Prevalence and correlates of HIV testing among sexually active African American adolescents in 4 US cities

Rebecca R. Swenson, Christie J. Rizzo, Larry K. Brown, Nanetta Payne, Ralph DiClemente, Laura F. Salazar, Peter A. Vanable, Michael P. Carey, Robert F. Valois, Daniel Romer, Michael Hennessy

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Routine HIV testing is recommended for all adolescents ages 13 years and older. This study aims to report the prevalence of HIV testing among black adolescents, describe characteristics of adolescents who have been tested, and identify potentially modifiable factors associated with greater likelihood of testing across gender. METHODS: Black adolescents ages 13 to 18 were recruited from community-based outreach in 4 US cities. Present analyses include sexually active participants (N = 990; 52.3% female). RESULTS: Twenty-nine percent of adolescents had ever been tested for HIV. In a multivariate logistic regression adjusted for significant demographics, the strongest predictor of HIV testing among girls was prior STI testing (OR = 88.39) followed by pregnancy (OR = 2.75), risk reduction self-efficacy (OR = 2.28), and STI knowledge (OR = 2.25). Among boys, having had an STI test (OR = 38.09), having talked about testing with partners (OR = 3.49), and less religiosity (OR = 2.07) were associated with HIV testing. CONCLUSIONS: Blacks adolescents are disproportionately at risk for HIV/AIDS, yet less than one-third of participants reported being tested. Those receiving sexual or reproductive healthcare services were most likely to be tested, but many teens at risk for HIV do not seek available services and others may face barriers to accessing healthcare. Findings provide support for increasing school-based educational programs due to the low rates of STI/HIV knowledge among teens. Additionally, culturally-sensitive programs promoting HIV testing among teens should foster skill-building for preventive behaviors and increase partner communication about testing.

Original languageEnglish (US)
Pages (from-to)584-591
Number of pages8
JournalSexually Transmitted Diseases
Volume36
Issue number9
DOIs
StatePublished - Sep 28 2009

Fingerprint

African Americans
HIV
Sexually Transmitted Diseases
Community-Institutional Relations
Delivery of Health Care
Self Efficacy
Risk Reduction Behavior
Interpersonal Relations
Acquired Immunodeficiency Syndrome
Logistic Models
Demography
Pregnancy

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases

Cite this

Prevalence and correlates of HIV testing among sexually active African American adolescents in 4 US cities. / Swenson, Rebecca R.; Rizzo, Christie J.; Brown, Larry K.; Payne, Nanetta; DiClemente, Ralph; Salazar, Laura F.; Vanable, Peter A.; Carey, Michael P.; Valois, Robert F.; Romer, Daniel; Hennessy, Michael.

In: Sexually Transmitted Diseases, Vol. 36, No. 9, 28.09.2009, p. 584-591.

Research output: Contribution to journalArticle

Swenson, RR, Rizzo, CJ, Brown, LK, Payne, N, DiClemente, R, Salazar, LF, Vanable, PA, Carey, MP, Valois, RF, Romer, D & Hennessy, M 2009, 'Prevalence and correlates of HIV testing among sexually active African American adolescents in 4 US cities', Sexually Transmitted Diseases, vol. 36, no. 9, pp. 584-591. https://doi.org/10.1097/OLQ.0b013e3181b4704c
Swenson, Rebecca R. ; Rizzo, Christie J. ; Brown, Larry K. ; Payne, Nanetta ; DiClemente, Ralph ; Salazar, Laura F. ; Vanable, Peter A. ; Carey, Michael P. ; Valois, Robert F. ; Romer, Daniel ; Hennessy, Michael. / Prevalence and correlates of HIV testing among sexually active African American adolescents in 4 US cities. In: Sexually Transmitted Diseases. 2009 ; Vol. 36, No. 9. pp. 584-591.
@article{16113ed43879449a85523d9af5e8301f,
title = "Prevalence and correlates of HIV testing among sexually active African American adolescents in 4 US cities",
abstract = "BACKGROUND: Routine HIV testing is recommended for all adolescents ages 13 years and older. This study aims to report the prevalence of HIV testing among black adolescents, describe characteristics of adolescents who have been tested, and identify potentially modifiable factors associated with greater likelihood of testing across gender. METHODS: Black adolescents ages 13 to 18 were recruited from community-based outreach in 4 US cities. Present analyses include sexually active participants (N = 990; 52.3{\%} female). RESULTS: Twenty-nine percent of adolescents had ever been tested for HIV. In a multivariate logistic regression adjusted for significant demographics, the strongest predictor of HIV testing among girls was prior STI testing (OR = 88.39) followed by pregnancy (OR = 2.75), risk reduction self-efficacy (OR = 2.28), and STI knowledge (OR = 2.25). Among boys, having had an STI test (OR = 38.09), having talked about testing with partners (OR = 3.49), and less religiosity (OR = 2.07) were associated with HIV testing. CONCLUSIONS: Blacks adolescents are disproportionately at risk for HIV/AIDS, yet less than one-third of participants reported being tested. Those receiving sexual or reproductive healthcare services were most likely to be tested, but many teens at risk for HIV do not seek available services and others may face barriers to accessing healthcare. Findings provide support for increasing school-based educational programs due to the low rates of STI/HIV knowledge among teens. Additionally, culturally-sensitive programs promoting HIV testing among teens should foster skill-building for preventive behaviors and increase partner communication about testing.",
author = "Swenson, {Rebecca R.} and Rizzo, {Christie J.} and Brown, {Larry K.} and Nanetta Payne and Ralph DiClemente and Salazar, {Laura F.} and Vanable, {Peter A.} and Carey, {Michael P.} and Valois, {Robert F.} and Daniel Romer and Michael Hennessy",
year = "2009",
month = "9",
day = "28",
doi = "10.1097/OLQ.0b013e3181b4704c",
language = "English (US)",
volume = "36",
pages = "584--591",
journal = "Sexually Transmitted Diseases",
issn = "0148-5717",
publisher = "Lippincott Williams and Wilkins",
number = "9",

