PURPOSE: To examine whether improvements have been made in the delivery of sexually transmitted infection and/or human immunodeficiency virus (STI/HIV) counseling services to teen males. METHODS: Analysis was performed using the 1995 National Survey of Adolescent Males (N = 1,729, response rate = 75%) and the 2002 National Survey of Family Growth (N = 1,121, response rate = 78%), which are two nationally representative surveys of 15-19-year-old males. Main outcome measure included discussion about STIs/HIV with a doctor/nurse. Weighted bivariate and multivariate Poisson regression analyses examined the association of outcome measures and survey year among males engaging in various types of sexual behaviors (e.g., varying partner numbers, higher risk sex) unadjusted and adjusted for sociodemographic and health care access factors. RESULTS: In 2002, STI/HIV counseling receipt in the past year was reported by one-third of males who reported three or more female partners, anal sex with female partners, or oral/anal sex with male partners. Only 26% of males reporting high-risk sex (e.g., sex with prostitute, person with HIV or often/always high with sex) reported STI/HIV counseling receipt. Overall, no improvements were found between 1995 and 2002 in STI/HIV counseling, even after controlling for sociodemographic and health care access factors. CONCLUSIONS: Mechanisms are needed to raise the importance of STI/HIV counseling services among sexually active male teens as well as to improve health care providers' delivery of these services. Copyright 2010 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
PURPOSE: To examine whether improvements have been made in the delivery of sexually transmitted infection and/or human immunodeficiency virus (STI/HIV) counseling services to teen males. METHODS: Analysis was performed using the 1995 National Survey of Adolescent Males (N = 1,729, response rate = 75%) and the 2002 National Survey of Family Growth (N = 1,121, response rate = 78%), which are two nationally representative surveys of 15-19-year-old males. Main outcome measure included discussion about STIs/HIV with a doctor/nurse. Weighted bivariate and multivariate Poisson regression analyses examined the association of outcome measures and survey year among males engaging in various types of sexual behaviors (e.g., varying partner numbers, higher risk sex) unadjusted and adjusted for sociodemographic and health care access factors. RESULTS: In 2002, STI/HIV counseling receipt in the past year was reported by one-third of males who reported three or more female partners, anal sex with female partners, or oral/anal sex with male partners. Only 26% of males reporting high-risk sex (e.g., sex with prostitute, person with HIV or often/always high with sex) reported STI/HIV counseling receipt. Overall, no improvements were found between 1995 and 2002 in STI/HIV counseling, even after controlling for sociodemographic and health care access factors. CONCLUSIONS: Mechanisms are needed to raise the importance of STI/HIV counseling services among sexually active male teens as well as to improve health care providers' delivery of these services. Copyright 2010 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
Entities:
Keywords:
Delivery of Health Care; HIV; Male; Sexually transmitted diseases
Authors: Matthew B Perkins; Peter S Jensen; James Jaccard; Peter Gollwitzer; Gabriele Oettingen; Elizabeth Pappadopulos; Kimberly E Hoagwood Journal: Psychiatr Serv Date: 2007-03 Impact factor: 3.084
Authors: Yolanda H Wimberly; Matthew Hogben; Jada Moore-Ruffin; Sandra E Moore; Yvonne Fry-Johnson Journal: J Natl Med Assoc Date: 2006-12 Impact factor: 1.798
Authors: Danice K Eaton; Laura Kann; Steve Kinchen; Shari Shanklin; James Ross; Joseph Hawkins; William A Harris; Richard Lowry; Tim McManus; David Chyen; Connie Lim; Nancy D Brener; Howell Wechsler Journal: MMWR Surveill Summ Date: 2008-06-06
Authors: Diane M Straub; Renata Arrington-Sanders; D Robert Harris; Nancy Willard; Bill Kapogiannis; Patricia Emmanuel; Donna Futterman; Jonathan M Ellen Journal: Sex Transm Dis Date: 2011-08 Impact factor: 2.830
Authors: Arik V Marcell; Anthony R Morgan; Renata Sanders; Nicole Lunardi; Nanlesta A Pilgrim; Jacky M Jennings; Kathleen R Page; Penny S Loosier; Patricia J Dittus Journal: J Adolesc Health Date: 2017-01-05 Impact factor: 5.012
Authors: Arik V Marcell; Susannah E Gibbs; Nanlesta A Pilgrim; Kathleen R Page; Renata Arrington-Sanders; Jacky M Jennings; Penny S Loosier; Patricia J Dittus Journal: J Adolesc Health Date: 2017-11-08 Impact factor: 5.012
Authors: Stewart C Alexander; J Dennis Fortenberry; Kathryn I Pollak; Terrill Bravender; J Kelly Davis; Truls Ostbye; James A Tulsky; Rowena J Dolor; Cleveland G Shields Journal: JAMA Pediatr Date: 2014-02 Impact factor: 16.193