scholarly journals HIV Prevention Services and Testing Utilization Behaviors among Men Who Have Sex with Men at Elevated Risk for HIV in Chongqing, China

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Dayong Huang ◽  
Yifei Hu ◽  
Guohui Wu ◽  
Yujiang Jia ◽  
Rongrong Lu ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Hiv Testing ◽  
Sexual Debut ◽  
Full Time ◽  
Syphilis Infection ◽  
Prevention Services ◽  
The Past ◽  
Younger Age ◽  
Sex With Men ◽  
Hiv Aids

Objective. To investigate barriers and correlates of the use of HIV prevention services and HIV testing behaviors among men who have sex with men in Chongqing.Methods. Three consecutive cross-sectional surveys provided demographic, sexual behavior, HIV/syphilis infection, HIV prevention service, and testing behavior data.Results. Of 1239 participants, 15.4% were infected with HIV, incidence was 12.3 per 100 persons/year (95% CI: 9.2–15.3), 38% of the participants reported ever having unprotected insertive anal sex, 40% ever received free condom/lubricants in the past year, and 27.7% ever obtained free sexually transmitted infection examination/treatment in the past year. Multivariable logistic regression revealed that lower levels of HIV/AIDS related stigmatizing/discriminatory attitudes, full-time jobs, and sex debut with men at a younger age were independently associated with use of free condom/lubricants. Large social networks, higher incomes, and sexual debut with men at a younger age were associated with use of any HIV prevention and HIV testing services. Lower levels of stigmatizing/discriminatory attitudes were also associated with HIV testing. Fearing needles and being unaware of the venues for testing were top barriers for testing service utilization.Conclusion. It is imperative to address HIV/AIDS related stigmatizing/discriminatory attitudes and other barriers while delivering intervention and testing services.

scholarly journals What happens after HIV self-testing? Results from a longitudinal cohort of Chinese men who have sex with men

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Weiming Tang ◽  
Wenting Huang ◽  
Haidong Lu ◽  
Bolin Cao ◽  
Dan Wu ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Condom Use ◽  
Hiv Testing ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Longitudinal Cohort ◽  
Prevention Services ◽  
Self Testing ◽  
Hiv Test ◽  
Sex With Men

Abstract Background HIV self-testing (HIVST) is a promising approach to expand HIV testing. HIVST is a process in which a person performs an HIV test and interprets the result. Negative HIVST results may encourage men who have sex with men (MSM) to use HIV prevention services. The objective of this study was to examine behaviors (e.g., facility-based HIV testing, condom use) after a negative HIVST test result among Chinese MSM. Methods We collected data from MSM in eight Chinese cities over a 12-month period. This is a secondary analysis of longitudinal cohort data collected as part of an intervention trial to increase HIV testing. Men completed a survey that described sociodemographic information, sexual behaviors, HIV self-testing, and facility-based HIV testing. Men who completed at least one follow-up survey were included in this analysis. Generalized linear mixed models were used to evaluate whether HIVST increased subsequent facility-based HIV testing and consistent condom use. Results We included 1219 men. Most men (78.7%) were under 30 years old and had never been married (87.0%). 755 (61.9%) men tested for HIV and 593 (49.3%) men self-tested during the study period. At baseline, among men who had never been tested for HIV, 44.9% (314/699) initiated HIVST during the study period. HIVST was associated with subsequent facility-based testing (aOR of 1.87, 95% CI: 1.47–2.37). HIVST was also associated with subsequent consistent condom use (aOR = 1.53, 95% CI: 1.13–2.06). Conclusion HIVST was associated with subsequent facility-based HIV testing and consistent condom use. HIVST may enhance uptake of related HIV prevention services at facilities, suggesting the need for more implementation research.

scholarly journals Enhancing HIV Prevention Services: Exploring Psychosocial Associations of HIV Antibody Testing Frequency among Sexually Active Men who have Sex with Men

2021 ◽  
Vol 9 (4) ◽  
Author(s):  
Todd Sabato
Keyword(s):  
Hiv Prevention ◽  
Hiv Testing ◽  
Internalized Homophobia ◽  
Anal Intercourse ◽  
Receptive Anal Intercourse ◽  
Sexually Active ◽  
Antibody Testing ◽  
Prevention Services ◽  
Testing Frequency ◽  
Sex With Men

