Nellie Riendeau Lazar1, Caroline Salas-Humara2, Sarah M Wood3, Cynthia J Mollen3, Nadia Dowshen3. 1. Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Electronic address: lazarn@email.chop.edu. 2. School of Medicine, New York University, New York City, New York. 3. Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Abstract
PURPOSE: Routine human immunodeficiency virus (HIV) screening reduces HIV progression and transmission. Our aims were to determine prevalence and factors associated with prior HIV screening among a cohort of youth living with HIV. METHODS: Retrospective chart review of youth living with HIV aged 14-26 at an HIV clinic comparing characteristics between those with and without HIV screening within the year prior to diagnosis RESULTS: Subjects (n = 301) were male (85%), African-American (87%), and men who have sex with men (84%). Subjects seen 1 year prior to diagnosis (n = 58) contributed 179 visits for missed opportunities with 59% having a documented sexual history in the electronic health record and 48% tested for HIV. Subjects with symptoms suggesting acute HIV infection (51%) were more likely to be tested (p = .04). In the adjusted model, documentation of sexual history and demographic factors was not associated with prior testing. CONCLUSION: We identified high rates of missed opportunities for HIV testing and sexual history documentation in the year prior to diagnosis, underscoring the need for routine HIV screening in adolescents.
PURPOSE: Routine human immunodeficiency virus (HIV) screening reduces HIV progression and transmission. Our aims were to determine prevalence and factors associated with prior HIV screening among a cohort of youth living with HIV. METHODS: Retrospective chart review of youth living with HIV aged 14-26 at an HIV clinic comparing characteristics between those with and without HIV screening within the year prior to diagnosis RESULTS: Subjects (n = 301) were male (85%), African-American (87%), and men who have sex with men (84%). Subjects seen 1 year prior to diagnosis (n = 58) contributed 179 visits for missed opportunities with 59% having a documented sexual history in the electronic health record and 48% tested for HIV. Subjects with symptoms suggesting acute HIV infection (51%) were more likely to be tested (p = .04). In the adjusted model, documentation of sexual history and demographic factors was not associated with prior testing. CONCLUSION: We identified high rates of missed opportunities for HIV testing and sexual history documentation in the year prior to diagnosis, underscoring the need for routine HIV screening in adolescents.
Authors: Andres F Camacho-Gonzalez; Scott E Gillespie; LaTeshia Thomas-Seaton; Krystal Frieson; Sophia A Hussen; Ashley Murray; Zaneta Gaul; Traci Leong; Chanda Graves; Madeline Y Sutton; Rana Chakraborty Journal: AIDS Date: 2017-07-01 Impact factor: 4.177
Authors: Anne M Neilan; Richard Dunville; M Cheryl Bañez Ocfemia; Joshua A Salomon; Jordan A Francke; Alexander J B Bulteel; Li Yan Wang; Katherine K Hsu; Elizabeth A DiNenno; Rochelle P Walensky; Robert A Parker; Kenneth A Freedberg; Andrea L Ciaranello Journal: J Adolesc Health Date: 2018-01 Impact factor: 5.012