Epidemiology of HIV and AIDS among Adolescents and Young Adults in the United States

Rangel, María Cristina; Gavin, Lorrie; Reed, Christie; Fowler, Mary Glenn; Lee, Lisa M.

doi:10.1016/j.jadohealth.2006.02.011

Cited by 109 publications

(76 citation statements)

References 20 publications

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“…However, our population is reflective of the current epidemic of HIV infection within this country, where a significant burden of disease falls upon minorities, youth, and those residing in the southern United States. 63,64 Furthermore, as one of the main goals of the overall SPNS initiative was to increase diagnoses within our target population, the youth in our study were followed for different periods of time based on when they were diagnosed. Although the measure of retention we utilized accounted for time enrolled in STYLE, since participants enrolled at different times throughout the study period it does not control for possible effects specific to any given month or year.…”

Section: Discussionmentioning

confidence: 99%

Keeping Them in “STYLE”: Finding, Linking, and Retaining Young HIV-Positive Black and Latino Men Who Have Sex with Men in Care

Hightow-Weidman

Smith

Valera

et al. 2011

AIDS Patient Care and STDs

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Young men who have sex with men (YMSM) of color are at particularly increased risk for HIV infection compared to white MSM. National data highlight the need to link YMSM of color to care to improve their overall health and stem further infections, yet, there is limited data on interventions and clinical outcomes focused on engaging and retaining youth, specifically HIV-infected YMSM of color in care. To address the medical care needs of this underserved population, in 2005, the Health Research and Services Administration (HRSA) created the YMSM of Color Initiative. Utilizing a social marketing campaign targeting youth and members of their sexual and social networks, testing and outreach on college campuses and within the broader community, and a tightly linked medical-social support network, we created STYLE (Strength Through Youth Livin' Empowered), a novel intervention that sought to diagnose, engage, and retain HIV-positive black and Latino YMSM in HIV primary care services. Over a 3-year period, 81 men were either newly diagnosed or reengaged in care. Overall, 63% of the cohort was retained in clinical care; defined as attending at least one medical visit every 4 months. Compared to the 3 years prior to STYLE, the odds ratio for whether or not someone attended a clinic visit was 2.58 (95% confidence interval [CI] 1.34-4.98) if enrolled in STYLE. We conclude that compared to a pre-STYLE cohort, STYLE was an effective intervention that increased HIV diagnoses, provided efficient and timely engagement in care for both those newly diagnosed and those who had fallen out of care and improved overall retention.

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Section: Discussionmentioning

confidence: 99%

Keeping Them in “STYLE”: Finding, Linking, and Retaining Young HIV-Positive Black and Latino Men Who Have Sex with Men in Care

Hightow-Weidman

Smith

Valera

et al. 2011

AIDS Patient Care and STDs

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“…African Americans residing in the south are disproportionately affected by HIV ⁄ AIDS. 39,40 Our high acceptance rate among African Americans, especially in a southern ED where undiagnosed HIV may be most prevalent, suggests that routine testing in the ED may promote earlier diagnosis among this population.…”

Section: Discussionmentioning

confidence: 99%

Acceptance of Rapid HIV Screening in a Southeastern Emergency Department

Freeman

Sattin

Miller

et al. 2009

Academic Emergency Medicine

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Objectives: The objective was to assess the acceptance of an emergency department (ED) human immunodeficiency virus (HIV) screening program based on the Centers for Disease Control and Prevention (CDC) recommendations for routine HIV screening in health care settings.Methods: Rapid HIV screening was offered on an opt-out basis to patients aged 13 to 64 years presenting to the ED by trained HIV counselors. Patients were excluded if they had a history of HIV, were physically or mentally incapacitated, did not understand their right to opt-out, or did not speak English or Spanish. Statistical analyses, including logistic regression, were performed to assess the associations between the demographics of patients offered testing and their test acceptance or refusal.Results: From March 2008 to January 2009, a total of 5,080 (91%) of the 5,585 patients offered the HIV test accepted, and 506 (9%) refused. White and married patients were less likely to accept testing than those who were African American and unmarried (p < 0.001). Adult patients were almost twice as likely to accept testing as pediatric patients (odds ratio [OR] = 1.95; 95% confidence interval [CI] = 1.50 to 2.53). As age increased among pediatric patients, testing refusal decreased (OR = 0.71; 95% CI = 0.59 to 0.85), and as age increased among adult patients, testing refusal increased (OR = 1.17; 95% CI = 1.12 to 1.22). Two percent of persons accepting the test were considered high risk. Males were more likely to report high-risk behavior than females (OR = 1.83; 95% CI = 1.23 to 2.72).

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“…African Americans at high risk In the USA, the highest levels of HIV risk behavior, transmission cofactors, and HIV diagnoses occur among those in late adolescence and young adulthood [19][20][21][22][23][24]. Across ethnic/racial groups, African Americans have the highest rate of HIV infection (62.0/ 100,000) and among youth, African American, gay/ bisexual males [22] and heterosexual females have the highest lifetime risk of HIV diagnosis [25].…”

Section: Overviewmentioning

confidence: 99%

Bridging barriers to clinic-based HIV testing with new technology: translating self-implemented testing for African American youth

Catania

Dolcini

Harper

et al. 2015

Behav. Med. Pract. Policy Res.

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Epidemiology of HIV and AIDS among Adolescents and Young Adults in the United States

Cited by 109 publications

References 20 publications

Keeping Them in “STYLE”: Finding, Linking, and Retaining Young HIV-Positive Black and Latino Men Who Have Sex with Men in Care

Keeping Them in “STYLE”: Finding, Linking, and Retaining Young HIV-Positive Black and Latino Men Who Have Sex with Men in Care

Acceptance of Rapid HIV Screening in a Southeastern Emergency Department

Bridging barriers to clinic-based HIV testing with new technology: translating self-implemented testing for African American youth

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