Evaluating psychometric determinants of willingness to adopt sexual health patient portal services among black college students: A mixed-methods approach

Kevon Mark P. Jackman, Lisa Hightow-Weidman, Tonia Poteat, Andrea L. Wirtz, Jeremy C. Kane, Stefan D. Baral

Research output: Contribution to journalArticle


Objectives: To describe, using mixed-methods, perceptions of access to sexually transmitted infection test results via electronic personal health record (PHR) and correlates of willingness to adopt its use. Participants: Students at a mid-Atlantic historically black college. Methods: Focus-groups and interviews were conducted to explore themes on sexual health-related PHR-use (N = 35). Codes were operationalized into survey measures assessing beliefs in a cross-sectional sample (N = 354). Exploratory factor analysis identified latent factors among survey items. Multiple logistic regression models measured correlates of adoption willingness. Results: Three qualitative themes emerged on relative advantages, barriers, and functionality of PHRs. 57.6% of survey participants were willing to use PHRs for sexual health services. Reliable latent factors, centering on PHR convenience and functionality, were positively associated with adoption willingness. Conclusions: Data highlights interest among black college-age youth in adopting PHRs for comprehensive sexual health-related services. Adoption may be boosted with tailored designs responsive to expressed service needs.

Original languageEnglish (US)
JournalJournal of American College Health
StateAccepted/In press - Jan 1 2019



  • Health disparities
  • Health IT
  • HIV/STIs
  • minority youth
  • patient portal adoption

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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