Prevalence and correlates of HIV testing in a multi-site sample of young men who have sex with men. AIDS Care 2008 Jan;20(1):1-14
Date
02/19/2008Pubmed ID
18278609DOI
10.1080/09540120701450425Scopus ID
2-s2.0-39349089296 (requires institutional sign-in at Scopus site) 44 CitationsAbstract
This study assessed HIV testing among 2,621 urban young men who have sex with men (YMSM). Of these, 77% were men of colour, 30% reported recent unprotected anal intercourse (UAI), 22% had never tested for HIV and 71% had not tested recently. Ever testing was associated with older age (OR=1.28), being employed (OR=1.34), exposure to more types of HIV preventions (linear trend p=0.02), sex with a main partner (OR=1.92), sex with a non-main partner (OR=1.36), UAI with a non-main partner (OR=0.53), UAI in the last three months (OR=1.32), knowing a comfortable place for testing (OR=5.44) and social support (OR=1.47). Rates of ever testing increased with behavioural risk with main partners; rates were lowest for men reporting high-risk with non-main partners. Recent testing was associated with greater numbers of HIV-prevention exposures (linear trend p = <0.001), sex with a main partner (OR=1.30), knowing a comfortable place for testing (OR=2.31) and social support (OR=1.23). Findings underscore the urgency of promoting testing among YMSM, point to components for the recruitment and retention of young MSM of colour in testing programmes and highlight the need for a theory-based approach to intervention development.
Author List
Sumartojo E, Lyles C, Choi K, Clark L, Collins C, Grey CG, Lin LS, Peterson JL, Remafedi G, City Study TeamAuthor
Jeffrey A. Kelly PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Age Factors
Cross-Sectional Studies
HIV Infections
Health Behavior
Homosexuality, Male
Humans
Male
Mass Screening
Risk-Taking
Surveys and Questionnaires