Despite recommendations of annual HIV testing for high-risk individuals, one-third of infected men who have sex with men (MSM) are unaware of their serostatus. In an effort to improve HIV prevention services and subsequently decrease prevalence, this study aimed to examine the HIV testing patterns and factors associated with testing frequency among MSM. Utilizing eight reliable and validated instruments and a sample of 374 sexually active MSM, this study examined a series of demographic, behavioral and psychosocial associations of antibody testing frequency, including substance use/abuse, depression levels, internalized homophobia, unprotected anal intercourse, sexual regulation and attribution, and HIV knowledge, . MSM who tested for HIV frequently were more likely to be older, have higher levels of educational attainment, and self-identify as gay. Respondents who reported never having been tested and irregularly tested had higher levels of internalized homophobia, depression, and alcohol use and abuse patterns. Respondents who had never been tested or infrequently tested engaged in lower levels of sexual risk, particularly unprotected receptive anal intercourse. Those with no or irregular histories of testing also exhibited greater external sexual loci of control, and were significantly more likely to attribute life events to external, unstable, and pessimistic causes.

scholarly journals HIV Prioritization and Risk Perception Among an Online Sample of Men Who Have Sex With Men in the United States

2018 ◽  
Vol 12 (4) ◽  
pp. 676-687 ◽  
Author(s):  
Erin M. Kahle ◽  
Akshay Sharma ◽  
Stephen P. Sullivan ◽  
Rob Stephenson
Keyword(s):  
Hiv Prevention ◽  
Hiv Testing ◽  
Risk Behavior ◽  
Hiv Risk ◽  
Perceived Risk ◽  
The United States ◽  
The Past ◽  
Hiv Test ◽  
Life Issues ◽  
Sex With Men

Men who have sex with men (MSM) may prioritize interpersonal and structural factors, such as LGBTQ-related inequalities, housing instability, financial insecurity, and relationship seeking, over HIV prevention. The aim of this study was to assess how MSM prioritize HIV relative to other factors and the association between HIV prioritization, HIV testing and sexual risk behavior, and perceived risk. Data were collected from a national online survey of MSM in the United States assessing HIV knowledge and prioritization. Participants ranked HIV prevention relative to LGBTQ-related concerns and life issues (e.g., housing, job, relationship). Adjusted regression models were conducted to assess the association of HIV prioritization with HIV testing and condomless anal sex (CAS) and to evaluate associations between perceived risk and HIV risk behavior. Among 516 participants, HIV prevention was ranked significantly higher among MSM reporting recent CAS ( p = .04) and HIV testing within the past ( p = .02); HIV prevention was prioritized higher relative to life issues among MSM reporting last HIV test more than 1 year ago ( p = .02). Perceived HIV risk was significantly associated with higher HIV prioritization relative to LGBTQ concerns ( p = .001) and life issues ( p = .001). Higher HIV perceived risk was associated with lower odds of any CAS ( p < .001) and higher odds of having an HIV test in the past year ( p < .001). In this online study, HIV prioritization was identified as differentially associated with HIV testing, sexual risk behavior, and perceived HIV risk. HIV prevention programs should integrate strategies to address social and structural inequalities based on priority needs of MSM.

Incidence and correlates of HIV and syphilis in a prospective cohort of men who have sex with men in Mianyang, China, over a 36-month period

Sexual Health ◽  
2015 ◽  
Vol 12 (6) ◽  
pp. 546 ◽  
Author(s):  
Yi Wang ◽  
Yuling Huang ◽  
Huailiang Chen ◽  
Liulin Li ◽  
Jie Xu ◽  
...  
Keyword(s):  
Transmitted Disease ◽  
Peer Education ◽  
Sexual Partners ◽  
Incidence Density ◽  
Snowball Sampling ◽  
Syphilis Infection ◽  
The Past ◽  
Male Sexual Partners ◽  
Sex With Men ◽  
Hiv Aids

