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HIV Screening Practices Among Youth Tested for Other Sexually Transmitted Infections in Pediatric Primary Care
Claudia P Vicetti Miguel1, Wendi G Ehrman2, Lia Mojica
1Department of Pediatrics, Division of Infectious Diseases, Medical College of Wisconsin, Milwaukee, Wisconsin, cvicetti@mcw.edu.
WMJ : Official Publication of the State Medical Society of Wisconsin
|November 6, 2025
Summary
HIV screening for young people in Wisconsin is low, with only 19.7% tested in pediatric clinics. Targeted interventions are crucial to improve Human Immunodeficiency Virus (HIV) testing rates among adolescents and young adults.
Area of Science:
- Public Health
- Pediatrics
- Infectious Diseases
Background:
- HIV is a major public health issue, with a 36% increase in Wisconsin cases (2020-2022).
- Youth aged 13-24 represent 22% of new HIV cases in Wisconsin.
- Routine HIV screening is recommended but inadequately implemented for youth.
Purpose of the Study:
- To assess HIV screening practices in youth within pediatric primary care settings.
- To identify barriers and facilitators for HIV testing in this demographic.
Main Methods:
- Retrospective analysis of HIV testing rates.
- Included patients aged 12-26 years undergoing STI testing (gonorrhea/chlamydia).
- Data collected from pediatric primary care clinics affiliated with a children's hospital.
Main Results:
- Overall youth HIV testing rates were low (median 19.7%).
- Rates varied significantly across clinics (13.2% to 36.1%).
- Higher testing rates correlated with higher rates of sexually transmitted infections (STIs).
Conclusions:
- Pediatric primary care clinics show low rates of HIV screening among youth.
- Urgent need for interventions to boost HIV testing in this setting.
- Integrating enhanced screening protocols is essential for early detection and prevention.
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