School of Nursing Faculty Publications
Document Type
Article
Publication Date
2-2025
Abstract
This secondary analysis of the National Youth Risk Behavior Survey (years 2015-2019) examines associations between school-based protective factors (i.e., safe school environments and academic achievement) and HIV risk behaviors among sexually experienced adolescent gay and bisexual men ( n = 644), a population with the highest prevalence of undiagnosed HIV infections. Demographics included Hispanics/Latinos (25%, n = 158), Other race/ethnicity (14%, n = 88), and non-Hispanic Blacks/African Americans (13%, n = 81). Adjusted models showed that protective factors reduced odds for early sexual debut, multiple sexual partners, sex under the influence of drugs/alcohol, and condomless sex, with an additive effect demonstrated when two protective factors were present. Hispanics/Latinos had greater odds of reporting multiple sexual partners and HIV testing, indicating opportunities for school-based HIV prevention and further research. Our findings provide support for school-based programs that aim to improve social and structural determinants of health and ultimately reduce adolescent HIV burdens.
Recommended Citation
Garcia, D. R., Fletcher, J., Goldsamt, L., Bell, D. L., Zheng, Y., & Dunn Navarra, A. M. (2025). School-Based Protective Factors for HIV Prevention in the United States: Secondary Analysis of the Youth Risk Behavior Survey 2015-2019. The Journal of the Association of Nurses in AIDS Care : JANAC, 36(1), 54–68. https://doi.org/10.1097/JNC.0000000000000501
Publication Title
The Journal of the Association of Nurses in AIDS Care
DOI
10.1097/JNC.0000000000000501
Comments
Copyright © 2024 Association of Nurses in AIDS Care.
This article has a delayed release (embargo) and will be available in PMC on January 01, 2026. (An abstract of the article is available in PubMed, which may also have a link to the full text of the article at the publishing journal's website.)