Background Estimates for the HIV/AIDS epidemic from the China Ministry of Health show that the epidemic is spreading rapidly among men who have sex with men (MSM). Methods: Respondent-driven sampling (RDS) was adapted in 2009 and snowball sampling was adapted to supplement the number of participants in 2010 and 2011. Interviewer-administered questionnaires and blood tests were conducted to confirm enrolment eligibility of participants. Results: A total of 725 HIV-negative participants were included into the cohort study. The cohort had a HIV incidence density of 5.6 (95% CI: 3.9–7.3)/100 person-years (PY) and a syphilis incidence density of 5.6 (95% CI:3.7–7.6)/100 PY. Age ≤20 years (21–25 years, hazard ratio (HR) = 0.32, 95%CI: 0.11–0.95/ ≥ 26 years, HR = 0.17, 95%CI: 0.05–0.66), having not participated in peer education in the past year (HR = 2.96, 95%CI: 1.19–7.35), seeking male sexual partners in a public washroom/park (HR = 3.61, 95%CI: 1.03–12.47), being currently infected with syphilis (HR = 3.21, 95%CI: 1.31–7.91), having sex partners aged ≥30 years (HR = 3.40, 95%CI: 1.11–10.39) and having more than four male sexual partners within the past 6 months (HR = 3.34, 95%CI: 1.24–9.04) were found to be risk factors for HIV seroconversion (each P < 0.05). Being married (HR = 2.38, 95%CI: 1.04–5.46), having not participated in peer education in the past year (HR = 2.28, 95%CI: 1.08–4.82), having limited HIV/AIDS knowledge (HR = 4.28, 95%CI: 1.94–9.43) and having a sexually transmitted disease infection in the past 6 months (HR = 4.74, 95%CI: 1.83–12.30) were identified as factors for syphilis infection (each P < 0.05). Conclusion: The incidence rates of HIV and syphilis in Mianyang City reamained high in the cohort of MSM for 36 months. Increased attention should be given to this serious epidemic, and appropriate interventions should be implemented to address MSM-specific issues in order to prevent HIV and syphilis infection in China.

Increases in both HIV and syphilis among men who have sex with men in Vietnam: Urgent need for comprehensive responses

2021 ◽  
pp. 095646242110364
Author(s):  
Thuong V Nguyen ◽  
Hau P Tran ◽  
Nghia V Khuu ◽  
Phuc D Nguyen ◽  
Tu N Le ◽  
...  
Keyword(s):  
Sexual Debut ◽  
Temporal Trends ◽  
Consistent Condom ◽  
Test Results ◽  
Syphilis Infection ◽  
Early Sexual Debut ◽  
Sti Prevention ◽  
Factors Associated ◽  
Hiv Test ◽  
Sex With Men

The objective of this study was to determine the temporal trends and factors associated with HIV and syphilis infection among men who have sex with men (MSM) in southern Vietnam. Data from the 2014–2018 national HIV sentinel surveillance of MSM aged 16 years or older were collected from three provinces, including An Giang ( N = 761), Can Tho ( N = 900), and Ho Chi Minh City ( N = 1426), and examined for changes in prevalence rates of HIV and syphilis and risk behaviors over time. Multivariate logistic regression was performed to assess the trends and correlates of HIV and syphilis infections among MSM. There were upward trends for HIV (9.5% in 2014 to 14.2% in 2018, p-trend<0.01), syphilis (4.9% in 2014 to 8.0% 2018, p-trend<0.01), and HIV/syphilis co-infection (1.9% in 2014 to 3.1% in 2018, p-trend=0.01). Factors associated with HIV infection included place of residence, early sexual debut, consistent condom use and not engaging in anal sex during the past month, not knowing one’s HIV test results, having ever injected drugs, and having active syphilis. Additionally, early sexual debut and being HIV positive were associated with syphilis infection. Rising prevalences of these infections among MSM suggests an urgent need for comprehensive intervention packages for HIV/STI prevention.

scholarly journals Birth Cohort Variations Across Functional Knowledge of HIV Prevention Strategies, Perceived Risk, and HIV-Associated Behaviors Among Gay, Bisexual, and Other Men Who Have Sex With Men in the United States

2018 ◽  
Vol 12 (6) ◽  
pp. 1824-1834 ◽  
Author(s):  
Akshay Sharma ◽  
Erin M. Kahle ◽  
Stephen P. Sullivan ◽  
Rob Stephenson
Keyword(s):  
Hiv Prevention ◽  
Birth Cohort ◽  
Perceived Risk ◽  
The United States ◽  
Prevention Strategies ◽  
The Past ◽  
Hiv Prevention Strategies ◽  
Functional Knowledge ◽  
Sex With Men ◽  
Exposure Prophylaxis

