Get Yourself Tested Goes to High School: Adapted Sexually Transmitted Disease Prevention Campaign and Associated Student Use of Clinic Sexually Transmitted Disease Testing Services

BACKGROUNDIn an attempt to increase high school studentsʼ sexually transmitted disease (STD) testing rates, the Centers for Disease Control and Preventionʼs Division of Adolescent and School Health partnered with ICF and Chicago Public Schools to adapt and implement the “GYTGet Yourself Tested” heal...

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Bibliographic Details
Published in:	Sexually transmitted diseases Vol. 46; no. 6; pp. 383 - 388
Main Authors:	Liddon, Nicole, Carver, Lisa H, Robin, Leah, Harper, Chris R, Murray, Colleen C, Habel, Melissa A, Lesesne, Catherine A
Format:	Journal Article
Language:	English
Published:	United States Copyright American Sexually Transmitted Diseases Association 01-06-2019 Lippincott Williams & Wilkins Ovid Technologies
Subjects:	Adolescent Adolescent Behavior Campaigns Chicago Confidence intervals Disease control Disease transmission Female Health Knowledge, Attitudes, Practice Health Promotion - statistics & numerical data Health status HIV Human immunodeficiency virus Humans Intervention Male Marketing Mass Screening - methods Mass Screening - statistics & numerical data Medical screening Polls & surveys Prevention Program Evaluation Public schools Schools Secondary schools Self Report Sexual Behavior Sexually transmitted diseases Sexually Transmitted Diseases - prevention & control STD Students Viruses Chicago
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Summary:	BACKGROUNDIn an attempt to increase high school studentsʼ sexually transmitted disease (STD) testing rates, the Centers for Disease Control and Preventionʼs Division of Adolescent and School Health partnered with ICF and Chicago Public Schools to adapt and implement the “GYTGet Yourself Tested” health marketing campaign for a high school. METHODSClinic record data and student retrospective self-report surveys (n = 193) tested for differences between the GYT intervention school and a comparison school on a number of outcomes, including human immunodeficiency virus and STD testing. RESULTSClinic record data showed that testing increased significantly more for the intervention than the comparison school during the GYT implementation period (B, 2.9; SE, 1.1, P < 0.05). Furthermore, the odds of being tested at the referral clinic were more than 4 times (odds ratio, 4.4) as high for students in the campaign school than for those in the comparison school (95% confidence interval, 2.3–8.2). Survey data did not show increased self-reported testing but, more students in the GYT school (92.7%) were aware of where to receive free, low-cost, or affordable human immunodeficiency virus and STD testing than students in the comparison school (76.0%; P < 0.01). Among sexually experienced students (n = 142), significantly more from the campaign school reported that they intended to test for STDs in the next 3 months (48.4% strongly agree and 33.2% agree) compared with those at the comparison school (27.4% strongly agree and 32.9% agree; P < 0.05). CONCLUSIONSOur pilot suggests that a student-led GYT campaign in high schools may successfully increase STD testing of students. Although some of the findings from this pilot evaluation are promising, they are limited, and broader implementation and evaluation is needed. Future evaluation efforts can include more rigorous study designs, multiple schools or districts, longer campaign and evaluation across an entire school or calendar year, or in combination with other school-based testing strategies like a mass school-based screening event.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0148-5717 1537-4521
DOI:	10.1097/OLQ.0000000000000983