{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T06:59:59Z","timestamp":1790319599539,"version":"4.1.0"},"reference-count":35,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,4,1]]},"abstract":"<jats:sec>\n                  <jats:title>BACKGROUND AND OBJECTIVES:<\/jats:title>\n                  <jats:p>Rates of sexually transmitted infections (STIs) have increased over the decade. Guidelines recommend HIV testing with incident STIs. Prevalence and factors associated with HIV testing in acute STIs are unknown in adolescents. Our objective was to determine the prevalence of completed HIV testing among adolescents with incident STIs and identify patient and health care factors associated with HIV testing.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>Retrospective study of STI episodes (gonorrhea, Chlamydia, trichomoniasis, or syphilis) of adolescents between 13 and 24 years old from July 2014 to December 2017 in 2 urban primary care clinics. We performed mixed effects logistic regression modeling to identify patient and health care factors associated with HIV testing within 90 days of STI diagnosis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>The 1313 participants contributed 1816 acute STI episodes. Mean age at STI diagnosis was 17.2 years (SD = 1.7), 75% of episodes occurred in females, and 97% occurred in African Americans. Only half (55%) of acute STI episodes had a completed HIV test. In the adjusted model, female sex, previous STIs, uninsured status, and confidential sexual health encounters were associated with decreased odds of HIV testing. Patients enrolled in primary care at the clinics, compared with those receiving sexual health care alone, and those with multipathogen STI diagnoses were more likely to have HIV testing.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>HIV testing rates among adolescents with acute STIs are suboptimal. Patient and health care factors were found to be associated with receipt of testing and should be considered in clinical practice.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2019-2265","type":"journal-article","created":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T12:26:19Z","timestamp":1584361579000},"source":"Crossref","is-referenced-by-count":16,"title":["HIV Testing Among Adolescents With Acute Sexually Transmitted Infections"],"prefix":"10.1542","volume":"145","author":[{"given":"Danielle","family":"Petsis","sequence":"first","affiliation":[{"name":"Craig Dalsimer Division of Adolescent Medicine and"},{"name":"PolicyLab, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jungwon","family":"Min","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Health Informatics, Children's Hospital of Philadephia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan-Shung V.","family":"Huang","sequence":"additional","affiliation":[{"name":"PolicyLab, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania;"},{"name":"Department of Biomedical and Health Informatics, Children's Hospital of Philadephia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aletha Y.","family":"Akers","sequence":"additional","affiliation":[{"name":"Craig Dalsimer Division of Adolescent Medicine and"},{"name":"PolicyLab, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania;"},{"name":"Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Wood","sequence":"additional","affiliation":[{"name":"Craig Dalsimer Division of Adolescent Medicine and"},{"name":"PolicyLab, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania;"},{"name":"Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2020,4,1]]},"reference":[{"key":"2021121111154471000_B1","unstructured":"Centers for Disease Control and Prevention\n          . Table 1. Sexually transmitted diseases - reported cases and rates of reported cases per 100,000 population, United States, 1941\u20132017. 2018. Available at: https:\/\/www.cdc.gov\/std\/stats17\/tables\/1.htm. Accessed January 23, 2020"},{"key":"2021121111154471000_B2","unstructured":"Centers for Disease Control and Prevention\n          . New CDC analysis shows steep and sustained increases in STDs in recent years. Available at: https:\/\/www.cdc.gov\/media\/releases\/2018\/p0828-increases-in-stds.html. Accessed August 28, 2018"},{"key":"2021121111154471000_B3","unstructured":"Centers for Disease Control and Prevention\n          . Sexually transmitted diseases: adolescents and young adults. Available at: https:\/\/www.cdc.gov\/std\/life-stages-populations\/adolescents-youngadults.htm. Accessed January 23, 2020"},{"key":"2021121111154471000_B4","unstructured":"Centers for Disease Control and Prevention\n          . STDs and HIV - CDC fact sheet. 2018. Available at: https:\/\/www.cdc.gov\/std\/hiv\/stdfact-std-hiv-detailed.htm. Accessed January 23, 2020"},{"issue":"1","key":"2021121111154471000_B5","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1038\/nrmicro794","article-title":"The role of sexually transmitted diseases in HIV transmission","volume":"2","author":"Galvin","year":"2004","journal-title":"Nat Rev Microbiol"},{"issue":"4","key":"2021121111154471000_B6","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1097\/QAI.0b013e3181c3ef29","article-title":"Rectal gonorrhea and chlamydia reinfection is associated with increased risk of HIV seroconversion","volume":"53","author":"Bernstein","year":"2010","journal-title":"J Acquir Immune Defic Syndr"},{"issue":"4","key":"2021121111154471000_B7","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1097\/OLQ.0000000000000964","article-title":"Human immunodeficiency virus diagnosis after a syphilis, gonorrhea, or repeat diagnosis among males Including non-men who have sex with men: what is the incidence?","volume":"46","author":"Tilchin","year":"2019","journal-title":"Sex Transm Dis"},{"key":"2021121111154471000_B8","unstructured":"Centers for Disease Control and Prevention\n          . Screening recommendations and considerations referenced in treatment guidelines and original sources.\u20082018. Available at: https:\/\/www.cdc.gov\/std\/tg2015\/screening-recommendations.htm. Accessed January 23, 2020"},{"issue":"5","key":"2021121111154471000_B9","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1089\/apc.2018.0035","article-title":"Knowledge of HIV testing guidelines among US internal medicine residents: a decade after the Centers for Disease Control and Prevention\u2019s routine HIV testing recommendations","volume":"32","author":"Dandachi","year":"2018","journal-title":"AIDS Patient Care STDS"},{"issue":"256","key":"2021121111154471000_B10","first-page":"1","article-title":"Summary health statistics for US adults: national health interview survey, 2011","volume":"10","author":"Schiller","year":"2012","journal-title":"Vital Health Stat 10"},{"issue":"2","key":"2021121111154471000_B11","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.jpeds.2014.04.009","article-title":"Clinician adherence to recommendations for screening of adolescents for sexual activity and sexually transmitted infection\/human immunodeficiency virus","volume":"165","author":"Goyal","year":"2014","journal-title":"J Pediatr"},{"issue":"6","key":"2021121111154471000_B12","doi-asserted-by":"crossref","first-page":"1711","DOI":"10.1016\/j.jpeds.2013.08.023","article-title":"Pediatric primary care provider practices, knowledge, and attitudes of human immunodeficiency virus screening among adolescents","volume":"163","author":"Goyal","year":"2013","journal-title":"J Pediatr"},{"issue":"6","key":"2021121111154471000_B13","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1097\/OLQ.0b013e318206ffc4","article-title":"HIV screening in commercially insured patients screened or diagnosed with sexually transmitted diseases or blood-borne pathogens","volume":"38","author":"Chen","year":"2011","journal-title":"Sex Transm Dis"},{"key":"2021121111154471000_B14","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.ss6708a1","article-title":"Youth risk behavior surveillance - United States, 2017","volume":"67","author":"Kann","year":"2018","journal-title":"MMWR Surveill Summ"},{"key":"2021121111154471000_B15","unstructured":"Centers for Disease Control and Prevention\n          . Estimated HIV incidence and prevalence in the United States, 2010\u20132016. Available at: https:\/\/www.cdc.gov\/hiv\/pdf\/library\/reports\/surveillance\/cdc-hiv-surveillance-supplemental-report-vol-24-1.pdf. Accessed January 23, 2020"},{"issue":"2","key":"2021121111154471000_B16","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1097\/QAI.0B013E31822D7564","article-title":"Clinical outcomes of adolescents and young adults in adult HIV care","volume":"58","author":"Ryscavage","year":"2011","journal-title":"J Acquir Immune Defic Syndr"},{"issue":"4","key":"2021121111154471000_B17","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1001\/jamainternmed.2014.8180","article-title":"Human immunodeficiency virus transmission at each step of the care continuum in the United States","volume":"175","author":"Skarbinski","year":"2015","journal-title":"JAMA Intern Med"},{"key":"2021121111154471000_B18","first-page":"5708620","article-title":"Missed testing opportunities for HIV screening and early diagnosis in an urban tertiary care center","volume":"2017","author":"DeRose","year":"2017","journal-title":"Aids Res Treat"},{"issue":"11","key":"2021121111154471000_B19","doi-asserted-by":"crossref","first-page":"267","DOI":"10.15585\/mmwr.mm6811e1","article-title":"Vital signs: HIV transmission along the continuum of care - United States, 2016","volume":"68","author":"Li","year":"2019","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2021121111154471000_B20","unstructured":"Health Resources & Services Administration. 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