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

Phillips, Gregory; Ybarra, Michele L.; Prescott, Tonya L.; Parsons, Jeffrey T.; Mustanski, Brian

doi:10.1016/j.jadohealth.2015.06.014

Cited by 55 publications

(56 citation statements)

References 15 publications

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“…The use of these networks is being utilized for health promotions in other contexts, particularly obesity control, 23 and smoking cessation, 24 and prior work has shown the feasibility of Facebook HIV/AIDS prevention among MSM. 25,26 …”

Section: Discussionmentioning

confidence: 99%

Facebook network structure and awareness of preexposure prophylaxis among young men who have sex with men

Khanna

Schumm

Schneider

2017

Annals of Epidemiology

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Young Black men who have sex with men (YBMSM) are the only population in the U.S. who have experienced rising HIV incidence over the past decade. Consistent preexposure prophylaxis (PrEP) use can substantially reduce the risk of HIV acquisition. What differentiates those who become aware of PrEP, and those who do not, remains largely unknown. The social networks of YBMSM can impact their awareness of PrEP; to examine this impact, we used two waves of Facebook data from the “uConnect” study – a longitudinal cohort study of YBMSM in Chicago (n=266). While PrEP awareness increased from 45% at baseline to 75% at follow-up, its use remained low (4% and 6%). There were 88 PrEP-unaware individuals at baseline who became aware (BA) by follow-up, and 56 who remained persistently unaware (PU). While the PUs had a higher median number of total Facebook friends, the BAs had a higher median numbers of friends who participated in uConnect, who were PrEP-aware, and who practiced behaviors previously found to be associated with individual-level awareness of PrEP at baseline. The BAs also had substantially more “influential” friends. These findings demonstrate the potential of social networks in raising PrEP awareness and use among YBMSM.

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Section: Discussionmentioning

confidence: 99%

Facebook network structure and awareness of preexposure prophylaxis among young men who have sex with men

Khanna

Schumm

Schneider

2017

Annals of Epidemiology

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“…In addition, young sexual minority males are less likely than older MSM to have received an HIV test and the least likely out of any age group to be linked to HIV care 67891011121314 . Despite research indicating that nearly half of gay and bisexual male high school students have had sexual intercourse 1 little is known about attitudinal and experiential factors facilitating or impeding youth seeking and receiving health services for prevention, detection and treatment of HIV and STIs.…”

Section: Introductionmentioning

confidence: 99%

Patient–Provider Communication Barriers and Facilitators to HIV and STI Preventive Services for Adolescent MSM

et al. 2018

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Adolescent males who have sex with males (AMSM) are at increased risk of contracting HIV/AIDS and other sexually transmitted infections (STIs). Healthcare providers are a critical source of HIV/STI prevention, yet little is known about AMSM patient-provider sexual health communications and services. To explore this issue, we surveyed a national sample of 198 AMSM 14 – 17 years. Four online psychometrically validated scales indicated over half the youth avoided communicating their sexual orientation and sexual health concerns to providers due to fear of heterosexist bias, concern their sexual health information would be disclosed to parents, and a general belief that sexual minority youth did not receive equitable treatment in health care settings. Youth who reported their physicians had initiated discussion about their sexual orientation were significantly more likely to have received HIV/STI preventive services and testing. Discussion includes the need for medical training that meets the unique sexual health needs of AMSM.

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“…Our research uniquely identified participants' self‐convincing process as they initiated the decision to seek testing. The participants who identified this prompt were relatively younger and may experience mental testing barriers like stigma and fear that remain deterrents of HIV testing (Phillips, Ybarra, Prescott, Parsons, & Mustanski, 2015; Schnall et al, 2015; Strauss, Rhodes, & George, 2015). Hence, the ability to assuage feelings of concern with the knowledge of HIV testing benefits through self‐convincing was essential for young adults to initiate testing decisions.…”

Section: Discussionmentioning

confidence: 99%

“The right place and the right time”: A qualitative study of the decision‐making process of self‐initiated HIV testing among young adults

Adebayo

Williams

Garcia

2020

Research in Nursing & Health

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Young adults continue to have very low rates of human immunodeficiency virus (HIV) testing, which contribute to transmission, late diagnoses, and poor health outcomes. The access and uptake of HIV testing among young adults can be improved by promoting self‐initiated testing (i.e., testing without the immediate recommendation of a clinician). Little is known, however, about how young adults self‐initiate HIV testing. The purpose of this study was to explore the decision‐making process of young adults who self‐initiated HIV testing. A qualitative descriptive study was conducted with 30 young adults aged 18–24 years. The findings from this study describe how young adults acknowledge their vulnerability to HIV infection and navigate the process of deciding to self‐initiate testing. Some subcategories include Self‐Convincing, Conversation Prompts, and The Right Place and Right Time. Findings from this study are pivotal for subsequent studies to further understand self‐initiated HIV testing among young adults and design targeted interventions that will improve testing uptake.

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

Cited by 55 publications

References 15 publications

Facebook network structure and awareness of preexposure prophylaxis among young men who have sex with men

Facebook network structure and awareness of preexposure prophylaxis among young men who have sex with men

Patient–Provider Communication Barriers and Facilitators to HIV and STI Preventive Services for Adolescent MSM

“The right place and the right time”: A qualitative study of the decision‐making process of self‐initiated HIV testing among young adults

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