Did the 2011 AAP recommendations on youth HIV testing change practice? Trends from a large urban adolescent program

Sujatha Seetharaman,1 Cathryn L Samples,2 Maria Trent3 1Division of Adolescent Medicine, Stanford University Medical Center, Palo Alto, CA, 2Division of Adolescent Medicine, Boston Children’s Hospital, Harvard Medical School, Boston, MA, 3Division of General Pediatrics and Adolescent Medic...

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Autores principales:	Seetharaman S, Samples CL, Trent M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Adolescents HIV screening 2011 AAP HIV recommendations Risk based HIV screening HIV risk factors Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/2f121b1b482146cfa06c326cacb83a53
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spelling	oai:doaj.org-article:2f121b1b482146cfa06c326cacb83a532021-12-02T01:22:24ZDid the 2011 AAP recommendations on youth HIV testing change practice? Trends from a large urban adolescent program1179-1373https://doaj.org/article/2f121b1b482146cfa06c326cacb83a532017-04-01T00:00:00Zhttps://www.dovepress.com/did-the-2011-aap-recommendations-on-youth-hiv-testing-change-practice--peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Sujatha Seetharaman,1 Cathryn L Samples,2 Maria Trent3 1Division of Adolescent Medicine, Stanford University Medical Center, Palo Alto, CA, 2Division of Adolescent Medicine, Boston Children’s Hospital, Harvard Medical School, Boston, MA, 3Division of General Pediatrics and Adolescent Medicine, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins School of Medicine, Baltimore, MD, USA 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. Keywords: adolescents, HIV screening, 2011 AAP HIV recommendations, risk-based HIV screening, HIV risk factorsSeetharaman SSamples CLTrent MDove Medical PressarticleAdolescentsHIV screening2011 AAP HIV recommendationsRisk based HIV screeningHIV risk factorsImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 9, Pp 95-100 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Adolescents HIV screening 2011 AAP HIV recommendations Risk based HIV screening HIV risk factors Immunologic diseases. Allergy RC581-607
spellingShingle	Adolescents HIV screening 2011 AAP HIV recommendations Risk based HIV screening HIV risk factors Immunologic diseases. Allergy RC581-607 Seetharaman S Samples CL Trent M Did the 2011 AAP recommendations on youth HIV testing change practice? Trends from a large urban adolescent program
description	Sujatha Seetharaman,1 Cathryn L Samples,2 Maria Trent3 1Division of Adolescent Medicine, Stanford University Medical Center, Palo Alto, CA, 2Division of Adolescent Medicine, Boston Children’s Hospital, Harvard Medical School, Boston, MA, 3Division of General Pediatrics and Adolescent Medicine, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins School of Medicine, Baltimore, MD, USA 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. Keywords: adolescents, HIV screening, 2011 AAP HIV recommendations, risk-based HIV screening, HIV risk factors
format	article
author	Seetharaman S Samples CL Trent M
author_facet	Seetharaman S Samples CL Trent M
author_sort	Seetharaman S
title	Did the 2011 AAP recommendations on youth HIV testing change practice? Trends from a large urban adolescent program
title_short	Did the 2011 AAP recommendations on youth HIV testing change practice? Trends from a large urban adolescent program
title_full	Did the 2011 AAP recommendations on youth HIV testing change practice? Trends from a large urban adolescent program
title_fullStr	Did the 2011 AAP recommendations on youth HIV testing change practice? Trends from a large urban adolescent program
title_full_unstemmed	Did the 2011 AAP recommendations on youth HIV testing change practice? Trends from a large urban adolescent program
title_sort	did the 2011 aap recommendations on youth hiv testing change practice? trends from a large urban adolescent program
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/2f121b1b482146cfa06c326cacb83a53
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_version_	1718403130764296192

Did the 2011 AAP recommendations on youth HIV testing change practice? Trends from a large urban adolescent program

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