Case finding for HIV-positive youth: a special type of hidden population

Bell, Douglas N.; Martinez, Jaime; Botwinick, Geri; Shaw, Kimberly; Walker, Lynn E; Dodds, Sally; Sell, Randall L.; Johnson, Robert L.; Friedman, Lawrence B.; Sotheran, Jo L.; Siciliano, Carl

doi:10.1016/s1054-139x(03)00160-5

Cited by 33 publications

(45 citation statements)

References 14 publications

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“…Several smaller, more recent, surveys have yielded similar results [46 -49]. Human immunodeficiency virus (HIV)-positive youth have proven uniquely difficult to identify, and there is a paucity of data on the seroprevalence of HIV in youth in detention [50]. Two surveys of HIV seroprevalence in youth in detention found rates either not significantly different from youth in community adolescent medical clinics (.2-.3%) or trending downward [51,52].…”

Section: Sexual Health Pregnancy and Stdsmentioning

confidence: 99%

The health status of youth in juvenile detention facilities

Golzari

Hunt

Anoshiravani

2006

Journal of Adolescent Health

145

125

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Section: Sexual Health Pregnancy and Stdsmentioning

confidence: 99%

The health status of youth in juvenile detention facilities

Golzari

Hunt

Anoshiravani

2006

Journal of Adolescent Health

145

125

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“…Findings from an evaluation of the Special Projects of National Significance Program's (SPINS) Adolescent HIV Outreach and Treatment programs support that HIV-positive adolescents comprise a hidden population such that casefinding requires a focus on strategic population access, or targeting and engaging those at highest risk [4]. Engagement comprises the precompletive to completive phase in a stages-of-change model [5], wherein an individual moves from apprehension against HIV testing into a decision to test [4,6].…”

mentioning

confidence: 99%

“…Engagement comprises the precompletive to completive phase in a stages-of-change model [5], wherein an individual moves from apprehension against HIV testing into a decision to test [4,6]. The authors list multiple elements that might comprise engagement, including providing formal HIV education [4].…”

mentioning

confidence: 99%

HIV Prevention Education and Testing among Youth: Is There a Correlation?

Straub

Pomputius

Boyer

et al. 2007

Journal of Adolescent Health

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“…Second, HIV-positive adolescents often constitute a "hidden" population-a disadvantaged and disenfranchised population that eludes traditional case-finding strategies. 4 A better understanding of the characteristics of HIVinfected adolescents is needed for the design of strategies to reduce risk for HIV transmission and acquisition among adolescents and to optimize health care for those who have or are at risk for HIV infection. This report describes adolescents who were in care at an HIV clinic of an urban Georgia hospital, where we obtained data on demographic and clinical characteristics, risk behaviors for HIV infection, circumstances of HIV testing, and factors that contribute to delays in entry into HIV care after HIV diagnosis.…”

mentioning

confidence: 99%

Reasons for Testing and Clinical and Demographic Profile of Adolescents With Non–Perinatally Acquired HIV Infection

et al. 2006

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OBJECTIVES. We sought to examine the demographic, clinical, and behavioral characteristics; reasons for HIV testing; and factors that contribute to delays in entry into specialized HIV care after diagnosis of HIV infection among adolescents in an urban clinic in Georgia.METHODS. All of the data for this study were obtained solely by medical chart review. Demographic, clinical, behavioral, and HIV testing data were abstracted from medical charts of 59 non-perinatally HIV-infected adolescents who were aged 13 to 18 years and entered care at the pediatric and adolescent HIV clinic of a Georgia hospital during 1999 -2002. HIV-infected adolescents were compared by demographic, clinical, and behavioral characteristics as well as by circumstances surrounding HIV testing. Recent seroconversion was defined as having a documented negative or indeterminate HIV antibody test (confirmed) or a self-reported negative HIV test (probable) Յ6 months before HIV diagnosis.RESULTS. Of 59 HIV-infected adolescents, 35 (59%) were female and 56 (95%) were black/African American. Fifteen (25%) had Ն1 sexually transmitted infection when they entered care. All female (vs 38% male) adolescents were infected through heterosexual sexual intercourse; 9 (26%) were pregnant at the time of HIV diagnosis. Adolescents whose HIV was diagnosed at non-health care facilities entered HIV care much later than adolescents whose HIV was diagnosed at health care facilities (median: 108 vs 25 days). Approximately one half of adolescents had CD4 ϩ T-cell counts Ͻ350 cells per L and/or HIV-1 viral loads Ͼ55 000 copies per mL at entry into care. Twenty-seven (46%) adolescents had a previous negative HIV test; 7 had confirmed recent seroconversion, and 3 had probable recent seroconversion. Among adolescents with a documented reason for testing, routine medical screening was the most frequent reason for HIV testing; few adolescents were documented as having self-initiated HIV testing.

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Case finding for HIV-positive youth: a special type of hidden population

Cited by 33 publications

References 14 publications

The health status of youth in juvenile detention facilities

The health status of youth in juvenile detention facilities

HIV Prevention Education and Testing among Youth: Is There a Correlation?

Reasons for Testing and Clinical and Demographic Profile of Adolescents With Non–Perinatally Acquired HIV Infection

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