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Confidentiality-promoting state laws and sex differences in HIV testing among sexually experienced U.S. high school students.

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Title: Confidentiality-promoting state laws and sex differences in HIV testing among sexually experienced U.S. high school students.
Authors: Aivadyan, Christina, El-Bassel, Nabila, Chang, Mingway, Philbin, Morgan, Wu, Elwin
Source: AIDS Care. Jun2025, Vol. 37 Issue 6, p901-913. 13p.
Subjects: Medical ethics laws, Right of privacy, Diagnosis of HIV infections, HIV prevention, Statistical models, Research funding, Psychology of high school students, Sex distribution, Multiple regression analysis, Sexual orientation identity, Chi-squared test, Descriptive statistics, Odds ratio, Sexual intercourse, Medical screening, Data analysis software, Confidence intervals, Adolescence
Geographic Terms: United States
Abstract: Confidentiality concerns are a well-established barrier to sexual health services for adolescents. Given that gender is one of the most salient factors associated with adolescent HIV testing, we examined whether associations between confidentiality-promoting state laws (i.e., states that explicitly allowed minors to consent to HIV testing, did not have an age clause which set a minimum age to consent to sexual health services, did not permit parental notification, had confidentiality protections for insured dependents) and lifetime HIV testing varied between sexually experienced male and female high school students in the 2019 state-level Youth Risk Behavior Surveillance System (N = 46,444). In most cases, females were more likely than males to test for HIV – regardless of whether laws were confidentiality-promoting. Males were significantly more likely to report HIV testing in states that explicitly allowed minors to consent to HIV testing, did not permit parental notification, or had confidentiality protections for insured dependents. Females were significantly less likely to report HIV testing in states that had confidentiality protections for insured dependents. Findings suggest that the potential impact of confidentiality-promoting state laws on adolescent HIV testing may vary substantially by sex, and that certain laws may facilitate HIV testing for male adolescents in particular. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Confidentiality-promoting state laws and sex differences in HIV testing among sexually experienced U.S. high school students.
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Jun2025, Vol. 37 Issue 6, p901-913. 13p.
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  Data: Confidentiality concerns are a well-established barrier to sexual health services for adolescents. Given that gender is one of the most salient factors associated with adolescent HIV testing, we examined whether associations between confidentiality-promoting state laws (i.e., states that explicitly allowed minors to consent to HIV testing, did not have an age clause which set a minimum age to consent to sexual health services, did not permit parental notification, had confidentiality protections for insured dependents) and lifetime HIV testing varied between sexually experienced male and female high school students in the 2019 state-level Youth Risk Behavior Surveillance System (N = 46,444). In most cases, females were more likely than males to test for HIV – regardless of whether laws were confidentiality-promoting. Males were significantly more likely to report HIV testing in states that explicitly allowed minors to consent to HIV testing, did not permit parental notification, or had confidentiality protections for insured dependents. Females were significantly less likely to report HIV testing in states that had confidentiality protections for insured dependents. Findings suggest that the potential impact of confidentiality-promoting state laws on adolescent HIV testing may vary substantially by sex, and that certain laws may facilitate HIV testing for male adolescents in particular. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=185944245
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2025.2473945
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 901
    Subjects:
      – SubjectFull: Medical ethics laws
        Type: general
      – SubjectFull: Right of privacy
        Type: general
      – SubjectFull: Diagnosis of HIV infections
        Type: general
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: Statistical models
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Psychology of high school students
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Sexual orientation identity
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Sexual intercourse
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Confidentiality-promoting state laws and sex differences in HIV testing among sexually experienced U.S. high school students.
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            NameFull: Aivadyan, Christina
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            NameFull: Chang, Mingway
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              M: 06
              Text: Jun2025
              Type: published
              Y: 2025
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