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“We have to generate a new sense of urgency,” he said.

Overall, though, a characteristic of the young is to think they’re invincible, Fenton added.

Lawrence Stallworth II, 20, of Cleveland, can attest that they’re not. He learned he was infected with HIV at age 17, when he was a high school senior, after a hospitalization. A black gay man, he’s among one of the nation’s highest-risk groups.

He’s now an Ohio AIDS activist who works to teach young people that they need to protect themselves, and how.

“I want people to have the tools to keep themselves safe,” said Stallworth, who is working with the nonprofit Advocates for Youth to declare a National Youth HIV & AIDS Awareness Day in April to increase young people’s knowledge about their risk.

Part of that involves society getting “better at being more open about being able to talk about sex,” Stallworth said. “It’s still a taboo issue.”

The CDC recommends that everyone in the U.S. ages 13 to 65 be tested for HIV at least once. Those at increased risk _ such as people who have multiple sex partners or men who have sex with men _ should be tested more frequently, at least once a year.

In South Carolina, 18-year-old Quinandria Lee offers an example of the safe sex practices that CDC says more young people should adopt.

Lee was frustrated at her school’s abstinence-only focus. She learned about both male and female condoms from the South Carolina Contraceptive Campaign, and last year her principal allowed her to teach her classmates about them. Condoms are the only contraceptives that also protect against HIV infection.

But Lee credits her mother’s frank talk about sex for this key protective step: Lee persuaded her boyfriend to go with her to a clinic where both got a clean bill of health before they ever had sex. Still, they use a condom every time.

“It’s hard,” she said of that get-tested conversation. But “you can’t be too sure.”