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Get Yourself Tested Goes to High School

Adapted Sexually Transmitted Disease Prevention Campaign and Associated Student Use of Clinic Sexually Transmitted Disease Testing Services

Liddon, Nicole, PhD*; Carver, Lisa H., MPH; Robin, Leah, PhD*; Harper, Chris R., PhD*; Murray, Colleen C., DrPH; Habel, Melissa A., MPH; Lesesne, Catherine A., PhD

Sexually Transmitted Diseases: June 2019 - Volume 46 - Issue 6 - p 383–388
doi: 10.1097/OLQ.0000000000000983
Original Studies
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Background In an attempt to increase high school students' sexually transmitted disease (STD) testing rates, the Centers for Disease Control and Prevention's Division of Adolescent and School Health partnered with ICF and Chicago Public Schools to adapt and implement the “GYT: Get Yourself Tested” health marketing campaign for a high school.

Methods Clinic 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.

Results Clinic 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).

Conclusions Our 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.

Evaluation of a pilot study Get Yourself Tested marketing campaign to increase human immunodeficiency virus and sexually transmitted disease testing in a Chicago high school.

From the *Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, GA;

Division of Health, Research, Informatics, and Technology, ICF, Atlanta GA; and

Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA

Correspondence: Nicole Liddon, PhD, Centers for Disease Control and Prevention, Atlanta, GA. E-mail: nliddon@yahoo.com;nel6@cdc.gov.

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

The project described in this report was supported by task orders 200-2013-F-57600 and 200-2015-F-87944 to ICF from the Centers for Disease Control and Prevention, Division of Adolescent and School Health.

Acknowledgements: The authors would like to thank Chicago Public Schools for their support of this pilot project. The authors namely appreciate the leadership and staff at Manley High School for opening their school to our technical assistance and evaluation efforts. Finally, this project and any future efforts stemming from our findings would not be possible without the Manley High students who contributed to both the GYT campaign planning and implementation, and our evaluation efforts.

Received for publication September 18, 2018, and accepted January 14, 2019.

© Copyright 2019 American Sexually Transmitted Diseases Association