title: Prevalence of sexually transmitted infection/human immunodeficiency virus counseling services received by teen males, 1995-2002.
abstract: OBJECTIVE
  To examine whether improvements have been made in the delivery of sexually transmitted infection and/or human immunodeficiency virus (STI/HIV) counseling services to teen males.
  
  
  METHODS
  Analysis was performed using the 1995 National Survey of Adolescent Males (N = 1,729, response rate = 75%) and the 2002 National Survey of Family Growth (N = 1,121, response rate = 78%), which are two nationally representative surveys of 15-19-year-old males. Main outcome measure included discussion about STIs/HIV with a doctor/nurse. Weighted bivariate and multivariate Poisson regression analyses examined the association of outcome measures and survey year among males engaging in various types of sexual behaviors (e.g., varying partner numbers, higher risk sex) unadjusted and adjusted for sociodemographic and health care access factors.
  
  
  RESULTS
  In 2002, STI/HIV counseling receipt in the past year was reported by one-third of males who reported three or more female partners, anal sex with female partners, or oral/anal sex with male partners. Only 26% of males reporting high-risk sex (e.g., sex with prostitute, person with HIV or often/always high with sex) reported STI/HIV counseling receipt. Overall, no improvements were found between 1995 and 2002 in STI/HIV counseling, even after controlling for sociodemographic and health care access factors.
  
  
  CONCLUSIONS
  Mechanisms are needed to raise the importance of STI/HIV counseling services among sexually active male teens as well as to improve health care providers' delivery of these services.
authors.affiliation: Department of Pediatrics, School of Medicine, The Johns Hopkins University, Baltimore, Maryland, USA. amarcell@jhsph.edu
authors.forename: Arik V
authors.initials: AV
authors.lastname: Marcell
authors.forename: David L
authors.initials: DL
authors.lastname: Bell
authors.forename: Laura D
authors.initials: LD
authors.lastname: Lindberg
authors.forename: Adel
authors.initials: A
authors.lastname: Takruri
mesh_terms: D000293:Adolescent; D003376:Counseling; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D008297:Male; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D055815:Young Adult
references.citation: Sex Transm Infect. 2005 Feb;81(1):63-6
references.pmid: 15681726
references.citation: Vital Health Stat 2. 2006 Jul;(142):1-82
references.pmid: 16999003
references.citation: J Clin Epidemiol. 1996 Sep;49(9):989-95
references.pmid: 8780606
references.citation: MMWR Surveill Summ. 2008 Jun 6;57(4):1-131
references.pmid: 18528314
references.citation: J Adolesc Health. 2005 Aug;37(2):87-93
references.pmid: 16026717
references.citation: J Natl Med Assoc. 2006 Dec;98(12):1924-9
references.pmid: 17225835
references.citation: J Pediatr Adolesc Gynecol. 2009 Apr;22(2):121-8
references.pmid: 19345918
references.citation: Psychiatr Serv. 2007 Mar;58(3):342-8
references.pmid: 17325107
references.citation: Am J Mens Health. 2010 Sep;4(3):218-30
references.pmid: 19477755
references.citation: MMWR Recomm Rep. 2006 Sep 22;55(RR-14):1-17; quiz CE1-4
references.pmid: 16988643
references.citation: J Adolesc Health. 2000 Sep;27(3):186-94
references.pmid: 10960217
references.citation: Vital Health Stat 23. 2006 May;(26):1-142
references.pmid: 16900800
references.citation: Contraception. 2009 Mar;79(3):228-35
references.pmid: 19185678
references.citation: Pediatrics. 2007 Apr;119(4):e966-75
references.pmid: 17403834
references.citation: BMC Med Res Methodol. 2003 Oct 20;3:21
references.pmid: 14567763
references.citation: Am J Public Health. 1998 Jun;88(6):956-9
references.pmid: 9618629
references.citation: Am J Public Health. 2005 Oct;95(10):1806-10
references.pmid: 16186459
references.citation: Pediatrics. 2009 Apr;123(4):e565-72
references.pmid: 19336348
references.citation: Arch Pediatr Adolesc Med. 2001 Sep;155(9):1072-3
references.pmid: 11529814
references.citation: J Sex Res. 2003 Feb;40(1):13-26
references.pmid: 12806528
references.citation: Am J Prev Med. 1999 Nov;17(4):299-308
references.pmid: 10606199
references.citation: JAMA. 1999 Oct 20;282(15):1458-65
references.pmid: 10535437
references.citation: Pediatrics. 2003 May;111(5 Pt 1):996-1001
references.pmid: 12728079
references.citation: Science. 1998 May 8;280(5365):867-73
references.pmid: 9572724
references.citation: Sex Transm Dis. 2008 Feb;35(2):167-71
references.pmid: 18090177
references.citation: Perspect Sex Reprod Health. 2007 Jun;39(2):74-81
references.pmid: 17565620
references.citation: Am J Public Health. 2002 Mar;92(3):378-81
references.pmid: 11867314
references.citation: J Adolesc Health. 1996 Oct;19(4):249-57
references.pmid: 8897102
references.citation: Adolesc Med. 2003 Oct;14(3):525-40, v
references.pmid: 15122158
references.citation: Soc Sci Med. 2004 Sep;59(5):1011-8
references.pmid: 15186901
references.citation: JAMA. 1998 Nov 18;280(19):1690-1
references.pmid: 9832001
references.citation: Am J Mens Health. 2010 Dec;4(4):297-304
references.pmid: 19477751