Gay, bisexual, and other men who have sex with men (GBMSM) in the United States remain heavily impacted by HIV. The purpose of this study was to describe intergenerational differences in functional knowledge of HIV prevention strategies, perceived risk, recent condomless anal sex (CAS), and HIV testing behavior. Eight hundred sexually active GBMSM were recruited via Facebook from August to September 2015, and administered a Web-based survey which included 12 multiple-choice questions to elicit data regarding functional knowledge of different HIV prevention approaches (e.g., condom use, pre-exposure prophylaxis post-exposure prophylaxis, treatment as prevention, circumcision). Cumulative logit and multivariable logistic models were formulated to examine birth cohort variations across four analytic outcomes. Younger generations were significantly more knowledgeable, as were GBMSM with higher education. Non-Hispanic non-White GBMSM and those reporting a bisexual/other sexual orientation had lower functional knowledge. Younger generations were equally concerned about contracting HIV as their older counterparts. Perceived risk was significantly higher among non-Hispanic non-White and Hispanic GBMSM, but lower among those with higher education and those in a relationship. Finally, birth cohort variations with respect to engaging in CAS with ≥2 men in the past 3 months and testing for HIV in the past year were not markedly pronounced. Younger GBMSM might be more knowledgeable about HIV prevention strategies compared to their predecessors, but are equally concerned about contracting HIV. Researchers and practitioners should consider intergenerational and other demographic differences while designing multifaceted HIV prevention programs for GBMSM.

scholarly journals Inequities in access to HIV prevention services for transgender men: results of a global survey of men who have sex with men

2016 ◽  
Vol 19 ◽  
pp. 20779 ◽  
Author(s):  
Ayden I Scheim ◽  
Glenn-Milo Santos ◽  
Sonya Arreola ◽  
Keletso Makofane ◽  
Tri D Do ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Global Survey ◽  
Prevention Services ◽  
Sex With Men ◽  
Transgender Men

scholarly journals The Effectiveness of Electronic Health Interventions for Promoting HIV-Preventive Behaviors Among Men Who Have Sex With Men: Meta-Analysis Based on an Integrative Framework of Design and Implementation Features (Preprint)

2019 ◽  
Author(s):  
Meiqi Xin ◽  
Kasisomayajula Viswanath ◽  
Angela Yuen-Chun Li ◽  
Wangnan CAO ◽  
Yuhong HU ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Hiv Testing ◽  
Treatment Duration ◽  
Meta Analysis ◽  
Preventive Behaviors ◽  
Intervention Effects ◽  
Design And Implementation ◽  
Intervention Adherence ◽  
Electronic Health ◽  
Sex With Men

BACKGROUND The disproportionately high prevalence of HIV among men who have sex with men (MSM) is a global concern. Despite the increasing utilization of electronic health (eHealth) technology in the delivery of HIV prevention interventions, few studies have systematically explored its effectiveness and association with various intervention characteristics. OBJECTIVE This study aimed to conduct a meta-analysis of the effectiveness of eHealth technology–based interventions for promoting HIV-preventive behaviors among MSM and to determine effectiveness predictors within a framework integrating design and implementation features. METHODS A systematic literature search using terms related to eHealth technology, HIV, the MSM population, and an experimental study design was performed using 5 databases (ie, MEDLINE, PsycINFO, EMBASE, Web of Science, and ProQuest Dissertations &amp; Theses) and other sources (eg, bibliographies of relevant reviews and JMIR Publications). First, primary meta-analyses were conducted to estimate the effectiveness of eHealth interventions (<i>d</i><sub>+</sub>) in changing 3 HIV-preventive behaviors among MSM: unprotected anal intercourse (UAI), HIV testing, and multiple sex partnership (MSP). Moderation analyses were then conducted to examine a priori effectiveness predictors including behavioral treatment components (eg, theory use, tailoring strategy use, navigation style, and treatment duration), eHealth technology components (eg, operation mode and modality type), and intervention adherence. RESULTS A total of 46 studies were included. The overall effect sizes at end point were small but significant for all outcomes (UAI: <i>d</i><sub>+</sub>=−.21, <i>P</i>&lt;.001; HIV testing: <i>d</i><sub>+</sub>=.38, <i>P</i>&lt;.001; MSP: <i>d</i><sub>+</sub>=−.26, <i>P</i>=.02). The intervention effects on UAI were significantly larger when compared with preintervention groups than with concurrent groups. Greater UAI reductions were associated with the increased use of tailoring strategies, provision of feedback, and tunneling navigation in interventions with a concurrent group, whereas reductions were associated with the use of self-paced navigation in interventions with a preintervention group. Greater uptake of HIV testing was associated with longer treatment duration; computer-mediated communication; and the use of messaging, social media, or a combined technology modality. Higher intervention adherence consistently predicted larger effects on UAI and HIV testing. CONCLUSIONS This study provided empirical evidence for the effectiveness of eHealth interventions in promoting HIV-preventive behaviors among MSM. Features of treatment content and eHealth technology might best predict the intervention effects on UAI and HIV testing, respectively. Most importantly, intervention adherence tended to play an important role in achieving better effectiveness. The findings could help inform the development of efficacious interventions for HIV prevention in the future.

