title: Sexual health screening among racially/ethnically diverse young gay, bisexual, and other men who have sex with men.
abstract: OBJECTIVE
  Screening for sexually transmitted infections (STIs) is a crucial element of improving health and reducing disparities, and young men who have sex with men (YMSM) face high rates of both STIs and human immunodeficiency virus. We examined sexual health screening among a diverse sample of adolescent YMSM living in New York City.
  
  
  METHODS
  Between 2009 and 2011, cross-sectional data were collected from 590 YMSM in New York City. Separate multivariable logistic regression models were used to assess the relationship between sociodemographic, psychosocial, and health and healthcare related factors and two main outcomes: having sought a recent sexual health screening (past 6 months) and having a rectal sexual health screening (lifetime).
  
  
  RESULTS
  Overall, 46% reported a sexual health screening in the prior 6 months, but only 16% reported ever having a rectal screening for STIs. Rates were higher among ethnic minority YMSM and men who accessed care at clinics. Multivariable results indicated that gay community affiliation, recent unprotected anal sex, and number of lifetime male partners were also associated with seeking a recent screening.
  
  
  CONCLUSIONS
  Though half of the sample reported recent general screening, rates of lifetime rectal screening are low. Efforts to increase screening may focus on improving provider knowledge and guideline adherence, and educating and encouraging YMSM to access sexual health check-ups.
authors.affiliation: Center for Health, Identity, Behavior & Prevention Studies (CHIBPS), Steinhardt School of Culture, Education & Human Development, New York University, New York, NY, USA. des245@nyu.edu
authors.forename: Daniel E
authors.initials: DE
authors.lastname: Siconolfi
authors.forename: Farzana
authors.initials: F
authors.lastname: Kapadia
authors.forename: Perry N
authors.initials: PN
authors.lastname: Halkitis
authors.forename: Robert W
authors.initials: RW
authors.lastname: Moeller
authors.forename: Erik D
authors.initials: ED
authors.lastname: Storholm
authors.forename: Staci C
authors.initials: SC
authors.lastname: Barton
authors.forename: Todd M
authors.initials: TM
authors.lastname: Solomon
authors.forename: Donovan
authors.initials: D
authors.lastname: Jones
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D001003:Anal Canal; D001727:Bisexuality / Q000523:psychology*; D003430:Cross-Sectional Studies; D006305:Health Status Indicators; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008403:Mass Screening; D009519:New York City / Q000453:epidemiology; D000297:Psychology, Adolescent; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000453:epidemiology*; D012959:Socioeconomic Factors; D047568:Unsafe Sex