Date of Award


Document Type


Degree Name

Master of Medical Science (MMSc)

First Advisor

Michael Virata, MD


HIV infections disproportionately affect certain populations, including youth from 13 to 24 years old. This group has the highest rate of undiagnosed HIV in the United States, leading to delayed access to care and higher morbidity and mortality. The CDC recommends using opt-out HIV testing to screen for HIV. One potential venue for opt-out-screening is school-based health centers, which are uniquely poised to address adolescent’s health concerns relating to HIV. However, there is little knowledge on the effectiveness of implementing the recommended opt-out screening method in this setting. In this study, we compare the mean proportion of HIV test acceptance between targeted HIV testing to the opt-out testing strategy with adolescents attending high school-based health centers in Connecticut. This work will gain insight into the effectiveness of opt-out HIV testing in the adolescent population with the goal to decrease those who remain undiagnosed.


This thesis is restricted to Yale network users only.