Factors Associated With HIV Testing Among Sexually Active Adolescents: A Massachusetts Survey

Samet, Jeffrey H.; Winter, Michael; Grant, Linda; Hingson, Ralph

doi:10.1542/peds.100.3.371

Cited by 76 publications

(68 citation statements)

References 25 publications

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“…Other investigators have found that adolescents, even those who engage in behaviors that put them at risk for HIV infection, rarely seek HIV testing. A survey of 567 sexually active Massachusetts adolescents, by Samet et al, 21 found that only 22% had had HIV testing and that fewer than one half of the tested adolescents initiated the request for testing. The majority of adolescents in that survey were tested as a result of routine medical screenings, similar to the reasons cited in this study.…”

Section: Resultsmentioning

confidence: 99%

“…24,25 Similar trends have been observed among female adolescents. Smith et al 26 found that among the predominantly (93%) female adolescent and young adult (aged [13][14][15][16][17][18][19][20][21][22] population that attends family planning clinics, at least 78% reported engaging in HIV-related risk behaviors such as having sex without a latex condom, but only 45% requested HIV testing. Conversely, in a study of homeless and low-income women who were aged 18 to 55 in Los Angeles, 83% of women reported having been tested for HIV.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

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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“…The most common reasons youth, including Aboriginal youth, seek an HIV test are because they have been advised by a health care worker; have engaged in a high risk behavior (i.e., injection drug use, unprotected sex); for prenatal screening; or because they are feeling sick (Bucharski et al, 2006;Grant et al, 2006;Mackellar et al, 2006;RotheramBorus, Gillis, Reid, Fernandez, & Gwadz, 1997;Samet & Winter, 1997). Very little information is available about youth perceptions on test counseling; however, one study of HIV testing sites in the USA reported that only 28% of youth said the counselor did a ''good'' job helping them identify their HIV risk behaviors (Schneir, Belzer, & Adivi, 1998).…”

Section: Introductionmentioning

confidence: 99%

HIV testing experiences of Aboriginal youth in Canada: service implications

et al. 2010

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“…In developed countries like United States of America, acceptance rates varied widely (3-100%) depending on the settings. It was in general higher among STDs patients and individuals at high risk for acquiring or transmitting HIV infection than among other populations like women attending family planning clinics [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Voluntary counseling and testing among post-partum women in Botswana

Thior

Gabaitiri

Grimes

et al. 2007

Patient Education and Counseling

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Objective-To determine uptake and socio-demographics predictors of acceptance of voluntary counseling and testing (VCT) among post-partum women in Botswana.Methods-Women attending maternal and child health clinics for their first post-partum or well baby visit in 3 sites in Botswana were offered VCT after a written informed consent. A standardized questionnaire was used to collect socio-demographic characteristics and reasons for declining VCT.Results-From March 1999 to November 2000, we approached 1735 post-partum women. Only 937 (54%) of those approached accepted VCT. In multiple logistic regression analysis, younger maternal age, not being married, and less formal education were significant predictors of acceptance of VCT. Thirty percent of women who accepted VCT were HIV-positive Conclusion-Our results indicated that in Botswana prior to the initiation of a government Mother to Child Transmission (MTCT) prevention program, younger, unmarried, and less educated postpartum women were more likely to undergo VCT.Practice Implications-Our results have shown that interventions to improve VCT among postpartum women and more generally among women of reproductive age are warranted in Botswana. These interventions should account for differences such age, marital status, education and partner involvement to maximize VCT uptake.

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Factors Associated With HIV Testing Among Sexually Active Adolescents: A Massachusetts Survey

Cited by 76 publications

References 25 publications

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

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

HIV testing experiences of Aboriginal youth in Canada: service implications

Voluntary counseling and testing among post-partum women in Botswana

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