Analysis of HIV testing refusal among patients aged less than 21 years in the Pediatric Emergency Department

Kenneth Soyemi,1,2 Teddy Muisyo,1,3 Yaa KariKari,1,4 Kun-UK David Lee,5 Peter Nguyen,1 Karen E Simpson,1 Kevin Regis,2 Lisa Henry Reid1 1Department of Pediatrics, Cook County Health and Hospitals System, John H Stroger Jr Hospital, Chicago, IL, USA; 2Department of Emergency Medicine, Cook County Hea...

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Autores principales:	Soyemi K, Muisyo T, KariKari Y, Lee KUD, Nguyen P, Simpson KE, Regis K, Henry Reid L
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	HIV test Adolescent testing refusal Emergency Department Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/57370935d5d24a4fa7663c07051bce0a
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spelling	oai:doaj.org-article:57370935d5d24a4fa7663c07051bce0a2021-12-02T04:17:33ZAnalysis of HIV testing refusal among patients aged less than 21 years in the Pediatric Emergency Department1179-1373https://doaj.org/article/57370935d5d24a4fa7663c07051bce0a2018-10-01T00:00:00Zhttps://www.dovepress.com/analysis-of-hiv-testing-refusal-among-patients-aged-less-than-21-years-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Kenneth Soyemi,1,2 Teddy Muisyo,1,3 Yaa KariKari,1,4 Kun-UK David Lee,5 Peter Nguyen,1 Karen E Simpson,1 Kevin Regis,2 Lisa Henry Reid1 1Department of Pediatrics, Cook County Health and Hospitals System, John H Stroger Jr Hospital, Chicago, IL, USA; 2Department of Emergency Medicine, Cook County Health and Hospitals System, John H Stroger Jr Hospital, Chicago, IL, USA; 3Division of Critical Care, Department of Pediatrics, Washington University School of Medicine, St Louis, MO, USA; 4Department of Pediatrics, Division of Cardiology, Advocate Christ Hospital, Chicago, IL, USA; 5School of Medicine, Rosalind Franklin Medical School, North Chicago, IL, USA Abstract: HIV testing in the Pediatric Emergency Department (PED) is a novel concept as adolescents, and young adults, use the PED as point of care or first point of contact with the health care system. Our objective was to study the HIV nontesting data and factors that influenced testing decision among patients receiving care in our PED. We designed a survey that inquired about testing acceptance, reasons for rejection, satisfaction with testing conditions, and understanding of the consequence of HIV test results. We approached 500 patients across all shifts in the PED; for analysis, categorical variables were created using demographic data (race, age, ethnicity, marital status, level of education). Forward conditional binary logistic regression was used to explore the effect of various independent predictors on HIV testing rejection with the strength of association measured with adjusted odds ratio (OR), and their 95% CIs. We conducted model fitting by plotting residuals, Hosmer and Lemeshow test statistic, and area under the curve completed using predicted probabilities. We used SPSS Version 25™, Microsoft Excel 2016™ for data preparation and analysis. Of the 500 patients approached, 423 (84.6%) completed the survey, median (interquartile) age of survey participants was 19 (17–20) years, 158 (37.4%) rejected HIV testing, 284 (67.1%) were older than 18 years of age, 200 (47.3%) were males, 154 (36.4%) were white, and 127 (30%) were of Hispanic origin. The most common reason for rejecting HIV was low risk perception declared by 79 (50%) respondents. In multivariate analysis, age <18 years (OR, 3.5; 95% CI, 2.3–5.5, P<0.00) and being Hispanic (OR, 2.5; 95% CI, 1.6–3.8, P<0.00) were significant predictors for respondent nontesting. Hosmer and Lemeshow test was not significant, P=0.42, and area under the curve was 0.67 (95% CI, 0.61–0.76). Respondents, <18 years were more likely to reject HIV testing because of low perception of risk. Program addressing risk perception which emphasizes safe health practices should be developed to reduce HIV transmission. Keywords: HIV test, adolescent, testing refusal, emergency departmentSoyemi KMuisyo TKariKari YLee KUDNguyen PSimpson KERegis KHenry Reid LDove Medical PressarticleHIV testAdolescenttesting refusalEmergency DepartmentImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 10, Pp 177-180 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	HIV test Adolescent testing refusal Emergency Department Immunologic diseases. Allergy RC581-607
