Evaluating psychometric determinants of willingness to adopt sexual health patient portal services among black college students: A mixed-methods approach

<strong>Objectives:</strong> To describe, using mixed-methods, perceptions of access to sexually transmitted infection test results via electronic personal health record (PHR) and correlates of willingness to adopt its use. <strong>Participants:</strong> Students at a mid-Atlantic historically black college. <strong>Methods:</strong> Focus-groups and interviews were conducted to explore themes on sexual health-related PHR-use (<em>N</em>&thinsp;=&thinsp;35). Codes were operationalized into survey measures assessing beliefs in a cross-sectional sample (<em>N</em>&thinsp;=&thinsp;354). Exploratory factor analysis identified latent factors among survey items. Multiple logistic regression models measured correlates of adoption willingness. <strong>Results:</strong> Three qualitative themes emerged on relative advantages, barriers, and functionality of PHRs. 57.6% of survey participants were willing to use PHRs for sexual health services. Reliable latent factors, centering on PHR convenience and functionality, were positively associated with adoption willingness. <strong>Conclusions</strong>: Data highlights interest among black college-age youth in adopting PHRs for comprehensive sexual health-related services. Adoption may be boosted with tailored designs responsive to expressed service needs.