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

[2]Department of Biomedical Science, University of Guelph, Guelph, Canada

[3]AIDS Epidemiology Group, University of Otago, Dunedin, New Zealand

[4]Research Analysis and Information Unit, New Zealand AIDS Foundation, Auckland, New Zealand

[5]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.

【 参考文献 】

• [1]Gardner EM, McLees MP, Steiner JF, Del Rio C, Burman WJ: The spectrum of engagement in HIV care and its relevance to test-and-treat strategies for prevention of HIV infection. Clin Infect Dis 2011, 52(6):793-800.
• [2]Sifakis F, Hylton JB, Flynn C, Solomon L, MacKellar DA, Valleroy LA, Celentano DD: Prevalence of HIV infection and prior HIV testing among young men who have sex with men. The Baltimore young men’s survey. AIDS Behav 2010, 14(4):904-912.
• [3]MacKellar DA, Valleroy LA, Anderson JE, Behel S, Secura GM, Bingham T, Celentano DD, Koblin BA, LaLota M, Shehan D, Thiede H, Torian LV, Janssen RS: Recent HIV testing among young men who have sex with men: correlates, contexts, and HIV seroconversion. Sex Transm Dis 2006, 33(3):183-192.
• [4]Marks G, Crepaz N, Senterfitt JW, Janssen RS: Meta-analysis of high-risk sexual behavior in persons aware and unaware they are infected with HIV in the United States: implications for HIV prevention programs. J Acquir Immune Defic Syndr 2005, 39(4):446-453.
• [5]Beyrer C, Baral SD, van Griensven F, Goodreau SM, Chariyalertsak S, Wirtz AL, Brookmeyer R: Global epidemiology of HIV infection in men who have sex with men. Lancet 2012, 380(9839):367-377.
• [6]Hall HI, Walker F, Shah D, Belle E: Trends in HIV diagnoses and testing among U.S. adolescents and young adults. AIDS Behav 2012, 16(1):36-43.
• [7]Sullivan PS, Hamouda O, Delpech V, Geduld JE, Prejean J, Semaille C, Kaldor J, Folch C, Op de Coul E, Marcus U, Hughes G, Archibald CP, Cazein F, McDonald A, Casabona J, van Sighem A, Fenton KA, Annecy MSM Epidemiology Study Group: Reemergence of the HIV epidemic among men who have sex with men in North America, Western Europe, and Australia, 1996-2005. Ann Epidemiol 2009, 19(6):423-431.
• [8]van Griensven F, de Lind van Wijngaarden JW, Baral S, Grulich A: The global epidemic of HIV infection among men who have sex with men. Curr Opin HIV AIDS 2009, 4(4):300-307.
• [9]Fallon SJ, Forrest DW: Unexamined challenges to applying the treatment as prevention model among men who have sex with men in the United States: a community public health perspective. AIDS Behav 2012, 16(7):1739-1742.
• [10]Sullivan PS, Carballo-Dieguez A, Coates T, Goodreau SM, McGowan I, Sanders EJ, Smith A, Goswami P, Sanchez J: Successes and challenges of HIV prevention in men who have sex with men. Lancet 2012, 380(9839):388-399.
• [11]Centers for Disease Control and Prevention (CDC): Prevalence and awareness of HIV infection among men who have sex with men --- 21 cities, United States, 2008. MMWR Morb Mortal Wkly Rep 2010, 59(37):1201-1207.
• [12]Wilson DP, Hoare A, Regan DG, Law MG: Importance of promoting HIV testing for preventing secondary transmissions: modelling the Australian HIV epidemic among men who have sex with men. Sex Health 2009, 6(1):19-33.
• [13]McAllister SM, Dickson NP, Sharples K, Reid MR, Morgan JM, MacDonald EJ, Coughlan E, Johnston TM, Tanner NA, Paul C: Unlinked anonymous HIV prevalence among New Zealand sexual health clinic attenders: 2005-2006. Int J STD AIDS 2008, 19(11):752-757.
• [14]Saxton PJ, Dickson NP, McAllister SM, Hughes AJ, Sharples K: HIV prevalence among men who have sex with men in New Zealand 1985-2009: 25 years of public health monitoring. Int J STD AIDS 2012, 23(4):274-279.
• [15]Saxton PJ, Dickson NP, Griffiths R, Hughes AJ, Rowden J: Actual and undiagnosed HIV prevalence in a community sample of men who have sex with men in Auckland, New Zealand. BMC Public Health 2012, 12:92. BioMed Central Full Text
• [16]Dickson N, McAllister S, Sharples K, Paul C: Late presentation of HIV infection among adults in New Zealand: 2005-2010. HIV Med 2012, 13(3):182-189.
• [17]AIDS Epidemiology Group: AIDS New Zealand Newsletter. 2012, 69. http://dnmeds.otago.ac.nz/departments/psm/research/aids/pdf/69_AIDS-NZ_March_2012.pdf webcite
