Document Detail


Adolescents and HIV infection: the pediatrician's role in promoting routine testing.
MedLine Citation:
PMID:  22042816     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pediatricians can play a key role in preventing and controlling HIV infection by promoting risk-reduction counseling and offering routine HIV testing to adolescent and young adult patients. Most sexually active youth do not feel that they are at risk of contracting HIV and have never been tested. Obtaining a sexual history and creating an atmosphere that promotes nonjudgmental risk counseling is a key component of the adolescent visit. In light of increasing numbers of people with HIV/AIDS and missed opportunities for HIV testing, the Centers for Disease Control and Prevention recommends universal and routine HIV testing for all patients seen in health care settings who are 13 to 64 years of age. There are advances in diagnostics and treatment that help support this recommendation. This policy statement reviews the epidemiologic data and recommends that routine screening be offered to all adolescents at least once by 16 to 18 years of age in health care settings when the prevalence of HIV in the patient population is more than 0.1%. In areas of lower community HIV prevalence, routine HIV testing is encouraged for all sexually active adolescents and those with other risk factors for HIV. This statement addresses many of the real and perceived barriers that pediatricians face in promoting routine HIV testing for their patients.
Authors:
; Patricia J Emmanuel; Jaime Martinez
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Publication Detail:
Type:  Journal Article; Review     Date:  2011-10-31
Journal Detail:
Title:  Pediatrics     Volume:  128     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-02     Completed Date:  2012-01-24     Revised Date:  2013-06-10    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1023-9     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
AIDS Serodiagnosis / methods*
Adolescent
Attitude to Health
Female
HIV Infections / diagnosis*,  prevention & control
HIV Seropositivity
Health Promotion / methods*
Humans
Male
Mass Screening / organization & administration
Pediatrics / methods*
Physician's Role
Risk-Taking
Sexual Behavior
United States
Young Adult
Grant Support
ID/Acronym/Agency:
P30 AI082151/AI/NIAID NIH HHS
Investigator
Investigator/Affiliation:
Patricia M Flynn / ; Grace M Aldrovandi / ; Ellen Gould Chadwick / ; Rana Chakraborty / ; Ellen Rae Cooper / ; Patricia J Emmanuel / ; Jaime Martinez / ; Russell B Van Dyke / ; Michael Brady / ; Laura Hoyt /

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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