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To the Editor: We agree with Dr Branson's¹ conclusion that home sample collection (HSC) human immunodeficiency virus (HIV) tests are an important alternative testing method, but we have 2 concerns. First, many points raised are similar to those discussed in a background paper² that was presented at a Kaiser Family Foundation Forum held prior to publication of the JAMA article. A 1-page summary of this presentation appeared in the Foundation's report on the forum.³ Also, a report with similar conclusions, although with more limited data, was previously issued and distributed via the Internet by a test manufacturer, along with an editorial by Branson.⁴ These papers and reports were not cited or acknowledged in the JAMA article.

Second, as Branson notes, the correct effect of HSC tests on access to testing currently may be small because of low usage. Three nationally representative surveys found that 14% to 17% of the US . . . [Full Text of this Article]

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