Abstract
Purpose
The initiation and escalation of substance use and sex behaviors is prevalent during
adolescence. School-based health centers (SBHCs) are well-equipped to provide interventions
for risky behaviors and offer sexually transmitted infection (STI) testing services.
This study examined receipt of STI testing following brief intervention (BI) among
sexually active adolescents.
Methods
This is a secondary analysis of data from a randomized trial comparing computer versus
nurse practitioner–delivered BI approaches among adolescents (ages 14–18) with risky
alcohol and/or cannabis use at two SBHCs within two urban high schools. Associations
were examined among receipt of STI testing and participant characteristics, BI format,
site, and frequency of substance use/sexual behaviors.
Results
Among sexually active participants (N = 254), 64.2% received STI testing at their
SBHC within 6 months of receiving a BI. Participants receiving nurse practitioner–delivered
BI had higher odds of getting STI testing than participants receiving computer-delivered
BI (adjusted odds ratio 2.51, 95% confidence interval 1.41–4.47, p = .002). Other variables associated with STI testing in multivariable logistic regression
included female sex (p = .001), being in a serious relationship (p = .018), and SBHC site (p < .001). Frequency of substance use and sexual risk behaviors were not independently
associated with receipt of STI testing services.
Conclusion
Sexually active adolescents who received in-person BI from a nurse practitioner were
more likely to get STI testing than adolescents who received BI via computer. Nurse
practitioners working in SBHCs can successfully engage adolescents in additional sexual
health services subsequent to BI for risky behaviors.
Keywords
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Article info
Publication history
Published online: January 22, 2022
Accepted:
November 5,
2021
Received:
February 14,
2021
Identification
Copyright
© 2021 Society for Adolescent Health and Medicine. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- School-based Health Centers, Computer-delivered Health Care, and the Value of the Warm Handoff: Optimizing Behavioral Interventions for At-risk AdolescentsJournal of Adolescent HealthVol. 70Issue 4
- PreviewThe changing landscape of health care and the rapidly shifting circumstances during the COVID-19 pandemic have challenged the delivery of health services. In striving for access and autonomy for adolescents and young adults, providers have used some unique and promising means to deliver health care. In the past decade, there has been increased application of computer-facilitated or social media–assisted health care [1]. Computerized care delivery may reduce logistical barriers, privacy concerns, cost, and time burdens to providers and patients.
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