• [18]Mustanski BS, Newcomb ME, Du Bois SN, Garcia SC, Grov C: HIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventions. J Sex Res 2011, 48(2–3):218-253.
• [19]New Zealand AIDS Foundation: HIV Prevention Plan 2009-2014. In New Zealand AIDS Foundation. Auckland: New Zealand AIDS Foundation; 2009. http://www.nzaf.org.nz/hiv-prevention/item/hiv-prevention-plan-2009-2014 webcite
• [20]Saxton P, Dickson N, Hughes T: GAPSS 2008: findings from the gay Auckland periodic sex survey. Auckland: New Zealand AIDS Foundation; 2010. http://www.nzaf.org.nz/images/uploads/image/100928.web_ready.pdf webcite
• [21]Worth H, Reid A, Robinson E, Hughes T, Aspin C, Saxton P: Male Call/Waea Mai, Tane Ma Report No.9 HIV testing and sero-status. Auckland: New Zealand AIDS Foundation; 1999. http://www.nzaf.org.nz/files/Male_Call_Report_9_HIV_testing_and_serostatus.pdf webcite
• [22]Zablotska I, Holt M, de Wit J, McKechnie M, Mao L, Prestage G: Gay men who are not getting tested for HIV. AIDS Behav 2012, 16(7):1887-1894.
• [23]Lyons A, Pitts M, Grierson J, Smith A, McNally S, Couch M: Sexual behavior and HIV testing among bisexual men: a nationwide comparison of Australian bisexual-identifying and gay-identifying men. AIDS Behav 2012, 16(7):1934-1943.
• [24]Margolis AD, Joseph H, Belcher L, Hirshfield S, Chiasson MA: ‘Never testing for HIV’ among men who have sex with men recruited from a sexual networking website, United States. AIDS Behav 2012, 16(1):23-29.
• [25]Sumartojo E, Lyles C, Choi K, Clark L, Collins C, Grey CG, Lin LS, Peterson JL, Remafedi G, City Study Team: Prevalence and correlates of HIV testing in a multi-site sample of young men who have sex with men. AIDS Care 2008, 20(1):1-14.
• [26]Fernández MI, Perrino T, Bowen GS, Royal S, Varga L: Repeat HIV testing among Hispanic men who have sex with men--a sign of risk, prevention, or reassurance? AIDS Educ Prev 2003, 15(1 Suppl A):105-116.
• [27]Finlayson TJ, Le B, Smith A, Bowles K, Cribbin M, Miles I, Oster AM, Martin T, Edwards A, Dinenno E, Centers for Disease Control and Prevention (CDC): HIV risk, prevention, and testing behaviors among men who have sex with men--National HIV Behavioral Surveillance System, 21 U.S. cities, United States, 2008. MMWR Surveill Summ 2011, 60(14):1-34.
• [28]Holt M, Rawstorne P, Wilkinson J, Worth H, Bittman M, Kippax S: HIV testing, gay community involvement and internet use: social and behavioural correlates of HIV testing among Australian men who have sex with men. AIDS Behav 2012, 16(1):13-22.
• [29]Binson D, Woods WJ, Pollack L, Sheon N: Bringing HIV/STI testing programmes to high-risk men. Int J STD AIDS 2005, 16(9):600-604.
• [30]Chakravarty D, Hoff CC, Neilands TB, Darbes LA: Rates of testing for HIV in the presence of serodiscordant UAI among HIV-negative gay men in committed relationships. AIDS Behav 2012, 16(7):1944-1948.
• [31]Lo YC, Turabelidze G, Lin M, Friedberg Y: Prevalence and determinants of recent HIV testing among sexually active men who have sex with men in the St. Louis metropolitan area, Missouri. Sex Transm Dis 2012, 39(4):306-311.
• [32]New Zealand Ministry of Health: Presenting ethnicity: comparing prioritized and total response ethnicity in descriptive analyses of New Zealand Health Monitor surveys. Wellington; 2008. http://www.moh.govt.nz/notebook/nbbooks.nsf/0/4B1C9119D4E5EA78CC257488000D9324/$file/presenting-ethnicity-2008.pdf webcite
• [33]StataCorp LP: StataSE version 11.2. http://www.stata.com webcite
• [34]Dohoo I, Martin W, Stryhn H: Methods in Epidemiologic Research. 1st edition. Charlottetown, PEI: VER Inc; 2012.
• [35]Sullivan PS, Salazar L, Buchbinder S, Sanchez TH: Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities. AIDS 2009, 23(9):1153-1162.
• [36]Lyons A, Pitts M, Smith G, Grierson J, Smith A, McNally S, Couch M: Versatility and HIV vulnerability: investigating the proportion of Australian gay men having both insertive and receptive anal intercourse. J Sex Med 2011, 8(8):2164-2171.
• [37]Stupiansky NW, Rosenberger JG, Schick V, Herbenick D, Novak DS, Reece M: Factors associated with sexually transmitted infection testing among men who utilize an internet-based men who have sex with men community. AIDS Patient Care STDS 2010, 24(11):713-717.