spellingShingle	HIV test Adolescent testing refusal Emergency Department Immunologic diseases. Allergy RC581-607 Soyemi K Muisyo T KariKari Y Lee KUD Nguyen P Simpson KE Regis K Henry Reid L Analysis of HIV testing refusal among patients aged less than 21 years in the Pediatric Emergency Department
description	Kenneth Soyemi,1,2 Teddy Muisyo,1,3 Yaa KariKari,1,4 Kun-UK David Lee,5 Peter Nguyen,1 Karen E Simpson,1 Kevin Regis,2 Lisa Henry Reid1 1Department of Pediatrics, Cook County Health and Hospitals System, John H Stroger Jr Hospital, Chicago, IL, USA; 2Department of Emergency Medicine, Cook County Health and Hospitals System, John H Stroger Jr Hospital, Chicago, IL, USA; 3Division of Critical Care, Department of Pediatrics, Washington University School of Medicine, St Louis, MO, USA; 4Department of Pediatrics, Division of Cardiology, Advocate Christ Hospital, Chicago, IL, USA; 5School of Medicine, Rosalind Franklin Medical School, North Chicago, IL, USA Abstract: HIV testing in the Pediatric Emergency Department (PED) is a novel concept as adolescents, and young adults, use the PED as point of care or first point of contact with the health care system. Our objective was to study the HIV nontesting data and factors that influenced testing decision among patients receiving care in our PED. We designed a survey that inquired about testing acceptance, reasons for rejection, satisfaction with testing conditions, and understanding of the consequence of HIV test results. We approached 500 patients across all shifts in the PED; for analysis, categorical variables were created using demographic data (race, age, ethnicity, marital status, level of education). Forward conditional binary logistic regression was used to explore the effect of various independent predictors on HIV testing rejection with the strength of association measured with adjusted odds ratio (OR), and their 95% CIs. We conducted model fitting by plotting residuals, Hosmer and Lemeshow test statistic, and area under the curve completed using predicted probabilities. We used SPSS Version 25™, Microsoft Excel 2016™ for data preparation and analysis. Of the 500 patients approached, 423 (84.6%) completed the survey, median (interquartile) age of survey participants was 19 (17–20) years, 158 (37.4%) rejected HIV testing, 284 (67.1%) were older than 18 years of age, 200 (47.3%) were males, 154 (36.4%) were white, and 127 (30%) were of Hispanic origin. The most common reason for rejecting HIV was low risk perception declared by 79 (50%) respondents. In multivariate analysis, age <18 years (OR, 3.5; 95% CI, 2.3–5.5, P<0.00) and being Hispanic (OR, 2.5; 95% CI, 1.6–3.8, P<0.00) were significant predictors for respondent nontesting. Hosmer and Lemeshow test was not significant, P=0.42, and area under the curve was 0.67 (95% CI, 0.61–0.76). Respondents, <18 years were more likely to reject HIV testing because of low perception of risk. Program addressing risk perception which emphasizes safe health practices should be developed to reduce HIV transmission. Keywords: HIV test, adolescent, testing refusal, emergency department
format	article
author	Soyemi K Muisyo T KariKari Y Lee KUD Nguyen P Simpson KE Regis K Henry Reid L
author_facet	Soyemi K Muisyo T KariKari Y Lee KUD Nguyen P Simpson KE Regis K Henry Reid L
author_sort	Soyemi K
title	Analysis of HIV testing refusal among patients aged less than 21 years in the Pediatric Emergency Department
title_short	Analysis of HIV testing refusal among patients aged less than 21 years in the Pediatric Emergency Department
title_full	Analysis of HIV testing refusal among patients aged less than 21 years in the Pediatric Emergency Department
title_fullStr	Analysis of HIV testing refusal among patients aged less than 21 years in the Pediatric Emergency Department
title_full_unstemmed	Analysis of HIV testing refusal among patients aged less than 21 years in the Pediatric Emergency Department
title_sort	analysis of hiv testing refusal among patients aged less than 21 years in the pediatric emergency department
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/57370935d5d24a4fa7663c07051bce0a
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Analysis of HIV testing refusal among patients aged less than 21 years in the Pediatric Emergency Department

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