Sex Education and HIV Testing Among Young Men Who Have Sex With Men: Findings From the 2006–2010 and 2011–2015 National Survey of Family Growth

Pierce, Jace D; Ylitalo, Kelly R.; Lanning, Beth A.; Limbers, Christine C

doi:10.1097/qai.0000000000001773

Cited by 14 publications

(12 citation statements)

References 26 publications

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“…3 Although there has been little epidemiological research on HIV incidence among adolescent men who have sex with men (AMSM), 2 studies suggest incidence is high, particularly among African American and Hispanics and/or Latinos (3%-5% per year). 4,5 Few studies have described the rate of testing among MSM ,18 years old, and with few exceptions, 6-9 many of the available studies combine data from teenagers aged 18 and younger with adults as old as 24, 10,11 which is a standard approach in national HIV surveillance reports. 3 Even fewer studies have explored differences in testing behaviors, and their correlates, among racially and/or ethnically diverse AMSM.…”

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confidence: 99%

“…27 One recent study found that physician discussions about HIV and testing and parent-child discussions about how to prevent HIV were each significantly associated with ever being HIV tested among MSM ages 15 to 24. 10 Finally, the information-motivationbehavioral skills (IMB) model 28 for HIV prevention suggests key factors that are influential over testing. In adult MSM, [29][30][31] this model has shown that individuals who have correct knowledge about HIV, are stimulated by emotional and/or situational responses (eg, fear and vulnerability), and have the skills to navigate the process are more likely to complete HIV testing.…”

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confidence: 99%

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Factors Associated With HIV Testing in Teenage Men Who Have Sex With Men

et al. 2020

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BACKGROUND: Adolescent men who have sex with men (AMSM) have a high rate of HIV diagnoses. An estimated 14.5% of HIV infections in the United States are undiagnosed; but among 13-to 24-year-olds, the rate is 51.4%. We describe HIV testing rates and identifies salient individual, family, school, and health care influences among AMSM.METHODS: Data were collected as part of SMART, an ongoing pragmatic trial of an online HIV prevention intervention for AMSM (N = 699). Measures included lifetime HIV testing, demographics, sexual behaviors, condom use, HIV education from school and family, sexual health communication with doctors, HIV knowledge, and risk attitudes.RESULTS: Only 23.2% of participants had ever had an HIV test. Rates of testing increased with age (5.6% in 13-to 14-year-olds; 15.8% in 15-to 16-year-olds; 37.8% in 17-to 18-year-olds), and sexual experience was a strong predictor of testing (odds ratio: 6.54; 95% confidence interval: 3.95-11.49; P , .001). Most participants had a regular doctor (67.5%), but few had conversations about same-sex sexual behaviors (21.3%), HIV testing (19.2%), or sexual orientation (29.2%). Speaking to a doctor about HIV testing had a large effect (odds ratio: 25.29; confidence interval: 15.91-41.16; P , .001), with 75.4% who had such conversations having been tested, compared to only 10.8% of those who had not had such conversations.CONCLUSIONS: Despite higher risk, few participants reported ever having received an HIV test. Data indicate pediatricians are an important, but largely untapped, source of testing and could be integral to achieving testing rates needed to end the epidemic.WHAT'S KNOWN ON THIS SUBJECT: An estimated 14.5% of HIV infections in the United States are undiagnosed; but among 13-to 24-year-olds, the undiagnosed rate is .3.5 times greater (51.4%). This disparity is due to poor testing rates among those ,18 years old.WHAT THIS STUDY ADDS: Few studies describe HIV testing rates among minors (,18 years old), opting to group minors with adults. Focusing on this youngest group reveals opportunities for pediatricianadolescent communication about sexual orientation and HIV, greatly increasing the odds of testing.

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Factors Associated With HIV Testing in Teenage Men Who Have Sex With Men

et al. 2020

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“… 49 In the United States, parent-based sex education could increase adolescent engagement in HIV testing and condom use. 50 However, even in developed countries, such as the United States, sex education led by parents is not common, as one-third of young MSM had never discussed sex topics with their parents. 50 Tailored sex education by parents could increase the likelihood of HIV testing among student MSM.…”

Section: Discussionmentioning

confidence: 99%

“… 50 However, even in developed countries, such as the United States, sex education led by parents is not common, as one-third of young MSM had never discussed sex topics with their parents. 50 Tailored sex education by parents could increase the likelihood of HIV testing among student MSM. 50 Therefore, sex education led by parents is an issue that requires attention from both developed and developing countries.…”

