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

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.

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Correlates of HIV Testing Frequency in MSM Based on a Survey from 2011-2018: A Hint for Risk Reduction Strategy

10.21203/rs.3.rs-108687/v1 ◽

2020 ◽

Author(s):

Zhongquan Liu ◽

Yang Chen ◽

Tingting Yao ◽

Tiantian Zhang ◽

Desheng Song ◽

...

Keyword(s):

Hiv Testing ◽

Multiple Logistic Regression Analysis ◽

Cost Effective ◽

Snowball Sampling ◽

Logistic Analysis ◽

Testing Frequency ◽

Low Education ◽

Young Msm ◽

Depth Study ◽

Sex With Men

Abstract Background:In recent years, HIV testing has become one of the effective strategies to reduce the risk of the disease. Frequent 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 carried out in a Tianjin bathhouse, and 5165 MSM were surveyed using snowball sampling. Factors related to HIV testing behavior were analyzed by multi-level multiple 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-education MSM (OR=0.60, 95% CI: 0.47-0.76, P <0.0001), low AIDS knowledge (95% CI: 0.22-0.29, P <0.0001), marital status(OR = 1.30, 95% CI: 1.07-1.58, p = 0.007), acceptance of condom promotion and distribution(OR = 10.98, 95% CI: 8.33-14.47, p <0.0001), and frequency of condom use(p <0.05) could link to HIV testing behaviors.Conclusions:In order to achieve the 90-90-90 goal, targeted publicity and education and promote self-testing kit should be carried out to encourage frequent HIV testing, mainly including Young MSM (especially students), low-education people, married MSM and those who cannot keep using condoms during anal sex.

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A cross-sectional study of low HIV testing frequency and high-risk behaviour among men who have sex with men and transgender women in Lima, Peru

BMC Public Health ◽

10.1186/s12889-015-1730-5 ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 27

Author(s):

Sky W Lee ◽

Robert G Deiss ◽

Eddy R Segura ◽

Jesse L Clark ◽

Jordan E Lake ◽

...

Keyword(s):

High Risk ◽

Hiv Testing ◽

Risk Behaviour ◽

Cross Sectional Study ◽

Transgender Women ◽

Sectional Study ◽

Cross Sectional ◽

Testing Frequency ◽

High Risk Behaviour ◽

Sex With Men

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Barriers to Acceptance of Provider-Initiated Testing and Counseling among Men Who Have Sex with Men in Shenyang, China: A Cross-Sectional Study

BioMed Research International ◽

10.1155/2013/280969 ◽

2013 ◽

Vol 2013 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Qinghai Hu ◽

Junjie Xu ◽

Zhenxing Chu ◽

Jing Zhang ◽

Ke Yun ◽

...

Keyword(s):

Hiv Infection ◽

Hiv Testing ◽

Cross Sectional Study ◽

Multivariate Logistic Regression Model ◽

People Living With Hiv ◽

Cross Sectional ◽

Aids Knowledge ◽

Sex With Men ◽

Testing And Counseling ◽

Hiv Aids

A high prevalence of HIV infection is present among men who have sex with men (MSM) in China, but many people living with HIV or AIDS (PLWHs) are unaware of their HIV infection status. Provider-initiated HIV testing and counseling (PITC) is a streamlined model that can significantly enhance HIV detection and detect infections earlier. However, PITC has not yet been widely applied, and no studies have been conducted on MSM’s attitudes towards PITC in China. In this study, a total of 438 MSM were recruited in Shenyang city. A multivariate logistic regression model showed that certain conditions made MSM more accepting of PITC: those who had attended VCT (voluntary counseling and testing) more than three times (odds ratio [OR]: 2.95, 95% CI: 1.36–6.37), those who considered PITC beneficial for family and friends (OR: 1.91, 95% CI: 1.25–2.92), those who obtained HIV/AIDS knowledge from brochures (OR: 2.52, 95% CI: 1.64–3.87), those who obtained HIV/AIDS knowledge from the Internet (OR: 1.66, 95% CI: 1.07–2.58), and those who were highly aware of their own risk of being infected with HIV (OR: 2.84, 95% CI: 1.37–5.91). To improve acceptance of PITC among MSM in China, stronger efforts are needed to lower the psychosocial barriers to receiving PITC, to promote HIV/AIDS awareness, and to encourage the extension of HIV testing.

