ArticlePloS one2012
Routine HIV testing in adolescents and young adults presenting to an outpatient clinic in Durban, South Africa.
Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Uptake and yield of HIV testing and counselling among children and adolescents in sub-Saharan Africa: a systematic review.Journal of the International AIDS Society · 2015Pooled it
- The Young Women's Health CoOp in Cape Town, South Africa: Study protocol for a cluster-randomised trial for adolescent women at risk for HIV.BMC public health · 2018Trial
- Community intervention improves knowledge of HIV status of adolescents in Zambia: findings from HPTN 071-PopART for youth study.AIDS (London, England) · 2017Trial
- Characteristics of sexually experienced HIV testers aged 18 to 32 in rural South Africa: baseline results from a community-based trial, NIMH Project Accept (HPTN 043).BMC public health · 2014Trial
- The acceptability and perceived use of HIV self-testing among technical vocational education and training students in Limpopo province.Health SA = SA Gesondheid · 2023Article
- Cancer in HIV-positive and HIV-negative adolescents and young adults in South Africa: a cross-sectional study.BMJ open · 2021Article
- "I'm doing this test so I can benefit from PrEP": exploring HIV testing barriers/facilitators and implementation of pre-exposure prophylaxis among South African adolescents.African journal of AIDS research : AJAR · 2020Article
- Characteristics of adolescents living with HIV receiving care and treatment services in antiretroviral therapy clinics in Cambodia: descriptive findings from a cross-sectional study.BMC health services research · 2018Article
- Prevalence and correlates of HIV testing among adolescents 10-19 years in a post-conflict pastoralist community of Karamoja region, Uganda.BMC public health · 2018Article
- Knowledge and risk perception of sexually transmitted infections and relevant health care services among high school students in the Platfontein San community, Northern Cape Province, South Africa.Adolescent health, medicine and therapeutics · 2018Article
- Role of survey response rates on valid inference: an application to HIV prevalence estimates.Emerging themes in epidemiology · 2018Article
- Seeking wider access to HIV testing for adolescents in sub-Saharan Africa.Pediatric research · 2016Review
- Taking HIV Testing to Families: Designing a Family-Based Intervention to Facilitate HIV Testing, Disclosure, and Intergenerational Communication.Frontiers in public health · 2016Article
- Factors associated with long-term antiretroviral therapy attrition among adolescents in rural Uganda: a retrospective study.Journal of the International AIDS Society · 2016Article
- Implementation Research for the Prevention of Mother-to-Child HIV Transmission in Sub-Saharan Africa: Existing Evidence, Current Gaps, and New Opportunities.Current HIV/AIDS reports · 2015Review
- Sustained High HIV Incidence in Young Women in Southern Africa: Social, Behavioral, and Structural Factors and Emerging Intervention Approaches.Current HIV/AIDS reports · 2015Review
- Clinic-based routine voluntary HIV testing in a refugee settlement in Uganda.Journal of acquired immune deficiency syndromes (1999) · 2014Article
- Barriers to provider-initiated testing and counselling for children in a high HIV prevalence setting: a mixed methods study.PLoS medicine · 2014Article
- Uptake of community-based HIV testing during a multi-disease health campaign in rural Uganda.PloS one · 2014Article
- Reducing HIV and AIDS in adolescents: opportunities and challenges.Current HIV/AIDS reports · 2013Review
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesAlthough youth (12-24 years) in Sub-Saharan Africa have a high HIV risk, many have poor access to HIV testing services and are unaware of their status. Our objective was to evaluate the proportion of adolescents (12-17 years) and young adults (18-24 years) who underwent HIV testing and the prevalence among those tested in an urban adult outpatient clinic with a routine HIV testing program in Durban, South Africa.
designWe conducted a retrospective cross-sectional analysis of adolescent and young adult outpatient records between February 2008 and December 2009.
methodsWe determined the number of unique outpatient visitors, HIV tests, and positive rapid tests among those tested.
resultsDuring the study period, 956 adolescents registered in the outpatient clinic, of which 527 (55%) were female. Among adolescents, 260/527 (49%, 95% CI 45-54%) females underwent HIV testing compared to 129/429 (30%, 95% CI 26-35%) males (p<0.01). The HIV prevalence among the 389 (41%, 95% CI 38-44%) adolescents who underwent testing was 16% (95% CI 13-20%) and did not vary by gender (p = 0.99). During this period, there were 2,351 young adult registrations, and of these 1,492 (63%) were female. The proportion consenting for HIV testing was similar among females 980/1,492 (66%, 95% CI 63-68%) and males 543/859 (63%, 95% CI 60-66%, p = 0.25). Among the 1,523 (65%, 95% CI 63-67%) young adults who underwent testing, the HIV prevalence was 22% (95% CI 19-24%) in females versus 14% in males (95% CI 11-17%, p<0.01).
conclusionsAlthough the HIV prevalence is high among youth participating in an adult outpatient clinic routine HIV program, the uptake of testing is low, especially among 12-17 year old males. There is an urgent need to offer targeted, age-appropriate routine HIV testing to youth presenting to outpatient clinics in epidemic settings.
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