Psychosocial Correlates of HIV Testing Frequency Among Men Who Have Sex with Men in Guangzhou, China

Cheng, Weibin; Egan, James E.; Ling, Qi; Xu, Huifang; Stall, Ron; Friedman, M. Reuel

doi:10.1007/s10461-019-02431-w

Cited by 12 publications

(8 citation statements)

References 51 publications

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“…In comparison with other areas of Mainland China, the participants in this study had taken at least one HIV test during the past year at higher rates—78.9% in Hunan—compared with those reported rates in Chongqing (58%; Zhang et al, 2013b) and Nanjing (46%; Yan et al, 2016); our rates were comparable with those in Guangzhou (81%; Cheng et al, 2019). Compared with a cross-sectional study carried out in Hunan 3 years ago, the HIV testing proportion, based on our results, has increased from 62.3% (Zhou et al, 2018) to 79% because the local CDC has actively collaborated with gay-friendly CBOs—who can offer nonjudgmental, friendly health-related services to MSM—to offer HIV testing services.…”

Section: Discussioncontrasting

confidence: 45%

Internalized Sexual Minority Stigma is Associated With HIV Testing Behavior Among Chinese Men Who Have Sex With Men: A Cross-Sectional Study

Chi

Huang

Pachankis

et al. 2020

J Assoc Nurses AIDS Care

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Although studies have examined the relationship between HIV-related stigma and HIV testing among men who have sex with men (MSM) in China, there is still a lack of knowledge regarding whether sexual minority stigma and HIV testing are associated. The purpose of this study was to identify the association between sexual minority- and HIV-related stigmas with HIV-testing behavior. A cross-sectional study was conducted in the Hunan Province of China. After controlling for covariates, the multivariate analyses showed that high internalized sexual minority stigma was negatively associated with HIV testing behavior in the previous year. However, anticipated sexual minority- and HIV-related stigmas were not associated with HIV-testing behavior. Findings suggest that internalized sexual minority stigma should be addressed in health care settings to encourage MSM to seek HIV testing services, especially considering the continuing HIV epidemic among MSM in China.

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Section: Discussioncontrasting

confidence: 45%

Internalized Sexual Minority Stigma is Associated With HIV Testing Behavior Among Chinese Men Who Have Sex With Men: A Cross-Sectional Study

Chi

Huang

Pachankis

et al. 2020

J Assoc Nurses AIDS Care

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“…8 Increasing testing uptake and frequency among at-risk populations such as MSM is critical to reaching the first UNAIDS target of 90% of all persons living with HIV becoming aware of their status. 9,10 Frequent HIV testing has been associated with a reduction in HIV risk and is an effective strategy for reducing infection rates among MSM. Current guidelines recommend annual HIV screenings for all MSM, with more frequent testing for those at greater risk of exposure.…”

Section: Introductionmentioning

confidence: 99%

“…Behavioral data suggest that high levels of unprotected anal intercourse among MSM may persist after HIV voluntary testing, and many young MSM acquire HIV within one year of their most previous antibody test. 9 These challenges suggest that regular testing to detect HIV positive status is needed to better control secondary transmission among MSM.…”

Section: Introductionmentioning

confidence: 99%

Enhancing HIV Prevention Services: Exploring Psychosocial Associations of HIV Antibody Testing Frequency among Sexually Active Men who have Sex with Men

Sabato¹

2021

MRAJ

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Despite recommendations of annual HIV testing for high-risk individuals, one-third of infected men who have sex with men (MSM) are unaware of their serostatus. In an effort to improve HIV prevention services and subsequently decrease prevalence, this study aimed to examine the HIV testing patterns and factors associated with testing frequency among MSM. Utilizing eight reliable and validated instruments and a sample of 374 sexually active MSM, this study examined a series of demographic, behavioral and psychosocial associations of antibody testing frequency, including substance use/abuse, depression levels, internalized homophobia, unprotected anal intercourse, sexual regulation and attribution, and HIV knowledge, . MSM who tested for HIV frequently were more likely to be older, have higher levels of educational attainment, and self-identify as gay. Respondents who reported never having been tested and irregularly tested had higher levels of internalized homophobia, depression, and alcohol use and abuse patterns. Respondents who had never been tested or infrequently tested engaged in lower levels of sexual risk, particularly unprotected receptive anal intercourse. Those with no or irregular histories of testing also exhibited greater external sexual loci of control, and were significantly more likely to attribute life events to external, unstable, and pessimistic causes.

