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Lack of HIV testing and dissatisfaction with HIV testing and counselling among men having sex with men in Hungary. Eur J Public Health 2018 Aug 01;28(4):713-720

Date

11/29/2017

Pubmed ID

29182742

DOI

10.1093/eurpub/ckx200

Scopus ID

2-s2.0-85055210399 (requires institutional sign-in at Scopus site)

Abstract

BACKGROUND: Using data from a large internet-based survey of European men having sex with men (MSM), we assessed factors associated with HIV testing and reasons for dissatisfaction with HIV testing and counselling among Hungarian MSM.

METHODS: A total of 2052 Hungarian MSM provided evaluable data for the European MSM Internet Survey (EMIS) in 2010. χ2 tests and Poisson regression with a robust variance estimator were used to assess factors associated with HIV testing and dissatisfaction with HIV testing and counselling.

RESULTS: A total of 42.1% of MSM reported never being testing for HIV. Over one-half of men (54.1%) who reported condomless anal intercourse (CAI) in the prior 12 months with a person of unknown or sero-discordant HIV status reported no lifetime HIV testing. The factor most strongly associated with dissatisfaction with HIV testing and counselling was test site with increased dissatisfaction with inpatient hospital settings vs. community-based organizations. Both lack of HIV testing and dissatisfaction with testing were independently associated with MSM who reported that no one, or only a few people, knew they were attracted to men.

CONCLUSIONS: Lack of HIV testing was strongly associated with CAI. MSM reported that community-based organizations better supported confidentiality and were more respectful during HIV testing.

Author List

Nyitray AG, Bagyinszky F, Ross MW, Schmidt AJ

Author

Alan Nyitray PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Aged
Attitude to Health
Counseling
HIV Infections
Homosexuality, Male
Humans
Hungary
Male
Mass Screening
Middle Aged
Patient Satisfaction
Sexual Behavior
Surveys and Questionnaires
Young Adult