TY - JOUR
T1 - Associations between HIV Testing and Consent Policies among Sexually Active Adolescents
T2 - Differences by Sexual Behavior
AU - Phillips, Gregory
AU - Wang, Xinzi
AU - Ruprecht, Megan M.
AU - Stephens, Reno
AU - Costa, Diogo
AU - Beach, Lauren B.
AU - Janulis, Patrick
N1 - Funding Information:
This work was supported by NHLBI: [Grant Number K12 HL143959]; National Institute on Alcohol Abuse and Alcoholism: [Grant Number R01 AA024409].
Publisher Copyright:
© 2021 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2021
Y1 - 2021
N2 - HIV incidence remains high among US youth, especially among sexual minority youth. However, only half of youth with HIV are aware of their status. One potential explanation for low HIV testing rates is that restrictive policies may prevent minors from access HIV testing due to parental consent requirements. Using pooled data from the local Youth Risk Behavior Survey, we assessed whether state HIV testing laws, including age restrictions and explicit inclusion of HIV in STI testing consent laws, were associated with differences in HIV testing rates; differences by sexual behavior were also examined. Among female youth, policies were not associated with HIV testing. However, among male youth, both the presence of age restrictions and explicit inclusion in STI services were significantly associated with increased odds of HIV testing. Results indicate that policy changes may be effective at increasing testing among male youth who have sex with other males.
AB - HIV incidence remains high among US youth, especially among sexual minority youth. However, only half of youth with HIV are aware of their status. One potential explanation for low HIV testing rates is that restrictive policies may prevent minors from access HIV testing due to parental consent requirements. Using pooled data from the local Youth Risk Behavior Survey, we assessed whether state HIV testing laws, including age restrictions and explicit inclusion of HIV in STI testing consent laws, were associated with differences in HIV testing rates; differences by sexual behavior were also examined. Among female youth, policies were not associated with HIV testing. However, among male youth, both the presence of age restrictions and explicit inclusion in STI services were significantly associated with increased odds of HIV testing. Results indicate that policy changes may be effective at increasing testing among male youth who have sex with other males.
KW - HIV testing
KW - Youth Risk Behavior Survey
KW - policy
KW - sexual behavior
KW - sexual minority youth
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U2 - 10.1080/09540121.2021.1991878
DO - 10.1080/09540121.2021.1991878
M3 - Article
C2 - 34668801
AN - SCOPUS:85117300754
SN - 0954-0121
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
ER -
