hiv testing hiv positivity and linkage and referral services in correctional facilities in the united states 20092013 background because of health disparities incarcerated persons are at higher risk for multiple health issues including hiv correctional facilities have an opportunity to provide hiv services to an underserved population this article describes centers for disease control and prevention cdcfunded hiv testing and service delivery in correctional facilitiesmethods data on hiv testing and service delivery were submitted to cdc by 61 health department jurisdictions in 2013 hiv testing hiv positivity receipt of test results linkage and referral services were described and differences across demographic characteristics for linkage and referral services were assessed finally trends were examined for hiv testing hiv positivity and linkage from 2009 to 2013results of cdcfunded tests in 2013 among persons 18 years and older 254719 79 were conducted in correctional facilities hiv positivity was 09 and hiv positivity for newly diagnosed persons was 03 blacks accounted for the highest percentage of hivinfected persons 13 and newly diagnosed persons 05 only 379 of newly diagnosed persons were linked within 90 days 675 were linked within any time frame 497 were referred to partner services and 452 were referred to hiv prevention services there was a significant percent increase in hiv testing overall hiv positivity and linkage from 2009 to 2013 however trends were stable for newly diagnosed personsconclusions identification of newly diagnosed persons in correctional facilities has remained stable from 2009 to 2013 correctional facilities seem to be reaching blacks likely due to higher incarceration rates the current findings indicate that improvements are needed in hiv testing strategies service delivery during incarceration and linkage to care postrelease