Factors associated with recent HIV testing among younger gay and bisexual men in New Zealand, 2006-2011

BMC Public Health

Cate E Dewey⁵  Alastair JS Summerlee²  Anthony J Hughes⁴  Nigel P Dickson³  Peter JW Saxton³  Nathan J Lachowsky¹ 

[1] University of Guelph, 2509 Stewart Building, OVC, 50 Stone Road East, Guelph, Ontario N1G 2W1, Canada;Department of Biomedical Science, University of Guelph, Guelph, Canada;AIDS Epidemiology Group, University of Otago, Dunedin, New Zealand;Research Analysis and Information Unit, New Zealand AIDS Foundation, Auckland, New Zealand;Centre for Public Health and Zoonoses, University of Guelph, Guelph, Canada

关键词: Health promotion;    Sexual behaviour;    New Zealand;    MSM;    Youth;    Testing;    Surveillance;    HIV/AIDS;    Gay men;   

Others  :  1131742
DOI  :  10.1186/1471-2458-14-294

 received in 2013-12-22, accepted in 2014-03-20,  发布年份 2014

【 摘 要 】

Background

Understanding HIV testing behaviour is vital to developing evidence-based policy and programming that supports optimal HIV care, support, and prevention. This has not been investigated among younger gay, bisexual, and other men who have sex with men (YMSM, aged 16-29) in New Zealand.

Methods

National HIV sociobehavioural surveillance data from 2006, 2008, and 2011 was pooled to determine the prevalence of recent HIV testing (in the last 12 months) among YMSM. Factors associated with recent testing were determined using manual backward stepwise multivariate logistic regression.

Results

Of 3,352 eligible YMSM, 1,338 (39.9%) reported a recent HIV test. In the final adjusted model, the odds of having a recent HIV test were higher for YMSM who were older, spent more time with other gay men, reported multiple sex partners, had a regular partner for 6-12 months, reported high condom use with casual partners, and disagreed that HIV is a less serious threat nowadays and that an HIV-positive man would disclose before sex. The odds of having a recent HIV test were lower for YMSM who were bisexual, recruited online, reported Pacific Islander or Asian ethnicities, reported no regular partner or one for >3 years, were insertive-only during anal intercourse with a regular partner, and who had less HIV-related knowledge.

Conclusion

A priority for HIV management should be connecting YMSM at risk of infection, but unlikely to test with appropriate testing services. New generations of YMSM require targeted, culturally relevant health promotion that provides accurate understandings about HIV transmission and prevention.

【 授权许可】

   
2014 Lachowsky et al.; licensee BioMed Central Ltd.

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