ArticleMMWR supplements2023
Role of the COVID-19 Pandemic on Sexual Behaviors and Receipt of Sexual and Reproductive Health Services Among U.S. High School Students - Youth Risk Behavior Survey, United States, 2019-2021.
Article in MMWR supplements, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 19 citations in OpenAlex.
- Trial
- Syndemics of complex risk factors in adolescents: findings from the youth risk behavior survey, 2021.Npj mental health research · 2026Article
- Translation, cultural adaptation, and validation of the Sexual Risk Behaviors Scale for the European Portuguese.Revista brasileira de enfermagem · 2026Observational
- Impact of COVID-19 School Learning Model on STI Testing, Diagnosis Rates, and Related Behaviors.Sexually transmitted diseases · 2025Article
- Changes in sexual behavior during the COVID-19 pandemic: insights from the General Social Survey.International journal of impotence research · 2025Article
- Adolescent Sexual Behavior, Contraceptive Use, and STI Testing during the COVID-19 Pandemic (January-June 2021).Journal of health care for the poor and underserved · 2025Article
- Predictors of HIV and STI testing among sexually active Black adolescents: results from YRBSS 2019-2021.Journal of HIV/AIDS & social services · 2025Article
- Using an intersectional life course perspective to understand familial environment and its impact on sexuality development among Asian American sexual minority college students.Culture, health & sexuality · 2024Article
- Prevalence of sexually transmitted infections (STIs) among first time visitors at STIs clinic in Hangzhou, China: Assessing the influence of the COVID-19 pandemic.Immunity, inflammation and disease · 2024Article
- Overview of the Epidemiology and Clinical Care Considerations for Adolescents and Young Adults Living with or at Risk of Human Immunodeficiency Virus.The Nursing clinics of North America · 2024Review
- Associated Factors of Sexual Initiation among Male Vocational High School Students in Zhejiang Province, China: A Cross-sectional Study.Current HIV research · 2024Article
- Overview and Methods for the Youth Risk Behavior Surveillance System - United States, 2021.MMWR supplements · 2023Article
- Parent Perspectives on E-Mentoring for Urban Youth to Address Substance Use, Violence, and Other Youth Challenges.Substance use : research and treatmentArticle
- Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Disproportionate rates of sexually transmitted diseases (STDs), including HIV, and unintended pregnancy among adolescents persist and might have been affected by the COVID-19 pandemic. This study uses 2019 and 2021 data from the nationally representative Youth Risk Behavior Surveys to characterize changes in sexual behaviors and receipt of sexual and reproductive health services among U.S. high school students before and during the pandemic. Outcomes included HIV testing (lifetime), STD testing (past 12 months), condom use (last sexual intercourse), and primary contraceptive method used to prevent pregnancy (last sexual intercourse). Except for HIV testing, all analyses were limited to currently sexually active students. Weighted prevalence and 95% CIs of outcomes for 2019 and 2021 were calculated for each year by demographics (sex [female or male], age, and race and ethnicity) and sex of sexual contacts (opposite sex only, both sexes, same sex only). For each year, pairwise t-tests with Taylor series linearization were used to identify demographic differences among outcomes. Across years, change in prevalence of outcomes was assessed by using absolute and relative measures of association overall and by demographics. During 2019-2021, the prevalence of HIV testing decreased by 3.68 percentage points, from 9.4% to 5.8%. Among sexually active students, prevalence of STD testing decreased by 5.07 percentage points, from 20.4% to 15.3%. Among sexually active students reporting opposite sex or both sexes sexual contact, intrauterine device or implant use at last sexual intercourse increased by 4.11 percentage points, from 4.8% to 8.9%, and no contraceptive method use increased by 2.74 percentage points, from 10.7% to 13.4%. Because of disruptions throughout the pandemic, results underscore the importance of improving access to a range of health services for adolescents and improving STD/HIV and unintended pregnancy prevention.
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