WP 27 Access to and Willingness to Use School-Based HIV and STD Testing and Prevention Services Among Teen Young Men Who Have Sex with Men

Tuesday, June 10, 2014
International Ballroom
Catherine Rasberry, PhD, MCHES1, Elana Morris, MPH1, Catherine Lesesne, PhD, MPH2, Lisa Carver, MPH2, Pablo Topete, MPH2, Elizabeth Kroupa, MPH3, William Moore, MPH, CHES2, Ye Xu, MA2, LaSamuel Stallworth, MA2 and Leah Robin, PhD1, 1Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, GA, 2ICF International, Atlanta, GA, 3ICF International, Seattle, WA

Background: Evaluators collected formative data to inform development of a school-centered HIV prevention program for 13-to-19 year old black and Latino young men who have sex with men (YMSM).

Methods: Data were collected from a convenience sample of 13-19 year old black and Latino YMSM attending community-based organizations in New York, Philadelphia, and San Francisco using Web-based surveys (n=415).  Surveys addressed HIV and STD prevention service use/preferences and related school experiences. Data analyses included descriptive statistics and chi-square tests.

Results: In the last year, 72.0% of participants had been tested for HIV (10.7% at school and 5.5% at a school clinic), and 65.8% had tested for STDs (13.2% at school and 8.7% at a school clinic).  30.0% of participants received free condoms at school, and 12.6% received them from a school clinic in the last year.  If testing services were offered at school, 64.4% of participants said they would use HIV testing and 66.6% said they would use STD testing.  81.7% of participants said they would access free condoms at school, if available. When asked who at school they would talk to about HIV testing, 37.8% of participants said a school nurse, 31.3% said a school counselor, and 30.8% said they would not talk to any staff member.  Percentages were similar for who participants would talk to about STD testing (37.1%, 29.8%, and 30.1%, respectively) and about condoms (37.3%, 32.3%, and 28.3%, respectively).  Only 13.3% of participants reported being willing to talk to school nurses about being attracted to other guys; more participants (38.3%) were willing to talk to counselors about this.

Conclusions: Some YMSM access HIV and STD testing and prevention services at school; additional youth report willingness to use such services if available.  Findings inform development of school-centered HIV and STD prevention programs, including key staff to involve.