{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:23:53Z","timestamp":1777865033617,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,7,18]],"date-time":"2016-07-18T00:00:00Z","timestamp":1468800000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Journal of School Nursing"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:p>This study examined predictors of having received HIV and sexually transmitted disease (STD) testing and having been referred by school staff for HIV\/STD testing. In 2014, students in seven high schools completed paper-and-pencil questionnaires assessing demographic characteristics, sexual behavior, referrals for HIV\/STD testing, and HIV\/STD testing. The analytic sample ( n = 11,303) was 50.7% female, 40.7% Hispanic\/Latino, 34.7% Black\/African American (non-Hispanic), and mean age was 15.86 ( SD = 1.22). After controlling for demographic characteristics, significant predictors of reporting having been tested for HIV or STDs were reporting having received a referral for HIV\/STD testing (odds ratio [ OR] = 3.18; 95% CI = [2.14, 4.70]) and reporting staff following-up on the referral ( OR = 3.29; 95% CI = [1.31, 8.23]). Students reporting referrals had significantly higher odds of being male ( OR = 2.49; 95% CI = [1.70, 3.65]), \u201cother\u201d or multiracial (non-Hispanic; compared to White, non-Hispanic; OR = 2.72; 95% CI = [1.35, 5.46]), sexual minority ( OR = 3.80; 95% CI = [2.57, 5.62]), and sexually experienced ( OR = 2.58; 95% CI = [1.76, 3.795]). School staff referrals with follow-up may increase HIV\/STD testing among students.<\/jats:p>","DOI":"10.1177\/1059840516658695","type":"journal-article","created":{"date-parts":[[2016,7,14]],"date-time":"2016-07-14T21:06:11Z","timestamp":1468530371000},"page":"143-153","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["The Importance of School Staff Referrals and Follow-Up in Connecting High School Students to HIV and STD Testing"],"prefix":"10.1177","volume":"33","author":[{"given":"Catherine N.","family":"Rasberry","sequence":"first","affiliation":[{"name":"Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Liddon","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan Hocevar","family":"Adkins","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine A.","family":"Lesesne","sequence":"additional","affiliation":[{"name":"ICF International, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Hebert","sequence":"additional","affiliation":[{"name":"ICF International, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Kroupa","sequence":"additional","affiliation":[{"name":"ICF International, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"India D.","family":"Rose","sequence":"additional","affiliation":[{"name":"ICF International, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elana","family":"Morris","sequence":"additional","affiliation":[{"name":"Division of HIV\/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,7,18]]},"reference":[{"key":"bibr1-1059840516658695","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-1761"},{"key":"bibr2-1059840516658695","doi-asserted-by":"publisher","DOI":"10.1363\/48e7216"},{"key":"bibr3-1059840516658695","first-page":"597","volume":"54","author":"Centers for Disease Control and Prevention","year":"2005","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"bibr4-1059840516658695","first-page":"1","volume":"55","author":"Centers for Disease Control and Prevention","year":"2006","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"bibr5-1059840516658695","first-page":"1","volume":"26","author":"Centers for Disease Control and Prevention","year":"2015","journal-title":"HIV Surveillance Report"},{"key":"bibr6-1059840516658695","unstructured":"Centers for Disease Control and Prevention. (2015b). HIV among gay and bisexual men. Retrieved February 17, 2016, from http:\/\/www.cdc.gov\/hiv\/group\/msm\/"},{"key":"bibr7-1059840516658695","unstructured":"Centers for Disease Control and Prevention. (2015c). Sexual risk behaviors: HIV, STD, & teen pregnancy prevention. Retrieved February 17, 2016, from http:\/\/www.cdc.gov\/healthyyouth\/sexualbehaviors\/index.htm"},{"key":"bibr8-1059840516658695","first-page":"1","volume":"64","author":"Centers for Disease Control and Prevention","year":"2015","journal-title":"Morbidity and Mortality Weekly Report: Recommendations and Reports"},{"key":"bibr9-1059840516658695","unstructured":"Centers for Disease Control and Prevention. (2015e, 9 1). The young men who have sex with men (YMSM) project: Reducing the risk of HIV\/STD infection. 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Developing a referral system for sexual health services: An implementation kit for education agencies. Washington, DC. 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