scholarly journals Factors related to HIV testing frequency in MSM based on the 2011–2018 survey in Tianjin, China: a hint for risk reduction strategy

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhongquan Liu ◽  
Yang Chen ◽  
Tingting Yao ◽  
Tiantian Zhang ◽  
Desheng Song ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Cost Effective ◽  
Snowball Sampling ◽  
Logistic Analysis ◽  
Testing Frequency ◽  
Ordinal Logistic Regression Analysis ◽  
Young Msm ◽  
Sex With Men ◽  
Low Educated ◽  
Hiv Aids

Abstracts Background In recent years, HIV testing has become one of the effective strategies to reduce the risk of the infection. Frequent quarterly HIV testing can be cost effective. Therefore, an in-depth study of factors related to the testing behavior of men who have sex with men (MSM) were analyzed to optimize intervention strategies. Methods From March 2011 to October 2018, the project was implemented in a Tianjin (China) bathhouse, and 5165 MSM were surveyed using snowball sampling. Factors related to HIV testing behavior were analyzed by ordinal logistic regression analysis after grouping according to testing frequency, and comprehensive analysis was performed. Results The multivariate logistic analysis showed that 6 variables including young MSM (OR = 0.67, 95% CI: 0.49–0.92, p = 0.01), low-educated MSM (OR = 0.60, 95% CI: 0.48–0.77, p < 0.0001), low HIV/AIDS knowledge (95% CI: 0.57–0.83, p < 0.0001), marital status (OR = 1.30, 95% CI: 1.07–1.57, p = 0.007), acceptance of condom promotion and distribution (OR = 14.52, 95% CI: 12.04–17.51, p < 0.0001), and frequency of condom use (p < 0.05) could link to HIV testing behaviors. Conclusions In order to achieve the 95–95-95 goal, target publicity, HIV/AIDS education and promotion of HIV self-testing kits should be carried out to encourage frequent HIV testing among MSM who are young (especially students), married to women, poorly educated and who are reluctant to always use condoms.

scholarly journals Your Health, Your Faith: HIV prevention with African faith-based communities in Germany

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
T Gangarova ◽  
A Bakambamba
Keyword(s):  
Hiv Prevention ◽  
Hiv Diagnosis ◽  
African Countries ◽  
Educational Theatre ◽  
Prevention Services ◽  
Faith Based ◽  
African Churches ◽  
Sub Saharan ◽  
German Cities ◽  
Hiv Aids

Abstract Migrants are disproportionally affected by HIV/AIDS in Germany, with about every third new HIV diagnosis given to a person who has migrated to Germany. More than half of HIV new diagnoses among migrants are people from sub-Saharan African countries. Because infections are not just brought from the countries of origin but also occur in Germany, HIV prevention services must be better tailored to the needs of migrants. Your Health, Your Faith (2016-2018) is a community-based participatory health project that aims to improve the involvement of African faith-based communities in HIV prevention services. The project is conducted by the National AIDS Service Organization in collaboration with partners from different African communities, African pastors, AIDS service organizations (ASOs) and researchers from the Ludwig Maximilian University of Munich. Teams of African activists, African pastors and ASOs have been built in eight German cities. All partners were invited to a series of concept workshops in Berlin in order to define together prevention contents, methods and forms of cooperation. Together, they developed a concept for preaching preventive messages in church settings and scenarios for a mobile educational theatre group. To date 65 multilingual events have been held at various African churches, reaching approximately 5000 people. The results of the project has been evaluated on a multi-case basis, with quality standards being compiled for prevention events in African churches. In the course of the project, the participants designed a video that illustrates the prevention work in African Church communities. At the request of the pastors involved, a mobile training series on HIV/Aids for African pastors has been developed with the support of medical doctors. Key messages HIV prevention in African churches and cooperation between African churches, public health authorities and ASOs is possible and promising. Communication via pastors has proven useful, as have supporting theatre performances that facilitate communication about taboo subjects such as HIV/AIDS.

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