}

TY - JOUR

T1 - Prevalence and correlates of HIV testing among sexually active African American adolescents in 4 US cities

AU - Swenson, Rebecca R.

AU - Rizzo, Christie J.

AU - Brown, Larry K.

AU - Payne, Nanetta

AU - DiClemente, Ralph

AU - Salazar, Laura F.

AU - Vanable, Peter A.

AU - Carey, Michael P.

AU - Valois, Robert F.

AU - Romer, Daniel

AU - Hennessy, Michael

PY - 2009/9/28

Y1 - 2009/9/28

N2 - BACKGROUND: Routine HIV testing is recommended for all adolescents ages 13 years and older. This study aims to report the prevalence of HIV testing among black adolescents, describe characteristics of adolescents who have been tested, and identify potentially modifiable factors associated with greater likelihood of testing across gender. METHODS: Black adolescents ages 13 to 18 were recruited from community-based outreach in 4 US cities. Present analyses include sexually active participants (N = 990; 52.3% female). RESULTS: Twenty-nine percent of adolescents had ever been tested for HIV. In a multivariate logistic regression adjusted for significant demographics, the strongest predictor of HIV testing among girls was prior STI testing (OR = 88.39) followed by pregnancy (OR = 2.75), risk reduction self-efficacy (OR = 2.28), and STI knowledge (OR = 2.25). Among boys, having had an STI test (OR = 38.09), having talked about testing with partners (OR = 3.49), and less religiosity (OR = 2.07) were associated with HIV testing. CONCLUSIONS: Blacks adolescents are disproportionately at risk for HIV/AIDS, yet less than one-third of participants reported being tested. Those receiving sexual or reproductive healthcare services were most likely to be tested, but many teens at risk for HIV do not seek available services and others may face barriers to accessing healthcare. Findings provide support for increasing school-based educational programs due to the low rates of STI/HIV knowledge among teens. Additionally, culturally-sensitive programs promoting HIV testing among teens should foster skill-building for preventive behaviors and increase partner communication about testing.

AB - BACKGROUND: Routine HIV testing is recommended for all adolescents ages 13 years and older. This study aims to report the prevalence of HIV testing among black adolescents, describe characteristics of adolescents who have been tested, and identify potentially modifiable factors associated with greater likelihood of testing across gender. METHODS: Black adolescents ages 13 to 18 were recruited from community-based outreach in 4 US cities. Present analyses include sexually active participants (N = 990; 52.3% female). RESULTS: Twenty-nine percent of adolescents had ever been tested for HIV. In a multivariate logistic regression adjusted for significant demographics, the strongest predictor of HIV testing among girls was prior STI testing (OR = 88.39) followed by pregnancy (OR = 2.75), risk reduction self-efficacy (OR = 2.28), and STI knowledge (OR = 2.25). Among boys, having had an STI test (OR = 38.09), having talked about testing with partners (OR = 3.49), and less religiosity (OR = 2.07) were associated with HIV testing. CONCLUSIONS: Blacks adolescents are disproportionately at risk for HIV/AIDS, yet less than one-third of participants reported being tested. Those receiving sexual or reproductive healthcare services were most likely to be tested, but many teens at risk for HIV do not seek available services and others may face barriers to accessing healthcare. Findings provide support for increasing school-based educational programs due to the low rates of STI/HIV knowledge among teens. Additionally, culturally-sensitive programs promoting HIV testing among teens should foster skill-building for preventive behaviors and increase partner communication about testing.

UR - http://www.scopus.com/inward/record.url?scp=70349326026&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70349326026&partnerID=8YFLogxK

U2 - 10.1097/OLQ.0b013e3181b4704c

DO - 10.1097/OLQ.0b013e3181b4704c

M3 - Article

VL - 36

SP - 584

EP - 591

JO - Sexually Transmitted Diseases

JF - Sexually Transmitted Diseases

SN - 0148-5717

IS - 9

ER -