Predictors of HIV Testing in Pediatric and Young Adults Emergency Department, Chicago, 2012
Methods:We extracted all clinical encounters for patients aged 13 to 24 years of age that received care in the emergency department ED from January to December 2012. We selected a sample of the encounters stratified by season of the year to reflect seasonal differences. Multivariate analysis using logistic regression was used to explore the effect of various independent predictors on HIV testing rates.
Results: Of the 1930 clinical encounters sample selected, 1598 (82%) were eligible for testing, of these 280 (18%) received an HIV test. Of the 280 that were tested 177(63%) were females, 235 (84%) were aged between 18 and 24 years, 184(65%) were African Americans, 89 (31%) were tested during the summer season, and 107(38%) were tested during the 2ndshift. In multivariate analysis, African American (Odds Ratio [OR], 1.9; 95% Confidence Interval [CI], 1.2 – 2.9), Female (OR 1.7; 95%CI, 1.3-2.2), and age category 18-24 years (OR 2.4; 95%CI, 1.7-3.4); were significant predictors of HIV testing. Shift encounter occurred, season of the year, were not significant predictors.
Discussion: HIV testing was low among eligible patients demonstrating the need for active staff interventions and training to emphasize HIV testing requirements. Increase HIV testing rates will lead to early identification and direction into care for patients identified as infected.
Learning Areas:Biostatistics, economics
Describe predictors of HIV Testing in the Pediatric and Young Adult Emergency Department
Keyword(s): HIV/AIDS, Epidemiology
Organization/institution whose products or services will be discussed: None
Qualified on the content I am responsible for because: ANALYZED THE DATA WROTE THE ABSTRACT
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.