On June 27th, we observe National HIV Testing Day (NHTD) – a day to raise awareness, combat stigma, and encourage everyone to know their HIV status. It's a reminder that early detection and treatment are key to living a long, healthy life, and it's an opportunity to show compassion and support for those living with HIV.
Here in San Francisco, we know firsthand the devastating impact of the 1980s AIDS epidemic. Our community has been touched deeply by loss, but also by incredible resilience and activism. While HIV is no longer the death sentence it once was, testing remains essential for several reasons:
Early detection saves lives: The sooner you know your status, the sooner you can access treatment and prevent transmitting the virus to others.
Treatment works: Effective medications can make the virus undetectable and untransmittable, allowing those with HIV to live healthy lives.
Knowing your status empowers you: Whether positive or negative, knowing your HIV status lets you make informed decisions about your health and relationships.
Testing fights stigma: Open conversations about HIV testing help to reduce the shame and fear associated with the virus.
Taking the test is a simple act of self-love and taking control of your health. Whether you're a longtime San Franciscan or new to the city, this is a chance to learn about your options, access free or low-cost testing, and prioritize your well-being. Knowing your status empowers you to make informed decisions about your health and your future.
What is HIV & AIDS?
HIV (Human Immunodeficiency Virus) is a virus that attacks the body's immune system, making it harder to fight off infections and diseases. AIDS (Acquired Immunodeficiency Syndrome) is the most advanced stage of HIV infection, where the immune system is severely weakened.
HIV is primarily transmitted through certain bodily fluids, such as blood, semen, vaginal fluids, and breast milk. The most common modes of transmission are unprotected sex and sharing needles or syringes.
If left untreated, HIV can progress to AIDS, leaving the body vulnerable to opportunistic infections and cancers. However, significant advancements in HIV treatment have revolutionized care. Antiretroviral therapy (ART) can suppress the virus to undetectable levels, preventing it from damaging the immune system and virtually eliminating the risk of transmission.
With early detection and consistent treatment, people living with HIV can expect to live long, healthy lives. That's why getting tested and knowing your status is so important.
How to Get Tested for HIV
| Test Type | Sample Type | Detection Time | Time to Get Results | Notes |
|---|---|---|---|---|
| Nucleic Acid Test (NAT) | Blood from vein | 10-33 days | A few days to a week | Most sensitive test, detects the virus itself |
| Antigen/Antibody Test | Blood from finger prick | 18-45 days | 20-40 minutes or less | Can detect HIV earlier than antibody tests alone |
| Antibody Test | Blood from finger prick | 23-90 days | 20-40 minutes or less | Most common type of rapid test |
| Oral Fluid Test | Swab of gums | 23-90 days | 20-40 minutes | Often used for initial screening. May require confirmation with a blood test if positive. |
| At-Home Tests | Blood/Oral fluid | Varies | Rapid Tests: 20 minutes, Mail-In Tests: A few days to a week | Convenient and private option. Follow instructions carefully. |
Getting tested for HIV is easier than ever before. A variety of testing options are available, catering to different preferences and needs.
Blood tests: These are the most common type of HIV test, typically conducted at a clinic or doctor's office. A small blood sample is drawn and sent to a lab for analysis. There are two main types of blood tests:
Antibody tests: These detect antibodies produced by the body in response to HIV infection. It can take a few weeks after exposure for these antibodies to be detectable.
Antigen/antibody tests: These detect both HIV antibodies and antigens (a part of the virus itself). They can detect HIV sooner after exposure than antibody tests alone.
Oral fluid tests: Also known as "rapid tests," these use a swab to collect fluid from your gums. Results are typically available within 20-40 minutes. They're often used for initial screening and may require confirmation with a blood test if positive.
At-home tests: These allow you to collect a sample (either blood from a finger prick or oral fluid) in the privacy of your own home and either mail it to a lab or use a self-test kit with rapid results.
It's important to note that each test has a "window period" – the time between potential exposure and when the test can accurately detect the virus. This varies depending on the type of test:
Nucleic Acid Tests (NATs): Can detect HIV 10-33 days after exposure.
Antigen/Antibody Tests: Can detect HIV 18-45 days after exposure.
Antibody Tests: Can detect HIV 23-90 days after exposure.
If you're worried about the testing process, don't be! Most HIV tests are quick and painless. It's normal to feel some anxiety, but remember, knowing your status is an important step in taking care of your health. If you test positive, there are many resources and treatments available to help you live a healthy and fulfilling life.
Where to Get Tested for HIV in San Francisco
There are plenty of convenient and confidential options for HIV testing in San Francisco, ensuring everyone can access this essential health service.
Clinics
Offers free and low-cost HIV on-site lab testing, along with other sexual health services.
Location: 356 7th Street, San Francisco, CA 94103 (between Folsom and Harrison)
Clinic Hours:
Monday, Wednesday, Friday: 8:00 AM – 4:00 PM
Tuesday: 1:00 PM – 6:00 PM
Thursday: 8:00 AM – 11:00 AM and 1:00 PM – 4:00 PM
Walk-ins are also welcome, depending on availability. The clinic is closed on all major holidays.
A comprehensive sexual health clinic for gay, bi, and trans men by the San Francisco AIDS Foundation. They offer HIV testing and linkage to care, PrEP services, anal health services, and STI testing and treatment.
