title: Factors associated with recent HIV testing among younger gay and bisexual men in New Zealand, 2006-2011.
abstract: 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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Population Medicine, University of Guelph, Guelph, Canada. nlachows@uoguelph.ca.
authors.forename: Nathan J
authors.initials: NJ
authors.lastname: Lachowsky
authors.forename: Peter J W
authors.initials: PJ
authors.lastname: Saxton
authors.forename: Nigel P
authors.initials: NP
authors.lastname: Dickson
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Hughes
authors.forename: Alastair J S
authors.initials: AJ
authors.lastname: Summerlee
authors.forename: Cate E
authors.initials: CE
authors.lastname: Dewey
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D001727:Bisexuality / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000706:statistics & numerical data; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D015999:Multivariate Analysis; D009520:New Zealand; D011159:Population Surveillance; D015995:Prevalence; D021841:Safe Sex / Q000706:statistics & numerical data; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012747:Sexual Partners; D055815:Young Adult