Section: Discussionmentioning

confidence: 99%

Condom Use Consistency and Associated Factors Among College Student Men Who Have Sex with Men from Seven Colleges in Changsha City: A Cross-Sectional Survey

Wang¹,

Yu²,

Cross³

et al. 2021

HIV

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Background: College student men who have sex with men (MSM) are at high risk for HIV infection due to multiple social and behavioral factors. Consistent condom use is nationally advocated for HIV prevention. This study explored the sexual behaviors and factors associated with condom use consistency in the past six months among college student MSM from seven colleges in Hunan Province, China. Methods: A cross-sectional survey was conducted from September 2017 to March 2018. Condom use consistency, sexual behaviors, HIV testing performance, substance use, and alcohol consumption were examined using researcher-created questionnaires. Condom use self-efficacy and HIV-related knowledge were assessed using the Condom Use Self-Efficacy Scale and the unified National AIDS Sentinel Surveillance Questionnaire. Univariate and multivariate logistic regressions were used. P <0.05 was considered significant. Results: In the 214 respondents, the rate of consistent condom use was 56% (n = 119) during the past six months. Participants who were studying at first-tier universities (odds ratio [OR]: 2.522, 95% confidence interval [CI]: 1.255-5.067) and had higher scores for condom use self-efficacy (OR: 2.617, 95% CI: 1.462-4.685) were more likely to report consistent condom use than the others. The risk factor was having suspicious symptoms of sexually transmitted diseases (OR: 0.357, 95% CI: 0.163-0.780). Conclusion:Numerous students were at high risk of HIV infection with inconsistent condom use. Comprehensive and specific topics about safe sex education from parents and peers should be offered on campuses in China.

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“…HIV incidence among 16-to 17-year-old Chicago ASMM has been estimated at 5.2/100 person-years [2], and a three-city study reported incidence of 3.4/100 person-years among ASMM [3]. ASMM are also less likely to be tested for HIV compared to adult men who have sex with men (MSM) [4,5].…”

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confidence: 99%

Modeling the Impact of PrEP Programs for Adolescent Sexual Minority Males Based on Empirical Estimates for the PrEP Continuum of Care

Hamilton

Rosenberg

Sullivan

et al. 2021

Journal of Adolescent Health

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Purpose: Pre-exposure prophylaxis (PrEP)—an effective and safe intervention to prevent HIV transmission—was recently approved by the Food and Drug Administration for use by adolescents. Informed by studies of sexual behavior and PrEP adherence, retention, and promotion, we model the potential impact of PrEP use among at-risk adolescent sexual minority males. Methods: We simulate an HIV epidemic among men who have sex with men (MSM) aged 13–39. We assume adult MSM ages 19–39 have had PrEP available for 3 years with 20% coverage among eligible MSM based on the Centers for Disease Control and Prevention guidelines. PrEP interventions for ages 16–18 are then simulated using adherence and retention profiles drawn from the ATN113 and Enhancing Preexposure Prophylaxis in Community studies across a range of uptake parameters (10%–100%). Partnerships across age groups were modeled using parameterizations from the RADAR study. We compare the percent of incident infections averted (impact), person-years on PrEP per infection averted (efficiency), and changes in prevalence over 10 years. Results: As compared to no PrEP use, baseline PrEP adherence and retention among adolescent sexual minority males drawn from the ATN113 and Enhancing Preexposure Prophylaxis in Community studies averted from 2.8% to 41.0% of HIV infections depending on the fraction of eligible adolescent sexual minority males that initiated PrEP at their annual health-care visit. Improved adherence and retention achieved with an array of focused interventions from real-world settings increased the percent of infections averted by as much as 26%–70%. Conclusions: Empirically demonstrated improvements in the PrEP continuum of care in response to existing interventions can substantially reduce incident HIV infections among adolescent sexual minority males.

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Sex Education and HIV Testing Among Young Men Who Have Sex With Men: Findings From the 2006–2010 and 2011–2015 National Survey of Family Growth

Abstract: Tailored sex education by parent(s) and health care providers related to HIV/AIDS seems to significantly increase the likelihood of HIV testing among YMSM.

Cited by 14 publications

References 26 publications

Factors Associated With HIV Testing in Teenage Men Who Have Sex With Men

Factors Associated With HIV Testing in Teenage Men Who Have Sex With Men

Condom Use Consistency and Associated Factors Among College Student Men Who Have Sex with Men from Seven Colleges in Changsha City: A Cross-Sectional Survey

Modeling the Impact of PrEP Programs for Adolescent Sexual Minority Males Based on Empirical Estimates for the PrEP Continuum of Care

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