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Neighborhood Violence Impacts on HIV and STI Testing Among Sexual Minority Youth in the United States.

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Title: Neighborhood Violence Impacts on HIV and STI Testing Among Sexual Minority Youth in the United States.
Authors: Takenaka, Bryce Puesta (AUTHOR), Weerakoon, Sitara M. (AUTHOR), Sobrino, Maria (AUTHOR), Bustamante, Maria Jose (AUTHOR), Nwaozuru, Ucheoma (AUTHOR), Herrera, Christian (AUTHOR), Sesenu, Fidelis (AUTHOR), Ansarizadeh, Kokeb (AUTHOR), Flores, Justino J. (AUTHOR), Johnson, Roman (AUTHOR), Opara, Ijeoma (AUTHOR)
Source: AIDS Education & Prevention. Feb2026, Vol. 38 Issue 1, p29-46. 18p.
Subjects: Diagnosis of HIV infections, Sexually transmitted disease diagnosis, Cross-sectional method, High schools, Violence, Risk-taking behavior, Research funding, Secondary analysis, T-test (Statistics), Multiple regression analysis, Psychology of LGBTQ+ people, Sexual orientation identity, Descriptive statistics, White people, Chi-squared test, Children's accident prevention, Geographic information systems, Research, Statistics, Cluster sampling, Medical screening, Sexual minorities, Data analysis software, Neighborhood characteristics, Adolescence
Geographic Terms: United States
Abstract: In the United States (U.S.), sexual minority youth (SMY) are disproportionately impacted by HIV and other sexually transmitted infections (STIs) and structurally marginalized from routine testing for HIV and STI. This study examines neighborhood violence predictors (saw violence, safety concerns, and being threatened) on HIV and STI testing among a sample of SMY in the U.S. Data came from the 2021 Youth Risk Behavioral Surveillance System (YRBSS). Weighted bivariate and multilevel logistic regressions examined the odds of ever testing for HIV and STIs in the past 12 months and neighborhood violence. Our weighted sample (n = 806) had a mean age of 16 years, majority female (80%), and identified as White (53%). SMY reported increased odds of testing for HIV and STI when witnessing someone get physically attacked, beaten, stabbed, or shot in their neighborhood, felt unsafe at school or on their way to or from school, or threatened or injured with a weapon on school property. Additionally, increased odds of testing for HIV and STIs patterned exposure to neighborhood violence among SMY who identified as male, of color (non-White), and multi-ethnoracial background. The study highlights the need for examining potential protective social-structural factors that complicate the relationship between HIV and STI testing and exposure to neighborhood violence. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Education & Prevention is the property of Guilford Publications Inc. 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: Neighborhood Violence Impacts on HIV and STI Testing Among Sexual Minority Youth in the United States.
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  Data: <searchLink fieldCode="AR" term="%22Takenaka%2C+Bryce+Puesta%22">Takenaka, Bryce Puesta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Weerakoon%2C+Sitara+M%2E%22">Weerakoon, Sitara M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sobrino%2C+Maria%22">Sobrino, Maria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bustamante%2C+Maria+Jose%22">Bustamante, Maria Jose</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nwaozuru%2C+Ucheoma%22">Nwaozuru, Ucheoma</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Herrera%2C+Christian%22">Herrera, Christian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sesenu%2C+Fidelis%22">Sesenu, Fidelis</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ansarizadeh%2C+Kokeb%22">Ansarizadeh, Kokeb</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Flores%2C+Justino+J%2E%22">Flores, Justino J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Johnson%2C+Roman%22">Johnson, Roman</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Opara%2C+Ijeoma%22">Opara, Ijeoma</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Education+%26+Prevention%22">AIDS Education & Prevention</searchLink>. Feb2026, Vol. 38 Issue 1, p29-46. 18p.
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  Data: <searchLink fieldCode="DE" term="%22Diagnosis+of+HIV+infections%22">Diagnosis of HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Sexually+transmitted+disease+diagnosis%22">Sexually transmitted disease diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22High+schools%22">High schools</searchLink><br /><searchLink fieldCode="DE" term="%22Violence%22">Violence</searchLink><br /><searchLink fieldCode="DE" term="%22Risk-taking+behavior%22">Risk-taking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+LGBTQ%2B+people%22">Psychology of LGBTQ+ people</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+orientation+identity%22">Sexual orientation identity</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22White+people%22">White people</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Children's+accident+prevention%22">Children's accident prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Geographic+information+systems%22">Geographic information systems</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Cluster+sampling%22">Cluster sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+minorities%22">Sexual minorities</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Neighborhood+characteristics%22">Neighborhood characteristics</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: In the United States (U.S.), sexual minority youth (SMY) are disproportionately impacted by HIV and other sexually transmitted infections (STIs) and structurally marginalized from routine testing for HIV and STI. This study examines neighborhood violence predictors (saw violence, safety concerns, and being threatened) on HIV and STI testing among a sample of SMY in the U.S. Data came from the 2021 Youth Risk Behavioral Surveillance System (YRBSS). Weighted bivariate and multilevel logistic regressions examined the odds of ever testing for HIV and STIs in the past 12 months and neighborhood violence. Our weighted sample (n = 806) had a mean age of 16 years, majority female (80%), and identified as White (53%). SMY reported increased odds of testing for HIV and STI when witnessing someone get physically attacked, beaten, stabbed, or shot in their neighborhood, felt unsafe at school or on their way to or from school, or threatened or injured with a weapon on school property. Additionally, increased odds of testing for HIV and STIs patterned exposure to neighborhood violence among SMY who identified as male, of color (non-White), and multi-ethnoracial background. The study highlights the need for examining potential protective social-structural factors that complicate the relationship between HIV and STI testing and exposure to neighborhood violence. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of AIDS Education & Prevention is the property of Guilford Publications Inc. 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.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1521/aeap.2026.38.1.29
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 18
        StartPage: 29
    Subjects:
      – SubjectFull: Diagnosis of HIV infections
        Type: general
      – SubjectFull: Sexually transmitted disease diagnosis
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: High schools
        Type: general
      – SubjectFull: Violence
        Type: general
      – SubjectFull: Risk-taking behavior
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Psychology of LGBTQ+ people
        Type: general
      – SubjectFull: Sexual orientation identity
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: White people
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Children's accident prevention
        Type: general
      – SubjectFull: Geographic information systems
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Cluster sampling
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Sexual minorities
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Neighborhood characteristics
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Neighborhood Violence Impacts on HIV and STI Testing Among Sexual Minority Youth in the United States.
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              Text: Feb2026
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