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HIV/AIDS-Related Stigmatizing and Discriminatory Attitudes and Recent HIV Testing Among Men Who Have Sex With Men in Beijing

AIDS and Behavior ◽

10.1007/s10461-012-0161-x ◽

2012 ◽

Vol 16 (3) ◽

pp. 499-507 ◽

Cited By ~ 44

Author(s):

Xuefeng Li ◽

Hongyan Lu ◽

Xiaoyan Ma ◽

Yanming Sun ◽

Xiong He ◽

...

Keyword(s):

Hiv Testing ◽

Sex With Men ◽

Hiv Aids

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

Medical Research Archives ◽

10.18103/mra.v9i4.2356 ◽

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.

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Barriers to HIV Testing Among Young Men Who Have Sex With Men (MSM): Experiences from Clark County, Nevada

Global Journal of Health Science ◽

10.5539/gjhs.v8n7p9 ◽

2015 ◽

Vol 8 (7) ◽

pp. 9 ◽

Cited By ~ 17

Author(s):

Jennifer R. Pharr ◽

Nancy L. Lough ◽

Echezona E. Ezeanolue

Keyword(s):

Young People ◽

Hiv Testing ◽

Group Discussion ◽

Hiv Infections ◽

Young Person ◽

Barriers And Facilitators ◽

Clark County ◽

Young Msm ◽

Fear Of Rejection ◽

Sex With Men

<p>Clark County, Nevada had a 52% increase in newly diagnosed HIV infections in young people age 13-24 with 83% of the new diagnoses in this age group being men who have sex with men (MSM). HIV testing and counseling is critical for HIV prevention, care and treatment, yet young people are the least likely to seek HIV testing. The purpose of this study was to identify barriers and facilitators to HIV testing experienced by young MSM in Clark County, Nevada.<strong> </strong>We conducted a qualitative focus group discussion to identify barriers and facilitators to HIV testing among eleven young MSM in March, 2015. The primary barrier to HIV testing identified by the group was a lack of awareness or knowledge about testing for HIV. Other barriers within the person included: fear of results, fear of rejection, and fear of disclosure. Barriers identified within the environment included: access issues, stigma, and unfriendly test environments for young people. In addition to increasing awareness, intervention to increase HIV testing among MSM young people should incorporate access to testing in environments where the adolescents are comfortable and which reduces stigma. HIV testing sites should be convenient, accessible and young person/gay friendly.</p>

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Acceptability of self-conducted home-based HIV testing among men who have sex with men in Brazil: data from an on-line survey

Cadernos de Saúde Pública ◽

10.1590/0102-311x00008913 ◽

2014 ◽

Vol 30 (4) ◽

pp. 724-734 ◽

Cited By ~ 29

Author(s):

Sheri A. Lippman ◽

André R. S. Périssé ◽

Valdiléa G. Veloso ◽

Patrick S. Sullivan ◽

Susan Buchbinder ◽

...

Keyword(s):

Hiv Testing ◽

Unprotected Sex ◽

Aids Epidemic ◽

Home Based ◽

Testing Frequency ◽

The Us ◽

On Line ◽

Line Survey ◽

Sex With Men ◽

Hiv Negative

The Brazilian HIV/AIDS epidemic is concentrated among men who have sex with men (MSM), however HIV testing rates among MSM are not commensurate with their risk. Strategies to expand early diagnosis may include use of self-conducted home-based testing kits, which are now available for purchase in the US. In April 2011 we conducted a survey with Brazilian MSM using Facebook to assess HIV testing preferences and acceptability of home-based testing. Among 356 previously tested, HIV-negative MSM, 47% reported a preference for home-based testing, 27% preferred clinic-based testing, and 26% had no preference. Less frequent testers and those who had considered testing but failed to test were more likely to prefer home-based testing. Close to 90% reported that they would use self-test kits; 62% and 54% said they would use home-based testing to make choices about unprotected sex with regular and new partners, respectively. Concerns included difficulty to understand the tests (32%) and receiving results alone (23%). Overall, home-based testing may appeal to MSM and result in increased testing frequency. Research on feasibility and utilization of self-tests in practice is needed.

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

BioMed Research International ◽

10.1155/2014/174870 ◽

2014 ◽

Vol 2014 ◽

pp. 1-10 ◽

Cited By ~ 4

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.

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