title: HIV risk behaviors and testing history in historically black college and university settings.
abstract: OBJECTIVE
  From 2001 through 2005, African Americans accounted for the largest percentage of new cases of human immunodeficiency virus (HIV)/ acquired immunodeficiency syndrome (AIDS) in all age categories, especially among people aged 13 to 24 years. Although students attending historically black colleges and universities (HBCUs) report many of the behaviors that promote HIV transmission, their risk behaviors and HIV testing practices have not been well-characterized. We compared the demographic and behavioral characteristics of people who have been previously tested for HIV with those of people tested for the first time in this demonstration project to increase HIV testing at HBCUs.
  
  
  METHODS
  The Centers for Disease Control and Prevention and collaborating partners conducted rapid HIV testing and behavioral surveys at HBCUs in Arkansas, Georgia, Mississippi, and Washington, D.C., from January 2005 to April 2007. We recruited a convenience sample of students and community members at different campus venues including student health centers, dormitories, and student activity centers.
  
  
  RESULTS
  Our analysis included 5,291 people, 42% of whom reported they had never been tested for HIV. People who had been tested in the past were more likely to be older, believe they were at high risk for infection, have visited a health-care facility, and report behaviors that increased their risk of HIV infection.
  
  
  CONCLUSIONS
  Respondents who believed they were at increased risk for HIV infection or reported behaviors that increased their risk for infection were more likely to have been tested for HIV. Future research should compare actual vs. perceived risk for HIV infection and contrast how each impacts HIV testing.
authors.affiliation: Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS-E46, Atlanta, GA 30333, USA. pbt7@cdc.gov
authors.forename: Peter E
authors.initials: PE
authors.lastname: Thomas
authors.forename: Andrew C
authors.initials: AC
authors.lastname: Voetsch
authors.forename: Binwei
authors.initials: B
authors.lastname: Song
authors.forename: Denyce
authors.initials: D
authors.lastname: Calloway
authors.forename: Carolyn
authors.initials: C
authors.lastname: Goode
authors.forename: Lynette
authors.initials: L
authors.lastname: Mundey
authors.forename: Joanne
authors.initials: J
authors.lastname: Nobles
authors.forename: Kaye
authors.initials: K
authors.lastname: Sly
authors.forename: Michelle R
authors.initials: MR
authors.lastname: Smith
authors.forename: Brenda
authors.initials: B
authors.lastname: Williams
authors.forename: Mattie
authors.initials: M
authors.lastname: Shiloh
authors.forename: Kevin
authors.initials: K
authors.lastname: Patterson
authors.forename: Sybil
authors.initials: S
authors.lastname: Ward
authors.forename: Patrick S
authors.initials: PS
authors.lastname: Sullivan
authors.forename: James D
authors.initials: JD
authors.lastname: Heffelfinger
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D002487:Centers for Disease Control and Prevention, U.S.; D037001:Directive Counseling; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000635:transmission; D015438:Health Behavior; D006801:Humans; D008297:Male; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D013334:Students / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D014495:Universities / Q000706:statistics & numerical data*; D055815:Young Adult