School-Based HIV/STD Testing Behaviors and Motivations Among Black and Hispanic Teen MSM: Results From a Formative Evaluation

J Sch Health. 2016 Dec;86(12):888-897. doi: 10.1111/josh.12457.

Abstract

Background: This evaluation explores experiences with, and motivations for, human immunodeficiency virus (HIV) and sexually transmitted disease (STD) testing among black and Hispanic school-aged young men who have sex with men (YMSM).

Methods: Participants were recruited at community-based organizations that serve YMSM in New York City, Philadelphia, and San Francisco. Eligible participants were 13- to 19-year-old black or Hispanic males who reported attraction to or sexual behavior with other males and/or identified as gay or bisexual, and attended at least 90 days of school in the previous 18 months. Participants (N = 415) completed web-based questionnaires and/or in-depth interviews (N = 32).

Results: In the past year, 72.0% of questionnaire participants had been tested for HIV, 13.5% of them at school or school clinic. Participants reported that they would be more likely to get an HIV test if they could be tested close to or at school (34.4%), and 64.4% would use HIV testing if offered in schools. Most interview participants reported willingness to use school-based services if they were offered nonjudgmentally, privately, and confidentially by providers with experience serving YMSM.

Conclusion: Schools can provide opportunities to make HIV and STD testing accessible to school-aged YMSM, but the services must be provided in ways that are comfortable to them.

Keywords: HIV prevention; HIV testing; STD testing; adolescent health; school health; services; young men who have sex with men.

MeSH terms

  • Adolescent
  • Black or African American / psychology*
  • Black or African American / statistics & numerical data
  • HIV Infections / diagnosis
  • Hispanic or Latino / psychology*
  • Homosexuality, Male / psychology*
  • Humans
  • Male
  • Motivation*
  • School Health Services
  • Sexually Transmitted Diseases / diagnosis*
  • United States
  • Young Adult