The Optimal Age for Screening Adolescents and Young Adults Without Identified Risk Factors for HIV

Neilan, Anne M.; Dunville, Richard; Ocfemia, M. Cheryl Bañez; Salomon, Joshua A.; Francke, Jordan A.; Bulteel, Alexander J.B.; Wang, Li Yan; Hsu, Katherine; DiNenno, Elizabeth; Walensky, Rochelle P.; Parker, Robert A.; Freedberg, Kenneth A.; Ciaranello, Andrea

doi:10.1016/j.jadohealth.2017.08.028

Cited by 27 publications

(29 citation statements)

References 26 publications

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“…Despite having lower levels of HIV knowledge, women's HIV testing rates are much higher than for men, at 62% versus 27%. This seems to be a constant finding across studies (9)(10)(11)20). It suggests that women have better access to health facilities through several programs In our study, adolescents age 15-19 and young adults age 20-24 were less likely to be tested, for both genders.…”

Section: Discussionmentioning

confidence: 60%

“…The use of urinary or saliva rapid HIV tests can be promoted as they are associated with HIV testing (28,29). However, a study conducted in the USA has shown that the optimal age for HIV testing adolescents and young adults is 25, and screening at age 18 or younger is a less efficient strategy (11). Another challenge could be consent for adolescents under age 18.…”

Section: Discussionmentioning

confidence: 99%

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HIV screening in men and women in Senegal: coverage and associated factors analysis of the 2017 demographic and health survey

Lakhe

Mbaye

Sylla

et al. 2019

Preprint

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Introduction Despite the adoption of the provider-initiated HIV testing strategy, the rate of HIV testing is still very low in sub-Saharan Africa. The aim of this study was to assess the factors associated with HIV testing among in sexually active women and men in Senegal. Knowledge of HIV status is the gateway to antiretroviral treatment.Methods A secondary analysis of the 2017 Senegal Demographic and Health Survey (DHS) was performed, using data on sexually active women age 15-49 and men age 15-59. The outcome variable was the proportion of women and men who reported ever being tested for HIV in the last 12 months before the survey. Descriptive, bivariate, and multivariable logistic regression analyses were performed to identify the socio-demographic, HIV-knowledge, media exposure, and behavioral factors associated with HIV testing in Senegal.Results The study found that 62% of women and 27% of men were tested for HIV at the last 12 months. In multivariate analysis, among men the factors independently associated with being tested for HIV were: older age group (50-54); a high level of education; being in the richest household wealth quintile; being married; knowing about the efficacy of HART during pregnancy; and owning a mobile phone. Among women factors independently associated with HIV testing were: older age group (30-34); a high level of education; being in the richest household wealth quintile; being married; knowing about the efficacy of HART during pregnancy; having any STI in last 12 months; fearing stigma; owning a mobile phone; and having any number of ANC visits, versus none.Conclusion Although HIV remains a public health threat, 73% of men and 38% women in Senegal were not tested for HIV in the last 12 months. Low prevalence of HIV testing makes it difficult to interrupt the transmission chain within the community and to reach the UNAIDS goal for 2020 of “90-90-90”. Innovative community-based strategies are needed to address barriers and improve access to HIV testing, particularly for men and for the youngest and poorest populations, and to narrow the disparities in awareness of HIV status in Senegal.

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

HIV screening in men and women in Senegal: coverage and associated factors analysis of the 2017 demographic and health survey

Lakhe

Mbaye

Sylla

et al. 2019

Preprint

View full text Add to dashboard Cite

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“…Finally, Neilan and coauthors provide model-based evidence against focusing routine one-time HIV screening among US youth younger than 18 years that supports the current practice of only 13% of adolescents <18 years being screened for HIV [6,7]. But current practice has been inadequate in addressing the HIV epidemic in youth in the US.…”

mentioning

confidence: 99%

“…In this issue of the Journal of Adolescent Health, Neilan and coauthors report the findings from their model-based cost-effectiveness and clinical impact analysis to determine the optimal age (beginning at age 13 years) for routine one-time HIV screening among US adolescents and young adults without identified HIV risk factors [7]. The authors hypothesize that offering a onetime HIV screening test "too early" may cause harm by missing infections that occur later and speculate that resources used for HIV screening could detract from other health priorities throughout adolescence and young adulthood.…”

mentioning

confidence: 99%

In Search of the Right Time and Right Place: Screening Adolescents and Youth for Human Immunodeficiency Virus in the United States

Rakhmanina

Siberry

2018

Journal of Adolescent Health

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“…In the literature, HIV test uptake was found associated with several individual factors, including age and gender-young people are less likely to seek HIV testing (7)(8)(9), while females are more likely to be tested (9)(10)(11). Another factor is person's sexual orientation and behavior (1, [12][13][14][15].…”

mentioning

confidence: 99%

Hiv Screening In Men And Women In Senegal: Coverage And Associated Factors Analysis Of The 2017 Demographic And Health Survey

Lakhe

Mbaye

Sylla

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Despite the adoption of the provider-initiated HIV testing strategy, the rate of HIV testing is still very low in sub-Saharan Africa. The aim of this study was to assess the factors associated with HIV testing among sexually active women and men in Senegal. Knowledge of HIV status is the gateway to antiretroviral treatment. Methods A secondary analysis of the 2017 Senegal Demographic and Health Survey (DHS) was performed, using data on sexually active women aged 15-49 and men aged 15-59. The outcome variable was the proportion of women and men who reported ever being tested for HIV in the last 12 months before the survey. Descriptive, bivariate, and multivariable logistic regression analyses were performed to identify the socio-demographic, HIV-knowledge, media exposure, and behavioral factors associated with HIV testing in Senegal. Results The study found that 61.1% (95%CI: 59.2-62.9) of women and 26.2% (95%CI: 24.2-28.3) of men were tested for HIV at the last 12 months. In multivariate analysis, among men the factors independently associated with being tested for HIV were: age groups 20-24 to 40-44 and age group 50-54; a higher level of education; being in the richest household wealth quintile; being married; knowing about the efficacy of HAART during pregnancy; having 2 or more lifetime sex partners and owning a mobile phone. Among women factors independently associated with HIV testing were: being in any age groups versus 15-19; a higher level of education; being in the richest household wealth quintile; being married; knowing about the efficacy of HAART during pregnancy; having any STI in last 12 months; fearing stigma; owning a mobile phone; and having any number of ANC visits, versus none. Conclusion Although HIV remains a public health threat, HIV testing’s prevalence is still low in Senegal, making it difficult to interrupt the transmission chain within the community and to reach the UNAIDS goal for 2020 of “90-90-90”. Innovative community-based strategies are needed to address barriers and improve access to HIV testing in Senegal, particularly for men and for the youngest and poorest populations. Keys words: HIV, screening; associated factors; Senegal

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The Optimal Age for Screening Adolescents and Young Adults Without Identified Risk Factors for HIV

Cited by 27 publications

References 26 publications

HIV screening in men and women in Senegal: coverage and associated factors analysis of the 2017 demographic and health survey

HIV screening in men and women in Senegal: coverage and associated factors analysis of the 2017 demographic and health survey

In Search of the Right Time and Right Place: Screening Adolescents and Youth for Human Immunodeficiency Virus in the United States

Hiv Screening In Men And Women In Senegal: Coverage And Associated Factors Analysis Of The 2017 Demographic And Health Survey

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