Acceptance of Routine HIV Testing by Hospitalized Adolescents and Young Adults

Bhalakia, Avni; Talib, Hina J.; Choi, Jaeun; Watnick, Dana; Bochner, Risa; Futterman, Donna; Gross, Elissa

doi:10.1542/hpeds.2017-0194

Cited by 8 publications

(6 citation statements)

References 28 publications

(37 reference statements)

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“…The 59 studies encompassed male and female adolescents and young adults from 5 continents (North America, Africa, Asia, Australia, and Europe), with the majority of studies (n=39) taking place in North America 11-55. Reported utilization of model of care differed by continent, with the most common model of care in North America being the ED (n=17), followed by community settings (n=11).…”

Section: Resultsmentioning

confidence: 99%

“…Studies were included if the participants were adolescents (ages [13][14][15][16][17] or young adults (ages 18-24) who were offered HIV testing. Participants who were pregnant or acquired HIV via vertical (mother to infant) transmission were excluded.…”

Section: Methodsmentioning

confidence: 99%

“…Full-text review was performed by both reviewers, with differences resolved by consensus. Of the 562 studies sent to full-text review, 59 were ultimately selected for data review and analysis 11-55. The most common reason for exclusion was that the study design did not involve participants receiving HIV testing, followed by inability to extract data specific to adolescents and young adults, incorrect outcome measures, and absence of a delivery of care model description.…”

Section: Methodsmentioning

confidence: 99%

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Acceptability of HIV Testing for Adolescents and young Adults by Delivery Model: A Systematic Review

Leistikow

Patel

Nouryan

et al. 2022

Journal of Investigative Medicine

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HIV infections are prevalent among adolescents and young adults, of whom 44% remain unaware of their diagnosis. HIV screening presents numerous challenges including stigma, fear, and concerns about confidentiality, which may influence young people’s acceptance of HIV screening and linkage to care differently from individuals in other age groups. It is imperative to understand which care delivery models are most effective in facilitating these services for youth. This systematic review analyzes the rates of HIV test acceptance and linkage to care by care delivery model for adolescents and young adults. Studies were classified into emergency department (ED), primary care/inpatient setting, community-based program, or sexually transmitted infection clinic models of care. From 6395 studies initially identified, 59 met criteria for inclusion in the final analyses. Rate of test acceptance and linkage to care were stratified by model of care delivery, gender, race, age ranges (13–17, 18–24 years) as well as site (North America vs rest of the world). A significant difference in acceptance of HIV testing was found between care models, with high rates of test acceptance in the ED setting in North America and primary care/hospital setting in the rest of the world. Similarly, linkage to care differed by model of care, with EDs having high rates of linkages to HIV care in North America. Future studies are needed to test mechanisms for optimizing outcomes for each care delivery model in addressing the unique challenges faced by adolescents and young adults.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Acceptability of HIV Testing for Adolescents and young Adults by Delivery Model: A Systematic Review

Leistikow

Patel

Nouryan

et al. 2022

Journal of Investigative Medicine

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“…Medical students have more opportunities to receive medical-related information, thereby developing stronger awareness of HIV prevention and treatment. In terms of personal views, sexual behavior and sexual education were influencing factors of the acceptance for detection in college students [ 52 , 57 ]. Those students have more demand for HIV testing, hence HIV screening on college campus is essential.…”

Section: Discussionmentioning

confidence: 99%

Acceptance and associated factors of HIV testing among college students in China: A systematic review and meta-analysis

