Predictors of HIV and STI testing among sexually active Black adolescents: Results from YRBSS 2019–2021

Black adolescents in the U.S. are disproportionately impacted by HIV and sexually transmitted infections (STIs), with gender differences in testing behaviors. This study examined predictors of HIV and STI testing among sexually active Black adolescents using data from the 2021 Youth Risk Behavioral Surveillance System. Weighted regression models assessed the odds of lifetime HIV and STI testing, with predictors including substance use before sex, condom use, forced intercourse, and current use of e-cigarettes, alcohol, and cannabis, adjusting for sex and age. The sample included 394 sexually active Black adolescents; mean age 16 years, 55% male. Results showed higher testing for those with more sexual partners and current substance users, with substance type influencing testing behaviors. Males had significantly higher odds of testing than females. E-cigarette use emerged as a novel factor influencing testing indicating how nicotine consumption trends may impact preventative health measures and risk assessment among youth.