ArticleThe Journal of pediatrics2013
Pediatric primary care provider practices, knowledge, and attitudes of human immunodeficiency virus screening among adolescents.
Article in The Journal of pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The trial behind it
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Who cites it
18 citing papers in PubMed.
- Improving Adolescent Pelvic Inflammatory Disease Follow-up From the Emergency Department: Randomized Controlled Trial With Text Messages.Annals of emergency medicine · 2016Trial
- Facilitators to implementing preventive health interventions for adolescents in the emergency department: A multicenter qualitative analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Adapting an evidence-based mindfulness-based intervention for sheltered youth experiencing homelessness.BMC complementary medicine and therapies · 2023Article
- Comparison of Targeted and Routine Adolescent HIV Screening in a Pediatric Emergency Department.Pediatric emergency care · 2022Article
- Screening Adolescents for Sensitive Health Topics in Primary Care: A Scoping Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Article
- Unique Needs for the Implementation of Emergency Department Human Immunodeficiency Virus Screening in Adolescents.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020Article
- Asymptomatic Adolescent HIV: Identifying a Role for Universal HIV Screening in the Pediatric Emergency Department.AIDS patient care and STDs · 2020Article
- Article
- HIV prescriptions on the frontlines: Primary care providers' use of antiretrovirals for prevention in the Southeast United States, 2017.Preventive medicine · 2020Article
- HIV-Related Training and Correlates of Knowledge, HIV Screening and Prescribing of nPEP and PrEP Among Primary Care Providers in Southeast United States, 2017.AIDS and behavior · 2019Article
- Using Chart-Stimulated Recall to Identify Barriers and Facilitators to Routine HIV Testing Among Pediatric Primary Care Providers.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019Article
- Confidentiality Matters but How Do We Improve Implementation in Adolescent Sexual and Reproductive Health Care?The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019Review
- Adolescent Experiences of Clinician-Patient HIV/STI Communication in Primary Care.Health communication · 2018Article
- Finding Youths at Risk for HIV Infection: Targeted Testing, Universal Testing, or Both?JAMA pediatrics · 2017Article
- Feelings Matter: Depression Severity and Emotion Regulation in HIV/STI Risk-Related Sexual Behaviors.Journal of child and family studies · 2017Article
- Understanding structural barriers to accessing HIV testing and prevention services among black men who have sex with men (BMSM) in the United States.AIDS and behavior · 2014Review
- The Role of Sexual Health Professionals in Developing a Shared Concept of Risky Sexual Behavior as it Relates to HIV Transmission.Public health nursing (Boston, Mass.)Article
- Adapting an Electronic STI Risk Assessment Program for Use in Pediatric Primary Care.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesTo evaluate pediatric primary care provider (PCP) HIV screening practices, knowledge, and attitudes. STUDY
designAnonymous cross-sectional, internet-based survey of pediatric PCPs from 29 primary care practices. Survey items assessed current HIV screening practices and knowledge, attitudes, and perceived barriers towards screening. Provider demographics and practice characteristics were analyzed for associations with screening through logistic regression.
resultsOf 190 PCPs, there were 101 evaluable responses (response rate: 53.2%). PCPs reported a screening rate for HIV of 39.6% ("most" or "all of the time") during routine adolescent visits compared with violence (60.4%), substance abuse (92.1%), and depression (94.1%) (P < .001). Less than 10% of PCPs correctly answered questions related to Centers for Disease Control and Prevention and state HIV screening recommendations. Of 20 potential HIV screening barriers assessed, mean number of reported barriers was 4.8 (SD ± 2.9); with most concerns related to confidentiality, time for counseling, and follow-up. In a multivariable model, the only factor significantly associated with HIV screening "most" or "all of the time" during routine adolescent visits was urban practice site (aOR 9.8, 95% CI 2.9, 32.9). Provider type, sex, years since training, HIV screening guideline knowledge, and endorsing ≤5 barriers were not associated with HIV screening.
conclusionsAlthough providers practicing in urban areas were more likely to report screening adolescents for HIV than those in suburban areas, overall self-reported screening rates were low, and several barriers were identified commonly. Future interventions should target increasing providers' knowledge and addressing concerns about confidentiality, requirements and counseling time, and follow-up of results.
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