Analysis of three factors affecting regular HIV testing among men who have sex with men

ZHAO Ya-fang; WANG Xia; SHENG Yu

doi:10.16462/j.cnki.zhjbkz.2020.12.014

Volume 24 Issue 12

Jan. 2021

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ZHAO Ya-fang, WANG Xia, SHENG Yu. Analysis of three factors affecting regular HIV testing among men who have sex with men[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(12): 1433-1440. doi: 10.16462/j.cnki.zhjbkz.2020.12.014

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ZHAO Ya-fang, WANG Xia, SHENG Yu. Analysis of three factors affecting regular HIV testing among men who have sex with men[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(12): 1433-1440. doi: 10.16462/j.cnki.zhjbkz.2020.12.014

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Analysis of three factors affecting regular HIV testing among men who have sex with men

doi: 10.16462/j.cnki.zhjbkz.2020.12.014

1.
School of Nursing, Peking Union Medical College, Beijing 100144, China
2.
AIDS Institute, Wuhan Center for Disease Control and Prevention, Wuhan 430014, China

More Information

Corresponding author: SHENG Yu, E-mail: shengyumm@126.com
Received Date: 2020-07-10
Rev Recd Date: 2020-09-11
Publish Date: 2020-12-10

Abstract

Abstract

Objective Regular human immunodeficiency virus (HIV) testing is a key prevention strategy for identifying HIV infections among men who have sex with men (MSM). Informed by the theory of triadic influence, we aimed to analyze the influencing factors of regular HIV testing behavior from individual, social and environmental aspects. Methods From November 2018 to April 2019, we recruited MSM over 18 years old through both internet and face to face in Wuhan, Beijing, and other cities in China. Data on HIV test relevant behaviors, individual, social, environmental stream factors, etc were collected. Results We totally enrolled 543 MSM, 55.43% of them had HIV regular testing behavior in the past 12 months. Multivariate Logistic analysis showed that higher level perceived risk, greater self-efficacy for HIV testing, stronger HIV testing intention, younger age of first sexual intercourse, have not disclosure sexual orientation to family, and had ever tested for STD in the past 12 months were positively associated with HIV regular testing. Conclusions Proportion of HIV regular testing among MSM in China needs improvement. Findings implicated that intervention strategies should be carried out in combination with medical institutions at all levels and community-based organizations to create a positive and comfortable medical environment for HIV prevention. Comprehensive strategies should taken to combine MSM's intrapersonal changes and to encourage them to have HIV test at regular intervals.
- Men who have sex with men,
- HIV regular testing,
- Theory of Triadic Influence,
- AIDS,
- Associated factors

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References(42)

References

王毅, 李六林, 樊静, 等.男男性行为者HIV检测场所偏好及影响检测原因[J].中国艾滋病性病, 2018, 24(2):164-169. DOI: 10.13419/j.cnki.aids.2018.02.15.

Wang Y, Li LL, Fan J, et al. Where to get tested for HIV by men having sex with men and the affecting factors[J]. Chin J AIDS & STD, 2018, 24(2):164-169. DOI: 10.13419/j.cnki.aids.2018.02.15.

唐琪, 卢洪洲.艾滋病流行现状及防治策略探讨[J].复旦学报(医学版), 2017, 44(6):744-751. DOI: 10.3969/j.issn.1672-8467.2017.06.010.

Tang Q, Lu HZ. Discussion on epidemic status and control strategies of HIV/AIDS[J]. Fudan University Journal of Medical Sciences, 2017, 44(6):744-751.DOI: 10.3969/j.issn.1672-8467.2017.06.010.

Joint United Nations Program On HIV/AIDS (UNAIDS). The gap report[R]. China AIDS Response Progress Report, 2012.

Zhuang X, Peng P, Sun H, et al. Scaling up human immunodeficiency virus screening and antiretroviral therapy among men who have sex with men to achieve the 90-90-90 targets in China[J]. Sexually Transmitted Diseases, 2018, 45(5):343-349. DOI: 10.1097/OLQ.0000000000000744.

Gray RT, Prestage GP, Down I, et al. Increased HIV testing will modestly reduce HIV incidence among gay men in NSW and would be acceptable if HIV testing becomes convenient[J]. PLoS One, 2013, 8(2):e55449. DOI: 10.1371/journal.pone.0055449.

WHO, UNAIDS. Guidance on provider-initiated HIV testing and counselling in health facilities[EB/OL]. (2007-07-01).

Jiang H, Hong H, Dong H, et al. HIV testing and risks of sexual behavior among HIV-Negative men who have sex with men in Ningbo, China[J]. Int J Environ Res Public Health, 2020, 17(4):1322. DOI: 10.3390/ijerph17041322.

