title: Prevalence and correlates of HIV testing in a multi-site sample of young men who have sex with men.
abstract: This study assessed HIV testing among 2,621 urban young men who have sex with men (YMSM). Of these, 77% were men of colour, 30% reported recent unprotected anal intercourse (UAI), 22% had never tested for HIV and 71% had not tested recently. Ever testing was associated with older age (OR=1.28), being employed (OR=1.34), exposure to more types of HIV preventions (linear trend p=0.02), sex with a main partner (OR=1.92), sex with a non-main partner (OR=1.36), UAI with a non-main partner (OR=0.53), UAI in the last three months (OR=1.32), knowing a comfortable place for testing (OR=5.44) and social support (OR=1.47). Rates of ever testing increased with behavioural risk with main partners; rates were lowest for men reporting high-risk with non-main partners. Recent testing was associated with greater numbers of HIV-prevention exposures (linear trend p = <0.001), sex with a main partner (OR=1.30), knowing a comfortable place for testing (OR=2.31) and social support (OR=1.23). Findings underscore the urgency of promoting testing among YMSM, point to components for the recruitment and retention of young MSM of colour in testing programmes and highlight the need for a theory-based approach to intervention development.
authors.affiliation: National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. ems2@cdc.gov
authors.forename: E
authors.initials: E
authors.lastname: Sumartojo
authors.forename: C
authors.initials: C
authors.lastname: Lyles
authors.forename: K
authors.initials: K
authors.lastname: Choi
authors.forename: L
authors.initials: L
authors.lastname: Clark
authors.forename: C
authors.initials: C
authors.lastname: Collins
authors.forename: C Guenther
authors.initials: CG
authors.lastname: Grey
authors.forename: L S
authors.initials: LS
authors.lastname: Lin
authors.forename: J L
authors.initials: JL
authors.lastname: Peterson
authors.forename: G
authors.initials: G
authors.lastname: Remafedi
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000175:diagnosis* / Q000517:prevention & control; D015438:Health Behavior; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D008403:Mass Screening; D012309:Risk-Taking; D011795:Surveys and Questionnaires