Incidence of Human Immunodeficiency Virus (HIV) infection is increasing among youth ages 13-24 in the US, with adolescents accounting for nearly 20% of all new infections. Despite recommendations from the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP), the majority of adolescents at risk for HIV are not receiving screening. This study aims to describe primary care physician (PCP) knowledge and adherence to HIV screening guidelines as well as beliefs toward, and potential barriers to, routine HIV screening for adolescents in the primary care setting.
Rates of new HIV infections are increasing among adolescents and young adults. Co-infections with other STIs can lead to increased morbidity for these youth and the likelihood for secondary transmission of HIV. This study aims to understand the patterns of STI co-infections among HIV positive youth, which may help guide treatment and prevention efforts.
These projects involve written anonymous surveys and in-depth interviews of female adolescent in an emergency department setting about their sexual health and knowledge and beliefs of emergency contraception as a pregnancy prevention option. The studies explore the barriers to emergency contraception, the usefulness of offering sexual education interventions in the emergency department, and preferences for a particular modality of intervention delivery.
Surveys of pediatric emergency medicine physicians assess their knowledge and history of prescribing emergency contraception and explore potential barriers to its prescription for adolescents. Multi-center focus groups gather information from nurses and physicians in pediatric emergency departments about their knowledge, attitudes, and experience related to emergency contraception.