Zou H, Hu N, Xin Q, et al. HIV testing among men who have sex with men in China: a systematic review and meta-analysis[J]. AIDS Behav, 2012, 16(7):1717-1728. DOI: 10.1007/s10461-012-0225-y.

Ajzen I. The theory of planned behavior.[J]. Organ Behav Hum Decis Process, 1991, 50(2):179-211.

Bandura A. Social foundations of thought and action: a social cognitive theory[M]. Englewood Cliffs, NJ: Prentice-Hall, 1986.

Liu Y, Qian HZ, Ruan Y, et al. Frequent HIV testing: impact on HIV risk among chinese men who have sex with men[J]. J Acquir Immune Defic Syndr, 2016, 72(4):452-461. DOI: 10.1097/QAI.0000000000001001.

Vargas SK, Konda KA, Leon SR, et al. The relationship between risk perception and frequency of HIV testing among men who have sex with men and transgender women, Lima, Peru[J]. AIDS Behav, 2018, 22(Suppl 1):26-34. DOI: 10.1007/s10461-017-2018-9.

Flay BR, Snyder F, Petraitis J. The theory of triadic influence[M] New York Jossey-Bass 2009: 451-510. New York: Jossey-Bass, 2009: 451-510.

Flay BR, Petraitis J. The theory of triadic influence: a new theory of health behavior with implications for preventive interventions[M]. Advances in Medical Sociology Connecticut JAI Press. 1994:19-44.

Davis A, Mccrimmon T, Dasgupta A, et al. Individual, social, and structural factors affecting antiretroviral therapy adherence among HIV-positive people who inject drugs in Kazakhstan[J]. The International journal on drug policy, 2018, 62:43-50. DOI: 10.1016/j.drugpo.2018.08.014.

Gwadz M, Cleland CM, Jenness SM, et al. Exploring factors associated with recent HIV testing among heterosexuals at high risk for HIV infection recruited with venue-based sampling[J]. J AIDS Clin Res, 2016, 7(2):544. DOI: 10.4172/2155-6113.1000544.

Gu J, Lau JT, Tsui H. Psychological factors in association with uptake of voluntary counselling and testing for HIV among men who have sex with men in Hong Kong[J]. Public Health, 2011, 125(5):275-282. DOI: 10.1016/j.puhe.2011.01.010.

Woolcock M N D. Social capital: implications for development theory, research, and policy.[J]. World Bank Research Observer, 2000, 15(2):225-249.

Shangani S, Naanyu V, Mwangi A, et al. Factors associated with HIV testing among men who have sex with men in Western Kenya: a cross-sectional study[J]. Int J STD AIDS, 2017, 28(2):179-187. DOI: 10.1177/0956462416638967.

Kalichman SC S L. HIV testing attitudes, AIDS stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa[J]. Sex Transm Infect, 2003, 79(6):442-447. DOI: 10.1136/sti.79.6.442.

Arndt J, Cook A, Goldenberg JL, et al. Cancer and the threat of death: the cognitive dynamics of death-thought suppression and its impact on behavioral health intentions[J]. J Pers Soc Psychol, 2007, 92(1):12-29. DOI: 10.1037/0022-3514.92.1.12.

Li R, Wang H, Pan X, et al. Prevalence of condomless anal intercourse and recent HIV testing and their associated factors among men who have sex with men in Hangzhou, China: A respondent-driven sampling survey[J]. PLoS One, 2017, 12(3):e0167730. DOI: 10.1371/journal.pone.0167730.

Katz IT, Ryu AE, Onuegbu AG, et al. Impact of HIV-related stigma on treatment adherence: systematic review and meta-synthesis[J]. J Int AIDS Socy, 2013, 16(3 Suppl 2):18640. DOI: 10.7448/IAS.16.3.18640.

Khawcharoenporn T, Mongkolkaewsub S, Naijitra C, et al. HIV risk, risk perception and uptake of HIV testing and counseling among youth men who have sex with men attending a gay sauna[J]. AIDS Res Ther, 2019, 16(1):13. DOI: 10.1186/s12981-019-0229-z.

Zhou J, Chen J, Goldsamt L, et al. HIV testing and associated factors among men who have sex with men in Changsha, China[J]. J Assoc Nurses AIDS Care, 2018;29(6):932-941. DOI: 10.1016/j.jana.2018.05.003.

黄亚阳, 马迎华, 胡翼飞, 等.我国15省大学生首次性行为发生年龄及影响因素[J].首都公共卫生, 2017, 11(3):99-102.DOI: 10.16760/j.cnki.sdggws.2017.03.003.

