HIV Tests FAQ

What is an HIV test?
What do the results mean?
How quickly should I test?
Where can I get an HIV test in Jersey?
Who will know that I've had an HIV test?
Will I have to pay to take the test?
Why might I need to take a second test?
Who should take an HIV test?
There's no cure for HIV/AIDS, so what's the point in getting tested?
I'm pregnant, why have I been offered an HIV test?

What is an HIV test?

Antibodies are your body's response to a viral infection. Anti bodies to HIV typically appear between four to six weeks after infection, but this may take as long as twelve weeks. This is commonly referred to as the 'window' period.

The p24 antigen is a protein of the virus itself and can be detected in a blood sample for a short period after infection (normally from two to five weeks). However it rapidly becomes undetectable once antibodies to HIV start to develop.

The most commonly used test looks for both the HIV-1 and HIV-2 antibody and the HIVp24 antigen. This is an improvement on the previous generation of HIV tests which looked for antibodies only, and can give a reliable result from as little as 28 days after exposure. In the event of a positive result a second sample is requested for confirmation.

Another test may be used in special circumstances e.g. following recent potential exposure where post-exposure-prophylaxis (PEP) is being considered. These are now the preferred test to diagnose early infection if primary HIV infection is suspected and the antibody/antigen test is negative.

What do the results mean?

An HIV positive result indicates that you have been infected with HIV, but a second sample will be requested for confirmation. This means that you can pass HIV on to others and should take precautions to avoid this. You may also benefit from treatments; your clinic will advise you on this.

How quickly should I test?

If you believe you are potentially at risk you should seek advice immediately. You are most likely to pass HIV on to someone else within the first few weeks of being infected so you will need advice on what steps to take at this time to protect others.

If you seek advice within 72 hours of potential exposure, you may also be able to take Post Exposure Prophylaxis (PEP).

PEP is a course of anti-HIV treatment, which is taken for 28 days. It can prevent the virus infecting the body. PEP is not always successful and must be taken within 72 hours of exposure. It is not an easy treatment; the drugs given are the same as those taken by people living with HIV to control the virus. Side effects can include diarrhoea, nausea, headaches and vomiting. If you feel you might need PEP contact the Sexual Health Clinic, or the Accident and Emergency Department at the General Hospital.

Where can I get an HIV test in Jersey?

HIV tests can be obtained at the Sexual Health Clinic and at Doctor's surgeries. For more information about these services, please click here.

Who will know that I've had an HIV test?

If you go to the Sexual Health (GUM) Clinic to take the test, the results are completely confidential and will not appear on your medical record.

If you choose to have an HIV test through your GP it will be retained on your medical record. Insurance companies and mortgage lenders may ask if you have ever had an HIV-positive test result.

Will I have to pay to take the test?

The Sexual Health (GUM) Clinic provides a free service. There may be a charge if you choose to be tested at your GP surgery.

Why might I need to take a second test?

There are two main reasons why a second HIV test may be needed. The first relates to the speed at which the human body produces antibodies, which can take up to three months or longer.

Any tests conducted in the first three months after someone has been exposed to HIV may give a false negative result. For this reason, tests are usually done when the patient first presents to a Doctor and then again when three months have elapsed since the patient believes they may have been exposed to HIV. An HIV test conducted approximately three months after exposure, will normally confirm whether or not HIV infection has occurred.

A second test is also sometimes used to rule out a false positive result that may have been affected by another medical condition or other circumstances.

Who should take an HIV test?

Anyone who may have been exposed to HIV should consider being tested as soon as possible. HIV is mainly transmitted through shared injecting equipment and unprotected sex. Early diagnosis will ensure that a person receives appropriate medical care and prompt access to treatment.

Many people choose to have a full sexual health screen before starting a new relationship, so they can be confident of not passing on or contracting a sexually transmitted infection such as HIV.

There's no cure for HIV/AIDS, so what's the point in getting tested?

Although there is no cure for HIV/AIDS, a number of highly effective treatments have been available for the last 10 years. Anti-retroviral drugs control the rate at which HIV damages the immune system and allow HIV positive men and women to live relatively normal healthy lives without progressing to an AIDS diagnosis. HIV positive people on treatment can now expect to live much longer than those without treatment.

Those with undiagnosed HIV infection are unable to access appropriate medical care and treatment for their condition and may progress to AIDS and premature death. They may also be passing HIV on to sexual partners inadvertently.

I'm pregnant, why have I been offered an HIV test?

Don't worry, all pregnant women are offered an HIV test as part of their ante-natal care. HIV positive women are given special treatment during pregnancy to avoid passing the virus to their child, but this is not made available unless the mother has tested positive for HIV. Advances in the prevention of Mother to Child Transmission (MTCT), mean that 98% of HIV positive mothers are now giving birth to HIV negative babies.

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Last updated April 2010

HIV Tests FAQ