There is limited research about HIV testing and pre-exposure prophylaxis (PrEP) use among African-American (AA) college students. If students become aware of their HIV status, they may consider HIV testing services and treatments. Participants (n = 212) were surveyed to study whether health literacy level and perception of risk influence students' decisions to seek health services. It was hypothesized that students with high health literacy will be more likely to test and use PrEP. It was also hypothesized that components of the health belief model are predictors of intention to test and use PrEP. No significant relationship was found between health literacy level and intention to seek HIV testing or use PrEP. Multiple regression analyses showed that perceived barriers was the most signficant predictor of not seeking HIV testing and PrEP (p = .001). This study has implications for culturally relevant interventions to reduce new infections in African American college populations.