Huang YY, Ma YH, Hu YF, et al. Characteristics of the age at first intercourse and associated risk factors among college students in 15 provinces of China[J]. Capital Journal of Public Health, 2017, 11(3):99-102.DOI: 10.16760/j.cnki.sdggws.2017.03.003.

Qiao S, Zhou G, Li X. Disclosure of same-sex behaviors to health-care providers and uptake of HIV testing for men who have sex with men: a systematic review[J]. American Journal of Men's Health, 2018, 12(5):1197-1214. DOI: 10.1177/1557988318784149.

Joseph HA, Belcher L, Odonnell L, et al. HIV testing among sexually active Hispanic/Latino MSM in Miami-Dade County and New York City: opportunities for increasing acceptance and frequency of testing[J]. Health Promot Pract, 2014, 15(6):867-880. DOI: 10.1177/1524839914537493.

Pachankis JE, Hatzenbuehler ML, Hickson F, et al. Hidden from health: structural stigma, sexual orientation concealment, and HIV across 38 countries in the European MSM internet survey[J]. AIDS, 2015, 29(10):1239-1246. DOI: 10.1097/QAD.0000000000000724.

Cheng W, Egan J E, Liu Q, et al. Psychosocial correlates of HIV testing frequency among men who have sex with men in Guangzhou, China[J]. AIDS Behav, 2020, 24(2):363-372. DOI: 10.1007/s10461-019-02431-w.

Mcgarrity LA, Huebner DM. Is being out about sexual orientation uniformly healthy? The moderating role of socioeconomic status in a prospective study of gay and bisexual men[J]. Ann Behav Med, 2014, 47(1):28-38. DOI: 10.1007/s12160-013-9575-6.

Stuplansky NW, Liau A, Rosenberger J, et al. Young men's disclosure of same sex behaviors to healthcare providers and the impact on health: results from a US national sample of young men who have sex with men[J]. AIDS Patient Care STDS, 2017, 31(8):342-347. DOI: 10.1089/apc.2017.0011.

Veinot TC, Caldwell E, Loveluck J, et al. HIV testing behavior and social network characteristics and functions among young men who have sex with men (YMSM) in metropolitan detroit[J]. AIDS Behav, 2016, 20(11):2739-2761. DOI: 10.1007/s10461-016-1296-y.

World Health Organization. Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations - 2016 update [M]. Geneva: World Health Organization, 2016.

Bien CH, Muessig KE, Lee R, et al. HIV and syphilis testing preferences among men who have sex with men in South China: a qualitative analysis to inform sexual health services.PLoS One. 2015;10(4): e0124161. Published 2015 Apr 13. DOI: 10.1371/journal.pone.0124161.

Ong JJ, Fu H, Pan S, et al. Missed opportunities for human immunodeficiency virus and syphilis testing among men who have sex with men in China: a cross-sectional study[J]. Sexually Transmitted Diseases, 2018, 45(6):382-386. DOI: 10.1097/OLQ.0000000000000773.

Watson RJ, Fish JN, Allen A, et al. Sexual identity disclosure and awareness of HIV prevention methods among black men who have sex with men[J]. Journal of sex research, 2018, 55(8):975-983. DOI: 10.1080/00224499.2017.1375452.

Fan W, Yin L, Qian HZ, et al. HIV risk perception among HIV negative or status-unknown men who have sex with men in China[J]. Biomed Res Int, 2014:232451. DOI: 10.1155/2014/232451.

Pringle K, Merchant R C, Clark M A. Is self-perceived HIV risk congruent with reported HIV risk among traditionally lower HIV risk and prevalence adult emergency department patients? Implications for HIV testing[J]. AIDS Patient Care STDS, 2013, 27(10):573-584. DOI: 10.1089/apc.2013.0013.

Okall DO, Ondenge K, Nyambura M, et al. Men who have sex with men in Kisumu, Kenya: comfort in accessing health services and willingness to participate in HIV prevention studies[J]. Journal of homosexuality, 2014, 61(12):1712-1726. DOI: 10.1080/00918369.2014.951261.

Williams-roberts H, Chang Y, Losina E, et al. Frequent HIV testing among participants of a routine HIV testing program[J]. Virulence, 2010, 1(2):68-71. DOI: 10.4161/viru.1.2.10570.

Ncaids N, China CDC. Update on the AIDS/STD epidemic in China in May, 2018[J]. Chin J AIDS & STD, 2018, 24(7):645. DOI: 10.13419/j.cnki.aids.2018.07.01.

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