Psychological factors in association with uptake of voluntary counselling and testing for HIV among men who have sex with men in Hong Kong

Gu, Jing; Lau, Joseph T. F.; Tsui, Hi Yi

doi:10.1016/j.puhe.2011.01.010

Cited by 51 publications

(68 citation statements)

References 29 publications

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“…Individuals are offered pre-test counselling from a trained counsellor, have blood drawn for an HIV enzyme-linked immunosorbent assay test, and then receive post-testing counselling in tandem with their test results. 21 Individuals with a positive HIV enzyme-linked immunosorbent assay test are then referred to the nearby CDC for a confirmatory western blot test, but HIV VCT sites have been slow to recruit individuals 22 23 and several studies of men who have sex with men (MSM), 24 female sex workers (FSW) 25e27 and migrants 28 29 have noted infrequent attendance and poor HIV test uptake at VCT sites.…”

Section: Hiv Testing Systemsmentioning

confidence: 99%

HIV testing and care systems focused on sexually transmitted HIV in China

et al. 2012

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Background Over three-quarters of new HIV infections in China during 2009 were estimated to be from sexual transmission. Over half of those living with HIV do not know their serostatus and identifying and treating individuals with sexually transmitted HIV infection has been challenging. Objective This global assessment explores Chinese systems for detecting and treating those with HIV infection with a particular focus on groups at increased risk of sexually transmitted HIV. Methods Published literature, grey sources and non-governmental reports were reviewed to describe HIV testing and care systems in China. Results HIV testing and care in China involve several parallel health systems and have been largely successful in reaching large numbers of vulnerable individuals. Provider-initiated testing and counselling has been more effective than voluntary counselling and testing programmes for expanding HIV testing efforts in China. Individuals with sexually transmitted HIV infection are underrepresented in the antiretroviral care system compared with other high-risk groups. Conclusions Comprehensive HIV testing and care bring together a number of Chinese health systems, but there are still gaps and challenges. Research and programmes focused on HIV testing and care for those with increased sexual risk are needed.

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Section: Hiv Testing Systemsmentioning

confidence: 99%

HIV testing and care systems focused on sexually transmitted HIV in China

et al. 2012

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“…Participants were also recruited from two public beaches that were favored by gay men. This combined method has been used to recruit MSM study participants [18–20]. Peer interviewers visited these venues at different time slots during weekdays and weekends.…”

Section: Methodsmentioning

confidence: 99%

“…Previous studies have shown that many MSM recruit friends and sexual partners from the internet make recruiting this population an important step for understanding HIV-related risk behaviors. The mixed method has been used in many published studies on sexual health of MSM, including a number of local studies [18, 20] and others conducted outside Hong Kong [21, 22], and enabled us to recruit MSM of different characteristics. Banners were posted on four gay websites, which were frequently visited by MSM in Hong Kong.…”

Section: Methodsmentioning

confidence: 99%

Event-Specific Risk Factors Predicting Episodes of Unprotected Anal Intercourse with Male Nonregular Partners among Men Who Have Sex with Men Using Case-Crossover Study Design

Lau

et al. 2014

BioMed Research International

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This study investigated event-specific factors that determine episodes of unprotected and protected anal intercourse (UAI and PAI) among 215 men who have sex with men (MSM), who used condoms inconsistently with nonregular partners (NRP) in the last six months, in Hong Kong. A case-crossover study design was used. Lower likelihood of episodes involving UAI with NRP was associated with (1) five partner attributes (NRP were <35 years old, at least three previous anal sex experiences with the NRP, perception that participant and the NRP had asymmetrical sexual experience, perception that the NRP was feminine, and liking toward the NRP; OR = 0.16–0.52), (2) six situational variables (the participant having had UAI with another man in the last week, having discussed condom use, perception that the NRP liked to use condom, partner's suggestion to have PAI, participant's suggestion to have PAI, and participant's plan to use condoms; OR = 0.11–0.39), and (3) four environmental/setting variables (condoms already placed at the venue, display of condom use promotion materials, participant's possession of a condom, and the NRP possessed a condom; OR = 0.27–0.45). HIV prevention targeting MSM should focus on event-specific protective factors, which may be different from those obtained from studies distinguishing condom users versus nonusers.

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“…We measured anticipated HIV stigma [32], HIV testing social norms [33], HIV testing selfefficacy [34] and community engagement as continuous outcomes. The 7-item anticipated HIV stigma scale asked participants about their own feelings about themselves if they had HIV as well as perceived discriminating attitudes from other people.…”

Section: Continuous Outcomesmentioning

confidence: 99%