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The Importance of School Staff Referrals and Follow-Up in Connecting High School Students to HIV and STD Testing.

The Importance of School Staff Referrals and Follow-Up in Connecting High School Students to HIV and STD Testing.
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Rasberry CN, Liddon N, Adkins SH, Lesesne CA, Hebert A, Kroupa E, Rose I, Morris E,


Rasberry CN, Liddon N, Adkins SH, Lesesne CA, Hebert A, Kroupa E, Rose I, Morris E, (click to view)

Rasberry CN, Liddon N, Adkins SH, Lesesne CA, Hebert A, Kroupa E, Rose I, Morris E,

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The Journal of school nursing : the official publication of the National Association of School Nurses 2016 7 14() pii

Abstract

This study examined predictors of having received HIV and sexually transmitted disease (STD) testing and having been referred by school staff for HIV/STD testing. In 2014, students in seven high schools completed paper-and-pencil questionnaires assessing demographic characteristics, sexual behavior, referrals for HIV/STD testing, and HIV/STD testing. The analytic sample (n = 11,303) was 50.7% female, 40.7% Hispanic/Latino, 34.7% Black/African American (non-Hispanic), and mean age was 15.86 (SD = 1.22). After controlling for demographic characteristics, significant predictors of reporting having been tested for HIV or STDs were reporting having received a referral for HIV/STD testing (odds ratio [OR] = 3.18; 95% CI = [2.14, 4.70]) and reporting staff following-up on the referral (OR = 3.29; 95% CI = [1.31, 8.23]). Students reporting referrals had significantly higher odds of being male (OR = 2.49; 95% CI = [1.70, 3.65]), "other" or multiracial (non-Hispanic; compared to White, non-Hispanic; OR = 2.72; 95% CI = [1.35, 5.46]), sexual minority (OR = 3.80; 95% CI = [2.57, 5.62]), and sexually experienced (OR = 2.58; 95% CI = [1.76, 3.795]). School staff referrals with follow-up may increase HIV/STD testing among students.

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