Liao

Liu

et al. 2023

PLoS ONE

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Background Although HIV testing is helpful for early detection and treatment of HIV, its utilization rate is low among college students in China. Understanding the acceptance and associated factors of HIV testing is the key to improve the detection rate. The purpose of the systematic review was to examine the acceptance and associated factors of HIV testing (including HIV self-testing and HIV counseling and testing services) among college students in China. Methods This systematic review was reported following PRISMA guidelines 2020. Electronic sources such as PubMed, Embase, Web of Science, CNKI, CBM, Wanfang Database and VIP Database were searched for relevant studies published before September 2022. The tool by Agency for Healthcare Research and Quality (AHRQ) was used to assess quality for cross-sectional studies. The random-effects and fixed-effect model were employed to estimate the pooled proportions and associated factor of HIV testing acceptance. The Cochrane’s Q statistic and I2 test were used to examine heterogeneity. All the quantitative meta analyses were conducted using STATA version 12 software. Results A total of 21 eligible studies with 100, 821 participants were included in the systematic review. The pooled acceptance rate of HIV testing was 68% (95% CI = 60, 76), and varies between regions in China. Male, heterosexual and urban college students had higher HIV testing acceptance. Gender, medical specialty, sexual education, sexual behavior, HIV/AIDS knowledge, perception HIV risk, and previous HIV testing were the factors associated with HIV testing acceptance. Conclusion The review revealed that most of the college students intend to accept HIV detection, and the proportion of acceptance influenced by different factors. Therefore, the government and universities should implement targeted measures, improve HIV testing services, and promote HIV testing behavior. Systematic review registration PROSPERO CRD42022367976.

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“…However, if it is not done in the ED, the wards are another opportunity to provide these services. In "Acceptance of Routine HIV Testing by Hospitalized Adolescents and Young Adults," Bhalakia et al 18 explored how routine HIV testing on admission to an urban, academic, pediatric hospital was received by patients aged 13 to 24 years. The authors found that approximately one-half of the patients (47%) accepted HIV testing.…”

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confidence: 99%

No Matter Where, Adolescent Sexual Health Is Everyone’s Job

Guss

2018

Hospital Pediatrics

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The United States should be proud of its declining teenaged pregnancy rates over the past several years, with data from 2016 revealing a continued and significant decrease in birth rates in adolescents aged 15 to 19 years from 2007 to 2016. 1 However, we still lag far behind other developed nations. 2 Moreover, adolescents and young adults still share a disproportionate burden of sexually transmitted infections (STIs) compared with other age groups. 3-5 The Centers for Disease Control and Prevention estimate that individuals aged 15 to 24 years account for one-half of all new STIs in the United States and one-quarter of new HIV diagnoses but account for only one-quarter of the population that is sexually active. 6,7 Despite this, one-third of adolescents have health maintenance examinations without any mention of sexual health. If sexual health is discussed at all, it is for an average of merely 36 seconds. 8 The American Academy of Pediatrics emphasizes the significant role that pediatricians can play in preventing these avoidable health outcomes, primarily by focusing on the pediatric office setting. 9 However, it is time for pediatric hospitalists to embrace sexual and reproductive health, including STI and HIV testing, as routine inpatient care regardless of the chief complaint or reason for admission. Currently, there is limited research in this area. In this issue of Hospital Pediatrics, 3 important articles related to sexual and reproductive health for adolescents are presented in which researchers look beyond the classic office scenario to the hospital setting. Studies have already revealed that adolescents are open to receiving contraceptive counseling in a variety of settings, such as school-based health centers, 10,11 the emergency department (ED), 12-14 and while hospitalized on the wards. 15 The researchers in these 3 Hospital Pediatrics articles contribute to the literature by providing evidence that hospitalists want to provide sexual health services, 16 that documentation of sexual history must be improved on the hospital wards, 17 and that hospitalized adolescents find HIV screening acceptable. 18

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Acceptance of Routine HIV Testing by Hospitalized Adolescents and Young Adults

Abstract: Our findings support offering routine HIV testing to youth admitted to children's hospital. Given the high incidence of new and undiagnosed HIV infections among youth, additional venues for HIV testing are essential.

Cited by 8 publications

References 28 publications

Acceptability of HIV Testing for Adolescents and young Adults by Delivery Model: A Systematic Review

Acceptability of HIV Testing for Adolescents and young Adults by Delivery Model: A Systematic Review

Acceptance and associated factors of HIV testing among college students in China: A systematic review and meta-analysis

No Matter Where, Adolescent Sexual Health Is Everyone’s Job

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