BACKGROUND:
We
assessed HIV testing trends among high school students and young adults.
METHODS:
We
analyzed National Youth Risk Behavior Survey (YRBS) and Behavioral Risk Factor
Surveillance System (BRFSS) data to assess HIV testing prevalence among high
school students and young adults aged 18 to 24, respectively. Logistic regression
models for each sample stratified by gender and race/ethnicity were estimated
to assess trends in the percentages ever tested, with year as a continuous
linear variable. We report absolute differences in HIV testing prevalence and
model results for 2005-2013 (YRBS) and 2011-2013 (BRFSS).
RESULTS:
During
the study periods, an average of 22% of high school students (17% of male and
27% of female students) who ever had sexual intercourse and 33% of young adults
reported ever being tested for HIV. Among high school students, no change was
detected in HIV testing prevalence during 2005-2013, regardless of gender or
race/ethnicity. Among young adult males, an average of 27% had ever been
tested, and no significant changes were detected overall or by race/ethnicity
during 2011-2013. Significant decreases in testing prevalence were detected
during 2011-2013 among young adult females overall (from 42.4% to 39.5%), young
adult white females (from 37.2% to 33.9%), and young adult black females (from
68.9% to 59.9%).
CONCLUSIONS:
HIV
testing prevalence was low among high school students and young adults. No
increase in testing among young adult males and decreased testing among young
adult black females is concerning given their higher risk of HIV infection.
Below: Trends in HIV testing prevalence among US high school students and young adults aged 18 to 24 years
Below: HIV test settings for young adults ever tested for HIV
- 1Divisions of HIV/AIDS Prevention, and ioq4@cdc.gov.
- 2Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
- 3Divisions of HIV/AIDS Prevention, and.
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