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"I Didn't Know What They're Gonna Do to Me: So That's Why I Said No": Why Youth Decline HIV Testing in Emergency Departments.

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Title: "I Didn't Know What They're Gonna Do to Me: So That's Why I Said No": Why Youth Decline HIV Testing in Emergency Departments.
Authors: Ibitoye, Mobolaji, Bennett, Alex S., Des Jarlais, Don C., Bugaighis, Mona, Chernick, Lauren S., Aronson, Ian D.
Source: Behavioral Medicine. Jan-Mar2024, Vol. 50 Issue 1, p47-54. 8p.
Subjects: HIV infections, AIDS education, Participation, Research methodology, Attitude (Psychology), Patients, Medical screening, Interviewing, Social stigma, Attitudes toward AIDS (Disease), Qualitative research, Risk perception, Health literacy, Emergency medical services, Research funding, Thematic analysis, Adolescence
Geographic Terms: New York (State)
Abstract: Youth between the ages of 13 and 24 account for over 20% of new HIV diagnoses in the United States but are the least likely age group to be HIV tested in healthcare settings including the emergency department. This is in part due to the fact that almost 50% of youth decline testing when offered. We elucidated youth patients' perspectives on barriers to and facilitators of routine HIV testing of youth in an urban emergency department setting. Thirty-seven patients aged 13–24 years were recruited from the pediatric and adult emergency departments at a high-volume hospital in New York City from August 2019 to March 2020. Semi-structured in-depth interviews were conducted with all participants. Interviews were audio-recorded and transcribed verbatim, and transcripts were coded using an inductive thematic analysis approach. Youths' main reasons for declining HIV testing when offered included low risk perception, privacy concerns, HIV-related stigma, and low levels of HIV-related knowledge. Participants' responses suggested that HIV educational materials provided when testing is offered may be insufficient. Participants recommended providing additional HIV education and better incorporating HIV testing into the emergency department routine to increase testing among youth. Efforts are needed to help youth recognize their own HIV risk and increase their HIV-related knowledge. This may be accomplished by providing youth with additional educational materials on HIV, possibly via tablet-based interventions or other methods that may enhance privacy, combined with discussions with healthcare providers. Such efforts may help increase HIV testing acceptance among youth seen in the emergency department. [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: "I Didn't Know What They're Gonna Do to Me: So That's Why I Said No": Why Youth Decline HIV Testing in Emergency Departments.
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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="%22Des+Jarlais%2C+Don+C%2E%22">Des Jarlais, Don C.</searchLink><br /><searchLink fieldCode="AR" term="%22Bugaighis%2C+Mona%22">Bugaighis, Mona</searchLink><br /><searchLink fieldCode="AR" term="%22Chernick%2C+Lauren+S%2E%22">Chernick, Lauren S.</searchLink><br /><searchLink fieldCode="AR" term="%22Aronson%2C+Ian+D%2E%22">Aronson, Ian D.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Behavioral+Medicine%22">Behavioral Medicine</searchLink>. Jan-Mar2024, Vol. 50 Issue 1, p47-54. 8p.
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  Data: <searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22AIDS+education%22">AIDS education</searchLink><br /><searchLink fieldCode="DE" term="%22Participation%22">Participation</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Attitude+%28Psychology%29%22">Attitude (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+toward+AIDS+%28Disease%29%22">Attitudes toward AIDS (Disease)</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+perception%22">Risk perception</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+medical+services%22">Emergency medical services</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22New+York+%28State%29%22">New York (State)</searchLink>
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  Data: Youth between the ages of 13 and 24 account for over 20% of new HIV diagnoses in the United States but are the least likely age group to be HIV tested in healthcare settings including the emergency department. This is in part due to the fact that almost 50% of youth decline testing when offered. We elucidated youth patients' perspectives on barriers to and facilitators of routine HIV testing of youth in an urban emergency department setting. Thirty-seven patients aged 13–24 years were recruited from the pediatric and adult emergency departments at a high-volume hospital in New York City from August 2019 to March 2020. Semi-structured in-depth interviews were conducted with all participants. Interviews were audio-recorded and transcribed verbatim, and transcripts were coded using an inductive thematic analysis approach. Youths' main reasons for declining HIV testing when offered included low risk perception, privacy concerns, HIV-related stigma, and low levels of HIV-related knowledge. Participants' responses suggested that HIV educational materials provided when testing is offered may be insufficient. Participants recommended providing additional HIV education and better incorporating HIV testing into the emergency department routine to increase testing among youth. Efforts are needed to help youth recognize their own HIV risk and increase their HIV-related knowledge. This may be accomplished by providing youth with additional educational materials on HIV, possibly via tablet-based interventions or other methods that may enhance privacy, combined with discussions with healthcare providers. Such efforts may help increase HIV testing acceptance among youth seen in the emergency department. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  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=175195241
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/08964289.2022.2100864
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 47
    Subjects:
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: AIDS education
        Type: general
      – SubjectFull: Participation
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Attitude (Psychology)
        Type: general
      – SubjectFull: Patients
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: Attitudes toward AIDS (Disease)
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      – SubjectFull: Qualitative research
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      – SubjectFull: Risk perception
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      – SubjectFull: Health literacy
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      – SubjectFull: Emergency medical services
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      – SubjectFull: Research funding
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      – SubjectFull: Thematic analysis
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      – SubjectFull: Adolescence
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      – SubjectFull: New York (State)
        Type: general
    Titles:
      – TitleFull: "I Didn't Know What They're Gonna Do to Me: So That's Why I Said No": Why Youth Decline HIV Testing in Emergency Departments.
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              Text: Jan-Mar2024
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              Y: 2024
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