215063 Prevalence of human immunodeficiency virus (HIV) testing and high-risk HIV behavior among 18–22 year-old students and non-students: Results of the National Survey of Family Growth

Sunday, November 7, 2010

Mary Jo Trepka, MD, MSPH , Stempel College of Public Health and Social Work, Florida International University, Miami, FL
Sunny Kim, PhD , Department of Orthopedic Surgery, University of California-Davis School of Medicine, Sacrameno, CA
Background: This study characterized human immunodeficiency virus (HIV) testing and high-risk behavior among 18–22 year-olds by enrollment in an undergraduate education program. Methods: Data from 18–22 year-olds (n=2007) in Cycle 6 of the National Survey of Family Growth, a nationally representative survey conducted March 2002–February 2003, were analyzed using univariate and multivariate methods. Results: The estimated percentage of 18–22 year-olds ever tested for HIV excluding during blood donation was 34.2% (95% confidence interval [CI] 31.6–36.8%) and was less common among students than non-students after adjusting for age, sex, race/ethnicity and marital status (adjusted OR 0.54; 95% CI 0.40-0.73). The estimated percentage tested during the previous year was 18.1% (95% CI 16.1–20.1%), and there was no difference between students and non–students (adjusted OR 0.76; 95% CI 0.55–1.05). The estimated percentage of 18–22 year olds reporting any high-risk HIV behavior was 37.5% (95% CI 34.4%–40.5%). Of these, only 28.3% (95% CI 24.5%–32.0%) had an HIV test within the year prior to the study, and this did not vary by student status (adjusted OR 0.91; 95% CI 0.62–1.35). Conclusions: Over a third of this young adult population reported high-risk HIV behavior. Of these, less than a third was tested for HIV excluding blood donation during the year prior to the study. These results indicate that enhanced HIV testing and prevention efforts are needed for students and non-students and that HIV testing in this age group should be monitored over time.

Learning Areas:

Learning Objectives:
1. Compare HIV testing behavior between college students and non-students 2. Describe the prevalence of high-risk HIV behavior among young adults 3. Discuss the rationale for promoting HIV testing among young adults

Keywords: HIV Risk Behavior, Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract author because I am an Associate Professor of Epidemiology and also have over 6 years experience in infectious disease epidemiology and control in public health practice settings.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.