title: HIV testing practices among men who have sex with men in Buenos Aires, Argentina.
abstract: The objective of the study was to explore HIV-testing practices among men who have sex with men (MSM) in Buenos Aires, Argentina, in light of current international health guidelines that recommend frequent HIV testing for MSM who engage in high-risk behavior. Participants, who were recruited using respondent-driven sampling (RDS), were 500 mostly young, nongay-identified MSM of low socioeconomic status, high levels of unemployment, living mainly in the less-affluent areas surrounding Buenos Aires, and lacking health insurance. They provided blood samples for HIV testing and responded to a Computer Assisted Self Interview. Fifty-two percent had never been tested for HIV, and 20% had been tested only once; 17% were found to be HIV infected, of whom almost half were unaware of their status. Main reasons for never having tested previously were: not feeling at risk, fear of finding out results, and not knowing where to get tested. Among those previously tested, men had been tested a median of 2 times with their most recent test having occurred a median of 2.7 years prior to study enrollment. Of those who had not tested positive before entering the study, only 41% returned for their results. HIV testing was infrequent and insufficient for early detection of infection, entry into treatment, and protection of sexual partners. This was particularly the case among nongay-identified MSM. Testing campaigns should aim to help MSM become aware of their risk behavior, decrease fear of testing by explaining available treatment resources and decreasing the stigma associated with HIV, and by publicizing information about free and confidential testing locations. Rapid HIV testing should be made available to eliminate the need for a return visit and make results immediately available to individuals who are tested.
authors: a HIV Center for Clinical and Behavioral Studies , New York State Psychiatric Institute and Columbia University , New York , NY , USA.
authors: Alex
authors: A
authors: Carballo-Diéguez
authors: Iván C
authors: IC
authors: Balán
authors: Curtis
authors: C
authors: Dolezal
authors: María A
authors: MA
authors: Pando
authors: Rubén
authors: R
authors: Marone
authors: Victoria
authors: V
authors: Barreda
authors: María Mercedes
authors: MM
authors: Avila
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D001118:Argentina / Q000453:epidemiology; D017280:Condoms / Q000706:statistics & numerical data; D004797:Enzyme-Linked Immunosorbent Assay; D015658:HIV Infections / Q000175:diagnosis* / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male; D006801:Humans; D007348:Insurance, Health; D008297:Male; D008403:Mass Screening; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D015995:Prevalence; D012111:Residence Characteristics; D012307:Risk Factors; D012309:Risk-Taking; D012747:Sexual Partners; D057545:Social Stigma; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
references: PLoS One. 2012;7(6):e39834
references: 22768137
references: J Acquir Immune Defic Syndr. 2002 Oct 1;31(2):202-10
references: 12394799
references: Stat Med. 2009 Jul 30;28(17):2202-29
references: 19572381
references: J Urban Health. 2010 Jul;87(4):642-55
references: 20186493
references: Sex Transm Infect. 2011 Apr;87(3):225-8
references: 21270068
references: MMWR Morb Mortal Wkly Rep. 2011 Jun 3;60(21):694-9
references: 21637183
references: Sex Salud Soc (Rio J). 2010 Dec;(6):41-62
references: 21874154
references: Sex Transm Infect. 2010 Oct;86(5):371-6
references: 20460263
references: AIDS Behav. 2006 Jul;10(4):431-5
references: 16501868
references: Proc Natl Acad Sci U S A. 2010 Apr 13;107(15):6743-7
references: 20351258
references: AIDS Care. 2008 Jan;20(1):1-14
references: 18278609
references: Int J Epidemiol. 2003 Oct;32(5):735-40
references: 14559741
references: J Acquir Immune Defic Syndr. 2009 Mar 1;50(3):320-6
references: 19194309
references: Actual SIDA. 2011 Mar;19(71):26-32
references: 25284951
references: Am J Public Health. 1999 Sep;89(9):1397-405
references: 10474559
references: AIDS Behav. 2010 Aug;14(4):904-12
references: 17968648
references: PLoS One. 2011;6(11):e27447
references: 22102896
references: AIDS Care. 2011 Feb;23(2):179-86
references: 21259130
references: N Engl J Med. 2011 Aug 11;365(6):493-505
references: 21767103
references: Actual SIDA. 2011 Mar;19(71):21-25
references: 25264397
references: J Urban Health. 2007 Mar;84(2):212-25
references: 17295058
references: Sex Transm Dis. 2006 Mar;33(3):183-92
references: 16508526
references: J Acquir Immune Defic Syndr. 2009 Dec;52 Suppl 2:S143-51
references: 19901627