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“…We defined "HIV testing frequency" via literature review [18] and from China CDC recommendations. Specifically, the four outcome variables were identified from the question "How often did you take an HIV test in the past 12 months?"…”

Section: Measures and Variablesmentioning

confidence: 99%

“…With respect to MSM, a study in Beijing showed 71% reported ever testing for HIV and 52% reported ≥ 2 HIV testing in their lifetimes [17]. Another study of MSM in Guangzhou defining frequent testers as those who did so at least twice per year found that 44.3% were tested frequently [18]. Some of psychosocial factors associated with frequent testing were having disclosed sexual orientation to non-gay friends and having lower internalized homophobia [18].…”

Section: Introductionmentioning

confidence: 99%

HIV testing frequency and associated factors among five key populations in ten cities of China: a cross-sectional study

Jiao

Wei

et al. 2022

BMC Infect Dis

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Background Regular HIV testing is the best way to detect people living with HIV promptly, yet not much is known about the characteristics of frequent, voluntary testers. This study explores factors related to HIV testing frequency among five key populations in China including men who have sex with men (MSM), female sex workers (FSWs), people who use drugs (PWUD), men who have casual sex with women (MCSW) and sero-negative partners among sero-discordant couples (SNPs). Methods We conducted a cross-sectional study in ten cities of China from November 2018 to September 2019 using convenience sampling to recruit participants. Univariate and multivariate partial proportional odds models were adopted to compare socio-behavioral factors associated with HIV testing frequencies among the five key populations. Results Among the 2022 recruited participants, 36.6% reported not testing for HIV in the past year, whereas 37.0% tested once and 26.4% tested twice. Compared with MSM, FSWs (AOR = 1.97, 95% CI: 1.36–2.86) and SNPs (AOR = 3.63, 95% CI: 2.40–5.49) were more likely to test for HIV, but MCSW (AOR = 0.23, 95% CI: 0.17–0.32) were less likely. Additionally, SNPs (AOR = 4.02, 95% CI: 2.78–5.83) were more likely to be frequent HIV testers, while FSWs (AOR = 0.49, 95% CI: 0.32–0.76) and MCSW (AOR = 0.29, 95% CI: 0.20–0.41) were less likely to be frequent testers. Factors identified as barriers to HIV testing include the following: higher education level and > 5000 CNY monthly income for FSWs; elder age and a married/cohabitating status for PWUD; reported alcohol use for MCSW; and non-Han ethnicity and non-local household for SNPs. Facilitators to frequent testing included the following: higher education level for MSM and SNPs; higher AIDS knowledge score for MSM and PWUD; > 5000 CNY monthly income for FSWs and PWUD; and reporting high-risk sexual behaviors for MSM, FSW and PWUD. Conclusions HIV testing frequencies and associated factors were not equivalent across the five key populations in China. Public health officials should take heed of the identified high-risk populations reporting high testing rates, perhaps with intensive and tailored behavioral interventions or biochemical prophylaxis.

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Psychosocial Correlates of HIV Testing Frequency Among Men Who Have Sex with Men in Guangzhou, China

Cited by 12 publications

References 51 publications

Internalized Sexual Minority Stigma is Associated With HIV Testing Behavior Among Chinese Men Who Have Sex With Men: A Cross-Sectional Study

Internalized Sexual Minority Stigma is Associated With HIV Testing Behavior Among Chinese Men Who Have Sex With Men: A Cross-Sectional Study

Enhancing HIV Prevention Services: Exploring Psychosocial Associations of HIV Antibody Testing Frequency among Sexually Active Men who have Sex with Men

HIV testing frequency and associated factors among five key populations in ten cities of China: a cross-sectional study

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