       Document 0116
 DOCN  M9640116
 TI    Trends and predictors of human immunodeficiency virus antibody testing
       by homosexual and bisexual adolescent males, 1989-1994.
 DT    9604
 AU    Povinelli M; Remafedi G; Tao G; Mayo Medical School, Rochester, Minn,
       USA.
 SO    Arch Pediatr Adolesc Med. 1996 Jan;150(1):33-8. Unique Identifier :
       AIDSLINE MED/96133235
 AB    OBJECTIVE: To identify temporal trends and predictors of human
       immunodeficiency virus (HIV) antibody testing in homosexual and bisexual
       youth, using the Health Belief Model as a conceptual framework. DESIGN:
       Cross-sectional survey. SUBJECTS: Five hundred one male volunteers, 13
       to 21 years old, self-identified as homosexual, bisexual, or as having
       sex with men, were enrolled from June 1, 1989, to May 30, 1994. METHODS:
       Structured reviews and written instruments, including measures of
       perceived susceptibility to and severity of HIV disease, benefits and
       barriers to testing, and cues to action. Based on significant (P < .001)
       bivariate association, variables were selected for forward stepwise
       logistic regression analysis. OUTCOME MEASURES: Self-reported HIV
       antibody testing. RESULTS: Forty-five percent of the subjects had
       undergone HIV antibody testing, with no significant differences between
       annual cohorts. Predictors of testing were having discussed same-sex
       feelings or experiences with a physician or counselor, a history of
       unprotected receptive anal intercourse, substance abuse, younger age at
       self-identification as bisexual or homosexual, ever having had a steady
       male partner, having many friends who understand sexual orientation,
       living away from family, and older age. CONCLUSIONS: Testing practices
       did not change significantly across time. Human immunodeficiency virus
       testing was related to age, risky behaviors, living situation, bisexual
       or homosexual acculturation, and contacts with health professionals,
       corresponding to Health Belief/Model dimensions of perceived
       susceptibility, barriers, and cues to action.
 DE    Adolescence  Adult  *Attitude to Health  AIDS
       Serodiagnosis/*PSYCHOLOGY/*TRENDS  Bisexuality/*PSYCHOLOGY  Cohort
       Studies  Cross-Sectional Studies  Homosexuality, Male/*PSYCHOLOGY  Human
       Knowledge, Attitudes, Practice  Male  Models, Psychological  Predictive
       Value of Tests  Questionnaires  Risk-Taking  Support, Non-U.S. Gov't
       Support, U.S. Gov't, P.H.S.  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

