Low Rates of Human Immunodeficiency Virus Testing Among Adolescent Gay, Bisexual, and Queer Men

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Gregory PhillipsBrian Mustanski

Abstract

Adolescent gay and bisexual men (AGBM) are disproportionately affected by human immunodeficiency virus (HIV), but little is known about testing rates among men aged 18 years and under or about the barriers that they face when contemplating an HIV test. Therefore, we investigate here the testing behaviors and barriers among a diverse national sample of AGBM. A total of 302 AGBM aged 14-18 years were recruited via Facebook ads to participate in an mHealth (text messaging-based) HIV prevention program. Recruitment was stratified to ensure approximately 50% were sexually inexperienced. Only 30% of sexually active participants had ever been tested for HIV, and nearly half of them did not know where they could go to get tested for HIV (42.9%). Based on exploratory factor analysis, nine questions assessing potential barriers to HIV testing factored into three subscales: external factors, fear, and feelings of invincibility. Among sexually active participants, those who had never tested for HIV had significantly greater scores on the external factors (odds ratio, 1.63; 95% confidence interval, 1.01-2.66) and fear (odds ratio, 1.88; 95% confidence interval, 1.11-3.19) subscale. Older (16-18 years old) youth were especially likely to be ...Continue Reading

References

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Citations

Apr 27, 2017·Perspectives on Sexual and Reproductive Health·Brian MustanskiCelia B Fisher
Jun 16, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Jace D PierceChristine C Limbers
Nov 2, 2019·Archives of Sexual Behavior·David M Huebner, Brian Mustanski
Aug 18, 2020·Prevention Science : the Official Journal of the Society for Prevention Research·Gregory PhillipsLauren B Beach
Jun 20, 2020·The Journal of Nursing Research : JNR·Oluwamuyiwa Winifred AdebayoNatalia Andrea Villegas
Sep 16, 2018·Journal of Medical Internet Research·Aditya Subhash KhannaJohn Alexis Schneider
Apr 7, 2018·Vulnerable Children and Youth Studies·Robin Lin MillerUNKNOWN Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN)
Dec 8, 2017·AIDS and Behavior·Kristi E GamarelUNKNOWN Adolescent Medicine Trials Network for HIV/AIDS Interventions
Sep 12, 2020·Current HIV/AIDS Reports·Errol L FieldsDavid J Malebranche
Aug 17, 2020·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Deven T HamiltonSteven M Goodreau
Jul 31, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Anne M NeilanAndrea L Ciaranello
Feb 13, 2020·Pediatrics·Brian MustanskiKathryn Macapagal

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