing?

What is HIV Antibody Testing? HIV testing determines whether or not you are infected with the Human Immunodeficiency Virus (HIV). This virus destroys the body’s ability to fight off illness, and is the cause of AIDS (Acquired Immune Deficiency Syndrome).  

•  Immune system monitoring and early treatment can greatly improve your long term health. 
•  Knowing you are positive may help you change behaviors that would put yourself and others at risk. 
•  You will know whether or not you can infect others. 
•  Women and their partners considering pregnancy can take advantage of treatments that potentially prevent transmission of HIV to the baby. 
• If you test negative, you may feel less anxious after testing.

 Anal, vaginal, or oral sex without a condom. If you have another sexually transmitted disease, you chances of contracting HIV during sex are much higher.  

• Direct blood or mucous membrane contact with an infected person’s blood.
• From an infected mother to her child, during pregnancy, birth, or breast feeding.
• Sharing needles or equipment for drug use.

  Testing is recommended if: 

• You think you may have been exposed to the HIV. If you’re not sure, take this anonymous survey.
• You are sexually active (3 or more sexual partners in the last 12 months)
• You received a blood transfusion between 1977 and 1985, or a sexual partner received a transfusion and later tested positive for HIV.
• You are uncertain about your sexual partner’s risk behaviors.
• You are a male who has had sex with another male at any time since 1977.
• Any of your male sexual partners has had sex with another male since 1977.
• You have used street drugs by injection since 1977, especially when sharing needles and/or other equipment.
• You have a sexually transmitted disease (STD), including pelvic inflammatory disease (PID).
• You are a health care worker with direct exposure to blood on the job.
• You are pregnant. There are now treatments that can greatly reduce the risk that a pregnant woman who has HIV will give the virus to her baby.
• You are a woman who wants to make sure you are not infected with HIV before getting pregnant.

 Even if you have no risk factors for HIV infection, you may still want to get tested to ease your own mind. This also encourages everyone to be more responsible about HIV transmission. 

 After a possible HIV exposure: An HIV test will not detect the presence of the HIV virus immediately after exposure. Statistics show that 96% (perhaps higher) of all infected individuals will test positive within 2 to 12 weeks. In some cases, this may take up to six months.Think about this: if you got a negative test at six weeks, would you believe it? Would it make you less anxious? If so, go for it. But to be certain, you will need to be tested again at six months. 

 Periodic Testing:

• Many people continue to engage in some degree of risky behavior, and choose to be tested for HIV periodically (every six months, every year, or every other year.)Since the window period for developing a positive test result can be as long as six months, it would rarely make sense to be tested more often than this.There are clear benefits to early medical attention for infection with the HIV virus. There is little agreement on how early this must be. But if you wait longer than two years, treatment of the disease may be less effective.
• If you are beyond the six month window period from a possible HIV transmission event and were reported HIV negative by an accurate HIV test (and you are not subsequently put at risk for HIV), you can consider yourself HIV negative. There is no need to retest. However if it eases your anxiety, you may wish to take the test again periodically.

Anonymous testing means that absolutely no one has access to your test results since your name is never recorded at the test site. Confidential testing sometimes means identifying yourself in some manner to the test site, with their assurance that this information will remain private. Anonymous test sites are highly recommended because:

• The quality of the education and counseling that is provided is very good.
• The testing is usually free.
• The testing is reliable and automatically includes confirming tests.
• It protects you from risks of discrimination or adverse impact, especially in applications for insurance.
• Sometimes even taking an HIV test, regardless of the result, might cause an insurance application to be refused.

Anonymous testing sites never give written results. Some sites who do anonymous testing also do confidential testing, which may also include written results. At least 11 states do not currently provide anonymous testing.

 

 A negative test result means:

• If you have not engaged in any risky behaviors for the last 6 months, you are not currently infected with HIV. If you have had unprotected sex or shared needles or have other risk factors in the last 6 months, you should be tested again. You could still be HIV positive, and pass the HIV on to other people, even though your test is negative.
• A negative test does not mean that you are immune to HIV.
• Some people who have a negative test may be tempted to continue risk behaviors, believing “It can’t happen to me.” If you continue unsafe behaviors, you are still at risk.

A positive test result means:

• You are infected with the HIV virus. This does not necessarily mean that you have AIDS.
• A person with HIV is infected for life. He or she can pass the virus to others by having unprotected sex, or by sharing drug use needles or equipment. To protect yourself and others, you need to avoid doing these things. A woman who has HIV can pass it on to her unborn or breast feeding baby. Those carrying the HIV virus should not donate blood, plasma, semen, body organs, or other tissue.
• You should choose a doctor to monitor the progression of HIV in your body, and advise you on when it is appropriate to begin treatment. There are differing opinions about how early to begin treatment, but it’s clearly much better to begin treatment long before symptoms of AIDS develop. The only way you can tell when to begin treatment is by having a doctor interpret additional tests. You may wish to change to a doctor that specializes in HIV care.
• If your HIV test is positive, your sexual partners and anyone with whom you have shared drug injection equipment may also be infected. They should be told they have been exposed to HIV and advised to seek HIV counseling and antibody testing. You can tell them yourself, work with your doctor, or ask for help from the local health department. Health departments do not reveal your name to sexual or drug-use partners, only the fact that they have been exposed to HIV.

 Periodic testing has the following benefits:

• It takes up to 6 months for the HIV virus to be detected. If you have tested before this time has passed, you should test again to allow for this.
• Always knowing your HIV status may empower you to continue doing the right things.
• May give you an increased peace of mind in knowing you are negative.
• If you should become positive, you will know at the earlier possible moment and will have more treatment options available to you than if you learn about this later.

• Get the facts about HIV and understand their risk.
• Get tested for HIV. Contact National AIDS Hotline at (800) 342-2437 (24 hrs/day, 365 days/year). or text your zip code to Knowit (566948) or Click Here for testing locations in your area.
• Talk with parents, doctors, and other trusted adults about HIV, sexual health, and concerns about depression, drugs or alcohol.
• Resist pressure to have sex or inject drugs. Do not pressure others to engage in risky behaviors.
• Sexually active youth can reduce their risk by choosing to stop having sex, limiting their number of sex partners, not having sex with an older person who may be more likely to already have HIV, and using a condom every time. Don’t have sex while using drugs or alcohol.
• Participate in HIV prevention programs, share HIV prevention information with friends and partners, and support other youth in protecting themselves against HIV.
• If you have HIV, get support, seek treatment, and stay in care to remain healthy and prevent passing the virus to others.

• Talk with youth about HIV prevention.
• Ask your doctor about HIV testing and prevention for your youth, and ask your insurer if HIV screening is available without a co-pay, as required by the Affordable Care Act for most health plans.
• Engage in HIV education programs and support safe environments in schools for all youth.
• Make sure your community offers testing for HIV and sexually transmitted infections (STIs) as well as treatment for youth needing it.

• Follow current HIV testing and treatment guidelines and test youth at risk for HIV. Sexually active young gay and bisexual men should be tested at least once a year. People in communities with more HIV infections may benefit from being tested more often.
• Educate parents and youth about sexual development, what puts youth at risk, and how to prevent HIV.
• Provide HIV prevention services tailored for youth and protect patient confidentiality.

Get the facts, get tested and get involved, and we can all support programs to prevent HIV among youth.