Location: 470 Castro Street, San Francisco, CA 94114
Clinic Hours: Tue–Sat 10-7 pm (Closed from 1-3 pm on Fridays)
Phone: 415-581-1600
Provides HIV testing and counseling, as well as other reproductive and sexual health services.
Location: 1522 Bush Street, San Francisco, CA 94109
Phone: 415-821-1282
San Francisco Community Health Center (SFCHC)
Provides HIV testing along with a wide range of other health services.
Location: Tenderloin Wellness Clinic, 730 Polk Street, 4th Floor, SF, CA 94109
Phone: Call 415-292-3400 or leave a message at 415-292-3420×301
HealthRight 360's Integrated Care Center
Offers HIV testing, primary care, and other health services for low-income and uninsured individuals.
Location: 1563 Mission Street (2nd & 5th Floors), San Francisco, CA 94103
Phone: 800-200-7181 or (415) 746-1940
Clinic Hours:
Monday through Friday: 8:30 AM – 12 PM and 1 PM – 5 PM
Closed for lunch 12:00 PM - 1:00 PM
Community-Based Organizations
Provides HIV prevention and care services specifically for transgender Latinas.
Location: 3543 18th St, Suite 6, San Francisco, CA 94110
Email: info@ellaparatranslatinas.org
Phone: 415.864.7278
Mission Neighborhood Health Center
Offers HIV testing in San Francisco's Mission District as well as counseling and linkage to care.
Mission Neighborhood Health Center
Location: 240 Shotwell Street, San Francisco, CA 94111
Phone: (415) 431-3212
Hours:
Tuesday & Thursday: 6:00pm – 8:00pm
Friday: 10:00am – 3:00pm
Latino Prevention Center
Location: 1663 Mission Street, Suite 603, San Francisco, CA 94103
Phone: (415) 240-4104
Hours:
Monday & Wednesday: 10:00am – 8:00pm
Tuesday, Thursday, Friday: 10:00am – 5:00pm
Mission Neighborhood Resource Center
Location: 165 Capp Street, San Francisco, CA 94111
Phone: (415) 869-7977
Hours: Monday: 2:00pm – 4:00pm
Home Testing Kits
In addition to in-person locations for HIV testing in San Francisco residents have several options for at-home HIV tests. OraQuick oral swab tests are available at most pharmacies and online, delivering results in 20 minutes. Everlywell offers a variety of at-home tests, including HIV, with results accessible online. Take Me Home also provides free mail-in kits for confidential testing.
What to Do Next
Knowing your HIV status is the first step towards taking control of your health. Whether your test result is positive or negative, there are important actions to take:
If You Test Positive
Linkage to Care: Getting connected to an HIV care provider promptly is crucial. Early initiation of treatment can significantly improve health outcomes and reduce the risk of transmission. San Francisco offers specialized HIV clinics and providers, such as Ward 86 at Zuckerberg San Francisco General Hospital, the UCSF HIV/AIDS Program, and the HIV/AIDS Program at San Francisco Community Health Center (SFCHC).
Support and Counseling: Many organizations in San Francisco offer counseling and support services to help you navigate the emotional and practical aspects of living with HIV. The San Francisco AIDS Foundation offers comprehensive support services, including counseling, case management, and support groups. Additionally, organizations like Shanti Project, the API Wellness Center, and the Latino Prevention Center provide culturally sensitive counseling and support tailored to specific communities.
Prevention for Partners: If you are in a relationship, talk openly with your partner(s) and take steps to prevent transmission. This can include using condoms consistently, taking PrEP (pre-exposure prophylaxis) if you are HIV-negative, and discussing options like U=U (Undetectable = Untransmittable).
If You Test Negative
Prevention is Key: Explore prevention options like PrEP (pre-exposure prophylaxis), a daily medication that can significantly reduce the risk of HIV acquisition. You can obtain PrEP through clinics like Magnet, the San Francisco City Clinic, or your healthcare provider.
Regular Testing: If you are sexually active, consider getting tested regularly (every 3-6 months) to maintain awareness of your status. This can be done at clinics, community organizations, or with at-home testing kits.
Safer Sex Practices: Consistent condom use and other safer sex practices remain essential for protecting yourself and your partners.
No matter your results, open communication with sexual partners and healthcare providers is crucial for maintaining your health and well-being. Don't hesitate to ask questions, seek support, and take the necessary steps to protect yourself and others.
Get tested ASAP!
Getting tested for HIV is not just a matter of individual health; it's a community responsibility. By knowing our status, we can protect ourselves and our partners, stop the spread of the virus, and ultimately work towards ending the HIV epidemic.
Don't let fear or stigma hold you back. Talk to your doctor, visit a clinic, or order a home testing kit today. It's a simple, quick, and confidential process that can empower you to take charge of your health.
Let's normalize conversations about HIV and testing. By openly discussing this topic with our friends, families, and loved ones, we create a supportive community and break down the stigma that still surrounds HIV.
If you're living with HIV, know that you are not alone. San Francisco is home to a vast network of support, from medical care to counseling services and community groups. Reach out, get the help you deserve, and remember: living with HIV does not define you. With early detection and access to care, you can live a long, fulfilling, and joyful life.
