HIV Testing Among Heterosexual Young Adults: The Influence of Partners' Risk Behaviors and Relationship Dynamics

Longmore, Monica A.; Johnson, Wendi L.; Manning, Wendy D.; Giordano, Peggy C.

doi:10.1080/00224499.2012.661101

Cited by 15 publications

(11 citation statements)

References 76 publications

(86 reference statements)

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“…This suggests a group of youth who want to be certain that their sexual practices are safe. This is in contrast with those in our study who used condoms inconsistently, the highest risk group, who had lesser intention to use HCT, suggesting they may be aware of their risk and afraid or in denial of becoming infected, knowing their status, or having AIDS, which may interfere with HCT seeking (Longmore, Johnson, Manning, & Giordano, 2012;Ober, Martino, Ewing, & Tucker, 2012).…”

Section: Discussioncontrasting

confidence: 81%

Predictors of Intention to Use HIV Testing Service Among Sexually Experienced Youth in Thailand

Wiwattanacheewin¹,

Sindhu²,

Teitelman³

et al. 2015

AIDS Education and Prevention

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This study examined the predictors of intention to use HIV counseling and testing (HCT) services among those who had never used HCT services in a sample of 2,536 Thai youth in Bangkok (ages 15-24). Web-based questionnaires included assessments of HIV knowledge, HIV testing attitude, AIDS stigma, and youth-friendly HCT (YFHCT) service expectation. More than 80% of the sexually experienced youth had never used HCT services but among this group 74.06% reported having intentions to do so. The significant predictors consisted of favorable expectations of YFHCT services (p < .001), positive attitude toward HIV testing (p < .005), perceived high risk for HIV infection (p < .01), having multiple sex partners while also using condoms consistently (p < .01), willingness to pay (p < .001), and being informed about HCT and knowing service locations (p < .001). Policy makers, as well as health promotion program developers and researchers can use these findings to increase intention and use of HCT services among at-risk youth.

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Section: Discussioncontrasting

confidence: 81%

Predictors of Intention to Use HIV Testing Service Among Sexually Experienced Youth in Thailand

Wiwattanacheewin¹,

Sindhu²,

Teitelman³

et al. 2015

AIDS Education and Prevention

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“…51,54 Only one study of Ohio high school aged adolescent couples reported on relationship characteristics and found that HIV testing was associated with romantic love, but not with sexual nonexclusivity or partner's risk behaviors. 52 It makes sense that youth in serious relationships who have greater opportunity for communication about HIV/AIDS may report higher testing rates. Youth who have less committed, less serious partners or non-exclusive partners, however, may be at higher risk for HIV, and, therefore, it is discouraging that they are less likely to be tested.…”

Section: Discussionmentioning

confidence: 99%

“…[23][24][25][26][27][28]51,52 Our study examined the roles of individual, partner, and relationship factors with HIV testing in an effort to inform high-impact interventions in minority adolescents at risk for HIV.…”

Section: Discussionmentioning

confidence: 99%

“…As shown previously in two large community samples of adolescents, we also found that partner HIV-risk behavior and relationship uncertainty were not associated with HIV testing, suggesting that adolescents do not recognize these as risk factors for HIV or that partner's risk behaviors were not motivators for them to obtain risk-reduction measures such as HIV testing. 11,52 Greater efforts must be made to increase testing for at-risk adolescents who have high-risk partners. It is possible that for many young adolescents, they are at risk only because of past or concurrent risk behaviors of their partners.…”

Section: Discussionmentioning

confidence: 99%

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The Influence of Individual, Partner, and Relationship Factors on HIV Testing in Adolescents

Talib

Silver

Coupey

et al. 2013

AIDS Patient Care and STDs

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Early identification of HIV by increasing testing is a national priority; however, little is known about HIV testing behaviors in high school age adolescents. We examined the association of individual, partner, and relationship factors with HIV testing using a computer-assisted survey administered from 2003 to 2006 in a community sample of 980 sexually active 14-to 17-year-olds (56% female, 55% Latino, 25% African American) living in a jurisdiction with a high AIDS burden. Twenty percent reported their first sexual encounter as having occurred when they were < 13 years of age, 33% had had four or more lifetime sexual partners, 21% reported high partner HIV-risk behavior, and 428 (44%) had been tested for HIV. In our final regression model, independent associations with HIV testing included being female (OR = High HIV/AIDS knowledge, high partner HIV risk behavior, and young age at first sexual encounter were not associated with testing. These findings suggest that, for high school aged adolescents, optimal strategies to promote HIV testing should look beyond increasing HIV/AIDS knowledge and identifying individual risk behaviors to also considering the role of partners and relationships and their influence on testing behavior.1

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“…Although it has been noted that relationship power plays a role in the use of sexual health services (Blanc, 2001), little research has explicitly studied the intersection of power and HIV testing. In one exception conducted in the United States, Longmore, Johnson, Manning, and Giordano (2013) found that power does play a role in young women’s ability to test for HIV such that women with higher levels of power were more likely to have tested during their relationship. In sub-Saharan Africa, the ongoing shift toward biomedical approaches to HIV and AIDS underscores the need to understand how relationship power affects use of HIV services.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Relationship Power Dynamics on HIV Testing in Rural Malawi

Conroy

2014

The Journal of Sex Research

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Using the theory of gender and power (TGP) and data from the Tsogolo la Thanzi (TLT) study, we examined how relationship power shapes young people’s decisions to test for HIV in rural Malawi (N=932), a high-HIV prevalence setting undergoing rapid expansions in testing services. We used generalized estimating equations (GEE) to examine associations among five constructs of relationship power (socioeconomic inequalities, relationship dominance, relationship violence, relationship unity, and mistrust), perceived risk, and receiving an HIV test over a 16-month period. The results indicate that young Malawians are testing for HIV at relatively high rates, repeatedly, and not just during pregnancy. Over the study period, 47.3% of respondents received at least one HIV test outside of TLT (range: 0–4). The GEE analysis revealed that men and women with higher levels of relationship unity were less likely to test for HIV. For men, being a victim of sexual coercion was an additional barrier to testing. Women’s testing decisions were more strongly influenced by perceptions of a partner’s risk for HIV than their own, whereas men relied more on self-assessments. The results highlight that testing decisions are deeply embedded within the relationship context, which should be considered in future HIV testing interventions.

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HIV Testing Among Heterosexual Young Adults: The Influence of Partners' Risk Behaviors and Relationship Dynamics

Cited by 15 publications

References 76 publications

Predictors of Intention to Use HIV Testing Service Among Sexually Experienced Youth in Thailand

Predictors of Intention to Use HIV Testing Service Among Sexually Experienced Youth in Thailand

The Influence of Individual, Partner, and Relationship Factors on HIV Testing in Adolescents

The Influence of Relationship Power Dynamics on HIV Testing in Rural Malawi

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