• [38]Wimonsate W, Naorat S, Varangrat A, Phanuphak P, Kanggarnrua K, McNicholl J, Akarasewi P, van Griensven F: Factors associated with HIV testing history and returning for HIV test results among men who have sex with men in Thailand. AIDS Behav 2011, 15(4):693-701.
• [39]Schwarcz S, Richards TA, Frank H, Wenzel C, Hsu LC, Chin CS, Murphy J, Dilley J: Identifying barriers to HIV testing: personal and contextual factors associated with late HIV testing. AIDS Care 2011, 23(7):892-900.
• [40]Hickson F, Bonell C, Hargreaves J, Reid D, Weatherburn P: HIV testing and HIV serostatus-specific sexual risk behaviour among men who have sex with men living in England and recruited through the internet in 2001 and 2008. Sex Res Soc Policy 2012, 10(1):15-23.
• [41]Do TD, Hudes ES, Proctor K, Han CS, Choi KH: HIV testing trends and correlates among young Asian and Pacific Islander men who have sex with men in two U.S. cities. AIDS Educ Prev 2006, 18(1):44-55.
• [42]Elford J, Doerner R, McKeown E, Nelson S, Anderson J, Low N: HIV infection among ethnic minority and migrant men who have sex with men in Britain. Sex Transm Dis 2012, 39(9):678-686.
• [43]Millett GA, Peterson JL, Flores SA, Hart TA, Jeffries WL IV, Wilson PA, Rourke SB, Heilig CM, Elford J, Fenton KA, Remis RS: Comparisons of disparities and risks of HIV infection in black and other men who have sex with men in Canada, UK, and USA: a meta-analysis. Lancet 2012, 380(9839):341-348.
• [44]McKeown E, Doerner R, Nelson S, Low N, Robinson A, Anderson J, Elford J: The experiences of ethnic minority MSM using NHS sexual health clinics in Britain. Sex Transm Infect 2012, 88(8):595-600.
• [45]Choi KH, Lui H, Guo Y, Han L, Mandel JS: Lack of HIV testing and awareness of HIV infection among men who have sex with men, Beijing China. AIDS Educ Prev 2006, 18(1):33-43.
• [46]Chen Y: Treatment-related optimistic beliefs and risk of HIV transmission: a review of recent findings (2009-2012) in an Era of treatment as prevention. Curr HIV/AIDS Rep 2012, 10(1):79-88.
• [47]Jeffries WL IV: HIV testing among bisexual men in the United States. AIDS Educ Prev 2010, 22(4):356-370.
• [48]UNAIDS/WHO Working Group on Global HIV/AIDS and STI Surveillance: Guidelines for second-generation HIV surveillance. Geneva; 2000. http://whqlibdoc.who.int/hq/2000/WHO_CDS_CSR_EDC_2000.5.pdf webcite
• [49]Hughes A, Saxton P, Hughes A, Saxton P: Geographic micro-clustering of homosexual men: implications for research and social policy. Soc Pol J N Z 2006, 28:158-178.
• [50]Sumartojo E: Structural factors in HIV prevention: concepts, examples, and implications for research. AIDS 2000, 14(Suppl 1):S3-S10.
• [51]Lorenc T, Marrero-Guillamon I, Llewellyn A, Aggleton P, Cooper C, Lehmann A, Lindsay C: HIV testing among men who have sex with men (MSM): systematic review of qualitative evidence. Health Educ Res 2011, 26(5):834-846.
• [52]Cohall A, Dini S, Nye A, Dye B, Neu N, Hyden C: HIV testing preferences among young men of color who have sex with men. Am J Public Health 2010, 100(10):1961-1966.
• [53]Phillips G II, Hightow-Weidman LB, Arya M, Fields SD, Halpern-Felsher B, Outlaw AY, Wohl AR, Hidalgo J: HIV testing behaviors of a cohort of HIV-positive racial/ethnic minority YMSM. AIDS Behav 2012, 16(7):1917-1925.
• [54]Guy R, Goller J, Leslie D, Thorpe R, Grierson J, Batrouney C, Kennedy M, Lewis J, Fairley C, Ginige S, Zablotska I, Hellard M: No increase in HIV or sexually transmissible infection testing following a social marketing campaign among men who have sex with men. J Epidemiol Community Health 2009, 63(5):391-396.
• [55]Erausquin JT, Duan N, Grusky O, Swanson AN, Kerrone D, Rudy ET: Increasing the reach of HIV testing to young Latino MSM: results of a pilot study integrating outreach and services. J Health Care Poor Underserved 2009, 20(3):756-765.
• [56]New Zealand Ministry of Health: Recommendations for HIV testing of adults in healthcare settings. http://www.health.govt.nz/our-work/diseases-and-conditions/hiv-and-aids/recommendations-hiv-testing-adults-healthcare-settings webcite
• [57]Fisher M, Palfreeman A, Ong E: HIV testing 2011 and beyond: can we make a difference? Int J STD AIDS 2011, 22(12):693-694.
• [58]Rank C, Remis RS, Swantee C, Wu K: Patterns of HIV testing among Ontario physicians. Can J Public Health 2010, 101(4):294-299.