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Provider Perspectives on Barriers to Routine HIV Testing of Adolescent and Young Adult Patients in Emergency Department Settings.

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Title: Provider Perspectives on Barriers to Routine HIV Testing of Adolescent and Young Adult Patients in Emergency Department Settings.
Authors: Ibitoye, Mobolaji, Bennett, Alex S., Bugaghis, Mona, Chernick, Lauren S., Des Jarlais, Don C., Aronson, Ian David
Source: Behavioral Medicine. Apr-Jun2023, Vol. 49 Issue 2, p204-211. 8p.
Subjects: Diagnosis of HIV infections, Hospital emergency services, Health services accessibility, Nurses' attitudes, Attitudes of medical personnel, Research methodology, Physicians' attitudes, Interviewing, Medical screening, Research funding, Sound recordings, Routine diagnostic tests, Thematic analysis, COVID-19 pandemic, Adults, Adolescence
Geographic Terms: United States
Abstract: HIV testing rates among US youth aged 13–24 years are sub-optimal, with high rates of missed testing opportunities in emergency departments (EDs). We assessed barriers to routine HIV testing of youth in urban ED settings from the perspective of healthcare providers. Ten physicians and nurses were recruited from the pediatric and adult EDs at a high-volume hospital in New York City, USA to complete in-depth interviews to provide their perspectives on barriers to routine HIV testing of youth ages 13 to 24 in EDs. Interviews were conducted using a semi-structured interview guide with questions and probes. All interviews were conducted via Zoom due to the COVID-19 pandemic and were audio-recorded and transcribed verbatim. Transcripts were coded independently by two researchers using an inductive thematic analysis approach. Participants often offered HIV testing to youth in the ED based on their perceptions of patients' HIV risk, with pediatric providers sometimes discouraging adolescents they perceived to be at low HIV risk from testing. Participants cited other priorities, logistics of blood-based testing, and discomfort discussing HIV as other reasons for not offering HIV testing to all youth in the ED. Efforts are needed to encourage providers to offer HIV testing to all youth regardless of perceived risk, as the ED often serves as youths' only point of contact with the healthcare system. Emphasis on this and the importance of early detection, along with institutional change, clear guidance, and support for the testing process may help increase youth testing and avoid missed HIV diagnosis opportunities. [ABSTRACT FROM AUTHOR]
Copyright of Behavioral Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Provider Perspectives on Barriers to Routine HIV Testing of Adolescent and Young Adult Patients in Emergency Department Settings.
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  Data: <searchLink fieldCode="AR" term="%22Ibitoye%2C+Mobolaji%22">Ibitoye, Mobolaji</searchLink><br /><searchLink fieldCode="AR" term="%22Bennett%2C+Alex+S%2E%22">Bennett, Alex S.</searchLink><br /><searchLink fieldCode="AR" term="%22Bugaghis%2C+Mona%22">Bugaghis, Mona</searchLink><br /><searchLink fieldCode="AR" term="%22Chernick%2C+Lauren+S%2E%22">Chernick, Lauren S.</searchLink><br /><searchLink fieldCode="AR" term="%22Des+Jarlais%2C+Don+C%2E%22">Des Jarlais, Don C.</searchLink><br /><searchLink fieldCode="AR" term="%22Aronson%2C+Ian+David%22">Aronson, Ian David</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Behavioral+Medicine%22">Behavioral Medicine</searchLink>. Apr-Jun2023, Vol. 49 Issue 2, p204-211. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Diagnosis+of+HIV+infections%22">Diagnosis of HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+emergency+services%22">Hospital emergency services</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Nurses'+attitudes%22">Nurses' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+of+medical+personnel%22">Attitudes of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Physicians'+attitudes%22">Physicians' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Sound+recordings%22">Sound recordings</searchLink><br /><searchLink fieldCode="DE" term="%22Routine+diagnostic+tests%22">Routine diagnostic tests</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: HIV testing rates among US youth aged 13–24 years are sub-optimal, with high rates of missed testing opportunities in emergency departments (EDs). We assessed barriers to routine HIV testing of youth in urban ED settings from the perspective of healthcare providers. Ten physicians and nurses were recruited from the pediatric and adult EDs at a high-volume hospital in New York City, USA to complete in-depth interviews to provide their perspectives on barriers to routine HIV testing of youth ages 13 to 24 in EDs. Interviews were conducted using a semi-structured interview guide with questions and probes. All interviews were conducted via Zoom due to the COVID-19 pandemic and were audio-recorded and transcribed verbatim. Transcripts were coded independently by two researchers using an inductive thematic analysis approach. Participants often offered HIV testing to youth in the ED based on their perceptions of patients' HIV risk, with pediatric providers sometimes discouraging adolescents they perceived to be at low HIV risk from testing. Participants cited other priorities, logistics of blood-based testing, and discomfort discussing HIV as other reasons for not offering HIV testing to all youth in the ED. Efforts are needed to encourage providers to offer HIV testing to all youth regardless of perceived risk, as the ED often serves as youths' only point of contact with the healthcare system. Emphasis on this and the importance of early detection, along with institutional change, clear guidance, and support for the testing process may help increase youth testing and avoid missed HIV diagnosis opportunities. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Behavioral Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=163192502
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    Identifiers:
      – Type: doi
        Value: 10.1080/08964289.2021.2020207
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 204
    Subjects:
      – SubjectFull: Diagnosis of HIV infections
        Type: general
      – SubjectFull: Hospital emergency services
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Nurses' attitudes
        Type: general
      – SubjectFull: Attitudes of medical personnel
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Physicians' attitudes
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Sound recordings
        Type: general
      – SubjectFull: Routine diagnostic tests
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: COVID-19 pandemic
        Type: general
      – SubjectFull: Adults
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Provider Perspectives on Barriers to Routine HIV Testing of Adolescent and Young Adult Patients in Emergency Department Settings.
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            NameFull: Bennett, Alex S.
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            NameFull: Bugaghis, Mona
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            NameFull: Chernick, Lauren S.
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            NameFull: Des Jarlais, Don C.
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              Text: Apr-Jun2023
              Type: published
              Y: 2023
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              Value: 49
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