Correlates of STI Testing Among Vocational School Students in the Netherlands

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2010 Nov 26

PMID 21106064

Citations 17

Authors

Mireille E G Wolfers

Gerjo Kok

Johan P Mackenbach

Onno de Zwart

Affiliations

Soon will be listed here.

Abstract

Background: Adolescents are at risk for acquiring sexually transmitted infections (STIs). However, test rates among adolescents in the Netherlands are low and effective interventions that encourage STI testing are scarce. Adolescents who attend vocational schools are particularly at risk for STI. The purpose of this study is to inform the development of motivational health promotion messages by identifying the psychosocial correlates of STI testing intention among adolescents with sexual experience attending vocational schools.

Methods: This study was conducted among 501 students attending vocational schools aged 16 to 25 years (mean 18.3 years ± 2.1). Data were collected via a web-based survey exploring relationships, sexual behavior and STI testing behavior. Items measuring the psychosocial correlates of testing were derived from Fishbein's Integrative Model. Data were subjected to multiple regression analyses.

Results: Students reported substantial sexual risk behavior and low intention to participate in STI testing. The model explained 39% of intention to engage in STI testing. The most important predictor was attitude. Perceived norms, perceived susceptibility and test site characteristics were also significant predictors.

Conclusions: The present study provides important and relevant empirical input for the development of health promotion interventions aimed at motivating adolescents at vocational schools in the Netherlands to participate in STI testing. Health promotion interventions developed for this group should aim to change attitudes, address social norms and increase personal risk perception for STI while also promoting the accessibility of testing facilities.

Citing Articles

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References

Maguen S, Armistead L, Kalichman S . Predictors of HIV antibody testing among Gay, Lesbian, and bisexual youth. J Adolesc Health. 2000; 26(4):252-7. DOI: 10.1016/s1054-139x(99)00078-6. View

Cunningham S, Tschann J, Gurvey J, Fortenberry J, Ellen J . Attitudes about sexual disclosure and perceptions of stigma and shame. Sex Transm Infect. 2002; 78(5):334-8. PMC: 1744540. DOI: 10.1136/sti.78.5.334. View

van Veen M, Kramer M, Op de Coul E, van Leeuwen A, de Zwart O, van de Laar M . Disassortative sexual mixing among migrant populations in The Netherlands: a potential for HIV/STI transmission?. AIDS Care. 2009; 21(6):683-91. DOI: 10.1080/09540120802511984. View

Fishbein M . A reasoned action approach to health promotion. Med Decis Making. 2008; 28(6):834-44. PMC: 2603050. DOI: 10.1177/0272989X08326092. View

van Bergen J, Gotz H, Richardus J, Hoebe C, Broer J, Coenen A . Prevalence of urogenital Chlamydia trachomatis increases significantly with level of urbanisation and suggests targeted screening approaches: results from the first national population based study in the Netherlands. Sex Transm Infect. 2005; 81(1):17-23. PMC: 1763744. DOI: 10.1136/sti.2004.010173. View

Knussen C, Flowers P, Church S . The intentions of gay men in taking an HIV test. Cult Health Sex. 2011; 6(1):45-59. DOI: 10.1080/1369105031000152706. View

Hou S, Wisenbaker J . Using a web-based survey to assess correlates of intention towards HIV testing among never-been-tested but sexually experienced college students. AIDS Care. 2005; 17(3):329-34. DOI: 10.1080/09540120412331299816. View

Chacko M, Wiemann C, Kozinetz C, DiClemente R, Smith P, Velasquez M . New sexual partners and readiness to seek screening for chlamydia and gonorrhoea: predictors among minority young women. Sex Transm Infect. 2006; 82(1):75-9. PMC: 2563815. DOI: 10.1136/sti.2004.014118. View

Stein J, Nyamathi A . Gender differences in behavioural and psychosocial predictors of HIV testing and return for test results in a high-risk population. AIDS Care. 2000; 12(3):343-56. DOI: 10.1080/09540120050043007. View

10.

Bond L, Lauby J, Batson H . HIV testing and the role of individual- and structural-level barriers and facilitators. AIDS Care. 2005; 17(2):125-40. DOI: 10.1080/09541020512331325653. View

11.

Fortenberry J, McFarlane M, Bleakley A, Bull S, Fishbein M, Grimley D . Relationships of stigma and shame to gonorrhea and HIV screening. Am J Public Health. 2002; 92(3):378-81. PMC: 1447083. DOI: 10.2105/ajph.92.3.378. View

12.

Fishbein M . The role of theory in HIV prevention. AIDS Care. 2000; 12(3):273-8. DOI: 10.1080/09540120050042918. View

13.

Vermeer W, Bos A, Mbwambo J, Kaaya S, Schaalma H . Social and cognitive variables predicting voluntary HIV counseling and testing among Tanzanian medical students. Patient Educ Couns. 2008; 75(1):135-40. DOI: 10.1016/j.pec.2008.08.022. View

14.

Mutchler M . Making space for safer sex. AIDS Educ Prev. 2000; 12(1):1-14. View

15.

Lowery L, Chung S, Ellen J . Social support and sexually transmitted disease related healthcare utilisation in sexually experienced African-American adolescents. Sex Transm Infect. 2005; 81(1):63-6. PMC: 1763721. DOI: 10.1136/sti.2003.008920. View

16.

Kakoko D, Astrom A, Lugoe W, Lie G . Predicting intended use of voluntary HIV counselling and testing services among Tanzanian teachers using the theory of planned behaviour. Soc Sci Med. 2006; 63(4):991-9. DOI: 10.1016/j.socscimed.2006.02.016. View

17.

Sumartojo E, Lyles C, Choi K, Clark L, Collins C, Grey C . Prevalence and correlates of HIV testing in a multi-site sample of young men who have sex with men. AIDS Care. 2008; 20(1):1-14. DOI: 10.1080/09540120701450425. View

18.

Mikolajczak J, Hospers H, Kok G . Reasons for not taking an HIV-test among untested men who have sex with men: an Internet study. AIDS Behav. 2006; 10(4):431-5. DOI: 10.1007/s10461-006-9068-8. View

19.

Peralta L, Deeds B, Hipszer S, Ghalib K . Barriers and facilitators to adolescent HIV testing. AIDS Patient Care STDS. 2007; 21(6):400-8. DOI: 10.1089/apc.2006.0112. View

20.

Noar S, Cole C, Carlyle K . Condom use measurement in 56 studies of sexual risk behavior: review and recommendations. Arch Sex Behav. 2006; 35(3):327-45. DOI: 10.1007/s10508-006-9028-4. View