title: Which Chinese men who have sex with men miss out on HIV testing?
abstract: OBJECTIVE
  To describe socio-demographic, behavioural and other characteristics associated with HIV testing behaviour among men who have sex with men (MSM) in Jinan, China.
  
  
  METHODS
  A cross-sectional survey was conducted among MSM (N=500) in Jinan in 2008 using respondent-driven sampling--a method used worldwide to reach hidden high-risk populations. Bivariate and multivariate analyses, adjusted for the sampling method, were conducted to identify correlates of not having an HIV test.
  
  
  RESULTS
  Overall, 80.7% (95% CI 75.0% to 85.0%) of MSM in Jinan have not had an HIV test in the past 12 months. In the multivariate analyses, having not visited the local Centers for Disease Control and Prevention's website (AOR 5.59, 95% CI 2.62 to 11.95), being over the age of 35 years (AOR 3.77, 95% CI 1.19 to 11.93) and self-identified as bisexual or unsure (AOR 3.85, 95% CI 2.16 to 6.85) are significantly associated with having not had an HIV test. In addition, married men are slightly less likely to have not been tested compared to single men (AOR 0.38, 95% CI 0.17 to 0.85). Those who report meeting their sex partners at high-risk venues are two times more likely to have not had an HIV test (AOR 2.02, 95% CI 0.97 to 4.21).
  
  
  CONCLUSIONS
  Targeted, culturally appropriate and innovative interventions to increase HIV testing uptake should be a top priority for HIV prevention among MSM in China.
authors.affiliation: Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. chw57@pitt.edu
authors.forename: Chongyi
authors.initials: C
authors.lastname: Wei
authors.forename: Shiman
authors.initials: S
authors.lastname: Ruan
authors.forename: Jinkou
authors.initials: J
authors.lastname: Zhao
authors.forename: Hui
authors.initials: H
authors.lastname: Yang
authors.forename: Yanwen
authors.initials: Y
authors.lastname: Zhu
authors.forename: H Fisher
authors.initials: HF
authors.lastname: Raymond
mesh_terms: D000328:Adult; D002681:China; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000175:diagnosis*; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012747:Sexual Partners; D012959:Socioeconomic Factors; D055815:Young Adult