title: Changes in human immunodeficiency virus testing rates among urban adolescents after introduction of routine and rapid testing.
abstract: OBJECTIVE
  To examine human immunodeficiency virus (HIV) testing rates among adolescents during a 3-year period to determine (1) if the rate of testing increased after publication of national recommendations for routine HIV testing in 2006, and again after the introduction of rapid testing in the clinic in 2007, and (2) factors associated with HIV testing.
  
  
  METHODS
  Retrospective medical record review.
  
  
  METHODS
  Urban hospital-based adolescent primary care clinic.
  
  
  METHODS
  Thirteen- to 22-year-old sexually experienced patients who had computerized billing data reflecting testing for sexually transmitted infections, including HIV.
  
  
  METHODS
  Rates of HIV testing for each of 3 one-year phases-phase 1 (pre-routine testing recommendations), phase 2 (post-routine testing recommendations but pre-rapid testing), and phase 3 (post-rapid testing)-and factors associated with HIV testing.
  
  
  RESULTS
  In total, 9491 patients were included. The rate of HIV testing in phase 2 was significantly higher than the rate of testing in phase 1 (27.7% vs 12.6%, P < .001). The rate of testing in phase 3 was significantly higher than the rate of testing in phase 2 (44.6% vs 27.7%, P < .001) and phase 1 (P < .001). Factors independently associated with HIV testing included phase, older age, male sex, race, public insurance status, and having a genitourinary-related diagnosis during the same phase.
  
  
  CONCLUSIONS
  The HIV testing rates increased significantly following publication of recommendations for routine testing and further increased following introduction of rapid testing. Combining routine and rapid testing strategies may increase uptake of HIV testing among adolescents in primary care settings.
authors.affiliation: Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229, USA. tanya.mullins@cchmc.org
authors.forename: Tanya L Kowalczyk
authors.initials: TL
authors.lastname: Mullins
authors.forename: Linda M
authors.initials: LM
authors.lastname: Kollar
authors.forename: Corinne
authors.initials: C
authors.lastname: Lehmann
authors.forename: Jessica A
authors.initials: JA
authors.lastname: Kahn
mesh_terms: D015492:AIDS Serodiagnosis / Q000379:methods*; D000293:Adolescent; D000328:Adult; D005260:Female; D015658:HIV Infections / Q000175:diagnosis*; D006801:Humans; D016015:Logistic Models; D008297:Male; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000706:statistics & numerical data; D011933:Reagent Kits, Diagnostic; D012189:Retrospective Studies; D014505:Urban Population / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D011933:Reagent Kits, Diagnostic