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Automated Substance Use/Sexual Risk Reporting and HIV Test Acceptance Among Emergency Department Patients Aged 13-24 Years.
Aronson, Ian David; Zhang, Jingru; Rajan, Sonali; Marsch, Lisa A; Bugaighis, Mona; Ibitoye, Mobolaji O; Chernick, Lauren S; Des Jarlais, Don C.
Afiliación
  • Aronson ID; Digital Health Empowerment, Brooklyn, NY, USA. ian@dhempowerment.com.
  • Zhang J; School of Global Public Health, New York University, 708 Broadway, New York, NY, 10003, USA. ian@dhempowerment.com.
  • Rajan S; Teachers College, Columbia University, New York, NY, USA.
  • Marsch LA; Teachers College, Columbia University, New York, NY, USA.
  • Bugaighis M; Center for Technology and Behavioral Health, Dartmouth College, Lebanon, NH, USA.
  • Ibitoye MO; Department of Emergency Medicine, Columbia University Irving Medical Center, New York, NY, USA.
  • Chernick LS; Digital Health Empowerment, Brooklyn, NY, USA.
  • Des Jarlais DC; Department of Emergency Medicine, Columbia University Irving Medical Center, New York, NY, USA.
AIDS Behav ; 26(5): 1544-1551, 2022 May.
Article en En | MEDLINE | ID: mdl-34705152
Despite federal guidelines, many adolescents and emerging adults are not offered HIV testing by their healthcare providers. As such, many-including those who may be at high-risk for contracting HIV given their sexual and/or substance use risk-are not routinely tested. The current study examines sexual risk and substance use among emergency department patients aged 13-24 years (n = 147), who completed an automated screening as part of a tablet-based intervention designed to increase HIV testing. Twenty seven percent (n = 39) of participants chose to test for HIV after completing the tablet-based intervention. Among this sample, sexual risk was a significant independent predictor of HIV testing (χ2 = 16.50, p < 0.001). Problem substance use (e.g. trying but failing to quit) also predicted testing (χ2 = 7.43, p < 0.01). When considering these behaviors together, analyses indicated that the effect of problem substance use (ß = 0.648, p = 0.154) on testing is explained by sexual risk behavior (ß = 1.425, p < 0.01). The study's findings underscore the value of using routine automated risk screenings to collect sensitive data from emergency department patients, followed by computer-based HIV test offers for adolescent youth. Our research indicates tablet-based interventions can facilitate more accurate reporting of sexual behavior and substance use, and can also potentially increase HIV test uptake among those at risk.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Trastornos Relacionados con Sustancias Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Humans Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Trastornos Relacionados con Sustancias Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Humans Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos