TY - JOUR
T1 - Did the 2011 AAP recommendations on youth HIV testing change practice? Trends from a large urban adolescent program
AU - Seetharaman, Sujatha
AU - Samples, Cathryn L.
AU - Trent, Maria
N1 - Funding Information:
We would like to thank Dr. Elaine Isabel Allen and the UCSF CTSI (grant number UL1 TR000004) for their statistical assistance. This project has been funded in part with Federal funds (P20MD000198) from the National Institute of Minority Health and Health Disparities. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. An abstract of this paper has been presented as a poster and published in the Journal of Adolescent Health, Volume 56, Issue 2, Supplement 1, Page S52, February 2015.
Publisher Copyright:
© 2017 Seetharaman et al.
PY - 2017/4/26
Y1 - 2017/4/26
N2 - Purpose: The purpose of this study was to determine whether there is adherence to the October 2011 American Academy of Pediatrics (AAP) recommendations for HIV screening in a large urban adolescent program with availability of a publicly funded program providing free, confidential, sexually transmitted infection (STI) and HIV counseling and testing (then rapid or third generation HIV testing), nested in the same adolescent clinic. Methods: We conducted a retrospective chart review of HIV screening trends among 13-to 24-year-old patients tested for HIV during periods of January 2010 to June 2011 (18 months pre-AAP recommendations period) and July 2011 to December 2012 (18-month period, which included 15 months after the AAP recommendations). Results: During the period of January 2010 to June 2011, there were 22 tests/1,000 medical visits (N = 824 of 37,520 medical visits), and during the period of July 2011 to December 2012, there were 27 tests/1,000 medical visits (N = 1,068 of 38,763 medical visits) (p < 0.0001, odds ratio [OR] 1.26). The number of 13-to 18-year-old patients screened in the pre-AAP period was 150, compared to 297 in the second 18-month period (X2 = 43.3, df = 1, p < 0.0001). A summative risk profile score of 0-9 was created in the form of a continuous variable, with a risk score of 0 for those with no risk factor identified and 1 point for each risk behavior identified. The proportion of HIV test clients with zero-specified risk (a risk score of “0”) increased from 2010 to 2012. Conclusion: Release of the 2011 AAP HIV testing guidelines was associated with a modest increase in HIV screening and a shift toward testing younger people and away from risk-based screening.
AB - Purpose: The purpose of this study was to determine whether there is adherence to the October 2011 American Academy of Pediatrics (AAP) recommendations for HIV screening in a large urban adolescent program with availability of a publicly funded program providing free, confidential, sexually transmitted infection (STI) and HIV counseling and testing (then rapid or third generation HIV testing), nested in the same adolescent clinic. Methods: We conducted a retrospective chart review of HIV screening trends among 13-to 24-year-old patients tested for HIV during periods of January 2010 to June 2011 (18 months pre-AAP recommendations period) and July 2011 to December 2012 (18-month period, which included 15 months after the AAP recommendations). Results: During the period of January 2010 to June 2011, there were 22 tests/1,000 medical visits (N = 824 of 37,520 medical visits), and during the period of July 2011 to December 2012, there were 27 tests/1,000 medical visits (N = 1,068 of 38,763 medical visits) (p < 0.0001, odds ratio [OR] 1.26). The number of 13-to 18-year-old patients screened in the pre-AAP period was 150, compared to 297 in the second 18-month period (X2 = 43.3, df = 1, p < 0.0001). A summative risk profile score of 0-9 was created in the form of a continuous variable, with a risk score of 0 for those with no risk factor identified and 1 point for each risk behavior identified. The proportion of HIV test clients with zero-specified risk (a risk score of “0”) increased from 2010 to 2012. Conclusion: Release of the 2011 AAP HIV testing guidelines was associated with a modest increase in HIV screening and a shift toward testing younger people and away from risk-based screening.
KW - 2011 AAP HIV recommendations
KW - Adolescents
KW - HIV risk factors
KW - HIV screening
KW - Risk-based HIV screening
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U2 - 10.2147/HIV.S128558
DO - 10.2147/HIV.S128558
M3 - Article
C2 - 28694707
AN - SCOPUS:85019429168
VL - 9
SP - 95
EP - 100
JO - HIV/AIDS - Research and Palliative Care
JF - HIV/AIDS - Research and Palliative Care
SN - 1179-1373
ER -