Repeat HIV Testing Among Hispanic Men Who Have Sex With Men—A Sign Of Risk, Prevention, or Reassurance?

University of Miami, كورال غيبلز، فلوريدا, Florida, United States
AIDS Education and Prevention (Impact Factor: 1.59). 02/2003; 15(1 Suppl A):105-16. DOI: 10.1521/aeap.
Source: PubMed


This study examined factors associated with repeat (n > or = 3 lifetime) and regular (n > or = 2 times per year, for a minimum of 1 year) HIV testing among a community sample of 538 seronegative Hispanic men who have sex with men (MSM). Bilingual staff interviewed respondents anonymously at public venues in South Florida. We compared (a) repeat testers with nonrepeat testers and (b) regular testers with nonregular testers. Results of logistic regression analyses indicated that repeat testers were more likely to be older, more educated, have a history of sexually transmitted disease, and have more sex partners than nonrepeat testers. Regular testers were more likely to be younger, have lower HIV risk perceptions, and have intentionally taken their first HIV test than were nonregular testers. They were also more likely to engage in oral sex and to only engage in 100% protected insertive anal sex. These findings suggest the importance of studying both the frequency and regularity of HIV testing behaviors, and using them to design interventions to promote testing among Hispanic MSM who are most at risk.

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    • "Among MSM, repeat testers are often younger, better educated and unmarried compared to first-time testers [7–9]. However, repeat testing is associated with several risk factors for HIV: a higher number of sexual partners [10], having ever had an STI [11], unprotected anal intercourse (UAI) [12, 13] and working as a male sex worker [14]. Additionally, in a study among MSM in seven US cities, over 75% of repeat testers who seroconverted did so within a year after their last test [13]. "
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    ABSTRACT: Introduction Little is known about HIV testing, HIV infection and sexual behaviour among bathhouse patrons in China. This study aims to assess differences in HIV prevalence and high-risk sexual behaviours between repeat and first-time testers among men who have sex with men (MSM) attending bathhouse in Tianjin, China. Methods Between March 2011 and September 2012, a HIV voluntary counselling and testing station was established in a gay bathhouse, which provided HIV testing and conducted a survey among participants recruited through snowball sampling. Differences in demographic and high-risk sexual behaviours between repeat and first-time testers were assessed using the chi-square test. Univariate and multivariate logistic regression analyses were conducted to identify predictors for HIV infection. Results Of the 1642 respondents, 699 (42.6%) were repeat testers and 943 (57.4%) were first-time testers. Among repeat testers, a higher proportion were men aged 18 to 25, single, better educated, had a history of STIs and worked as male sex workers or “money boys” (MBs). Repeat testers were less likely to report having unprotected anal intercourse in the past six months. The overall HIV prevalence was 12.4% (203/1642). There was no difference in HIV prevalence between repeat (11.2%, 78/699) and first-time (13.3%, 125/943) testers. The HIV prevalence increased with age among first-time testers (χtrend2=9.816, p=0.002). First-time MB testers had the highest HIV prevalence of 34.5%. Conclusions MSM attending bathhouse had an alarmingly high HIV infection rate, particularly in MB. Targeted interventions are urgently needed especially focusing on older MSM and MBs.
    Journal of the International AIDS Society 07/2014; 17(1):18848. DOI:10.7448/IAS.17.1.18848 · 5.09 Impact Factor
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    • "HIV testing may be measured in a number of ways when used as a research or surveillance parameter. Although “never having tested” is clearly valuable [22-24], the corollary of “ever having been tested” is less useful without an indication of the frequency of testing or the timing of the most recent test [2,25,26]. The most commonly used measure of recent HIV testing is “being tested in the previous 12 months” [7,22,27-31], which we have also chosen in order to facilitate comparisons. "
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    ABSTRACT: Understanding HIV testing behaviour is vital to developing evidence-based policy and programming that supports optimal HIV care, support, and prevention. This has not been investigated among younger gay, bisexual, and other men who have sex with men (YMSM, aged 16-29) in New Zealand. National HIV sociobehavioural surveillance data from 2006, 2008, and 2011 was pooled to determine the prevalence of recent HIV testing (in the last 12 months) among YMSM. Factors associated with recent testing were determined using manual backward stepwise multivariate logistic regression. Of 3,352 eligible YMSM, 1,338 (39.9%) reported a recent HIV test. In the final adjusted model, the odds of having a recent HIV test were higher for YMSM who were older, spent more time with other gay men, reported multiple sex partners, had a regular partner for 6-12 months, reported high condom use with casual partners, and disagreed that HIV is a less serious threat nowadays and that an HIV-positive man would disclose before sex. The odds of having a recent HIV test were lower for YMSM who were bisexual, recruited online, reported Pacific Islander or Asian ethnicities, reported no regular partner or one for >3 years, were insertive-only during anal intercourse with a regular partner, and who had less HIV-related knowledge. A priority for HIV management should be connecting YMSM at risk of infection, but unlikely to test with appropriate testing services. New generations of YMSM require targeted, culturally relevant health promotion that provides accurate understandings about HIV transmission and prevention.
    BMC Public Health 03/2014; 14(1):294. DOI:10.1186/1471-2458-14-294 · 2.26 Impact Factor
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