|An Exploration of Barriers and Facilitators of HIV Testing Uptake in Adolescents in an Urban Setting in New York City|
Cynthia Chilufya Lee
Uploaded by: Pocket Masters
Pockets: 2015 (May) Teachers College Columbia University Ed.D. Dissertations, Gottesman Libraries Archive, Historical Dissertations
Tags: adolescents, HIV prevention, HIV testing
Description/Abstract: The HIV epidemic remains a major disease burden in the United States and continues to be one of the most urgent public health issues; adolescents and young adults continue to be disproportionately affected with HIV/AIDS, and 1 in 4 new HIV infections occur in youth, ages 13-24 years. This study explored barriers and facilitators of HIV testing in adolescents in New York City. Using the four constructs of the Extended Parallel Process Model, the study utilized a 68-item HIV Knowledge survey applied through the use of an iPad. Data were analyzed using univariate and multiple regression models to explore associations between contributing and predictor variables with the outcome variable HIV testing. The most significant result of the study was that being a parent was predictive of having an HIV test. Also of significance were the three contributing factors (Risk Profile, HIV Knowledge, and Access to Healthcare), which were found to be predictors of HIV testing. To ensure that rates of HIV infections in this population decline, there needs to be culturally competent programs that will provide information about condom use, abstinence, and contraceptives, and when designing community interventions around HIV prevention and youth testing uptake, a focus on individual risk factors alone may not be adequate, and resources must be directed at understanding the epidemic’s impact on youth. Additionally, efforts to increase testing may also need to consider neighborhood context in order to use resources effectively and consider the socioeconomic factors and disparities that contribute to the epidemic.