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The Illinois Experience

Bernard J. Turnock, MD, MPH; Chester J. Kelly, MS, MPH

JAMA. 1989;261(23):3415-3418.

Abstract
During the first 6 months of legislatively mandated premarital testing for human immunodeficiency virus in Illinois, 8 of 70 846 applicants for marriage licenses were found to be seropositive, yielding a seroprevalence of 0.011%. The total cost of the testing program for 6 months is estimated at $2.5 million or $312 000 per seropositive individual identified. Half of the reported seropositive individuals reported a history of risk behavior. During the same period, the number of marriage licenses issued in Illinois decreased by 22.5%, while the number of licenses issued to Illinois residents in surrounding states increased significantly. We conclude that mandatory premarital testing is not a cost-effective method for the control of human immunodeficiency virus infection.

(JAMA. 1989;261:3415-3418)

Author Affiliations
Dr Turnock is director of the Illinois Department of Public Health and Mr Kelly is chief of the AIDS Activity Section.

Footnotes
Reprint requests to AIDS Activity Section, Illinois Department of Public Health, 100 W Randolph St, Suite 6-600, Chicago, IL 60601 (Mr Kelly).

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