Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

HIV testing among youth in a high-risk city: Prevalence, predictors, and gender differences

TitleHIV testing among youth in a high-risk city: Prevalence, predictors, and gender differences
Publication TypeJournal Article
Year of Publication2015
AuthorsDecker, MR, Rodney, R, Chung, SE, Jennings, JM, Ellen, JM, Sherman, SG
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
ISBN Number09540121 (ISSN)
KeywordsAdolescent, Adult, African American, article, Caucasian, cross-sectional study, drug marketing, Educational Status, ethnic difference, Female, Gender differences, heterosexuality, high risk population, HIV test, HIV testing, human, major clinical study, Male, Prevalence, priority journal, sex difference, sexual behavior, United States, urban area, Young Adult

While HIV is prevalent among adolescents and young adults, testing levels remain low and little is known about gender differences in HIV testing. The objectives of this study were to describe the prevalence of past-year HIV testing and evaluate associations between HIV testing and individual- and partner-level factors by gender among heterosexually experienced youth (15-24 years) in Baltimore, Maryland (N = 352). Past-year HIV testing was prevalent (60.1%) and differed by gender (69.4% among women vs. 49.6% among men, p = 0.005). For women, African-American race (AOR 3.09) and recent older partner by ≤2 years (AOR 4.04) were significantly associated with testing. Among men, only African-American race was associated with testing (OR 4.23), with no patterns identified based on risk behavior or perceived partner risk. HIV testing among adolescent and young adults was prevalent in this highly affected urban area. Findings emphasize the value of a gender lens, and provide direction for optimizing engagement in HIV testing. © 2014 Taylor & Francis.