title: Correlates of human immunodeficiency virus/sexually transmitted infection (HIV/STI) testing and disclosure among HIV-negative collegiate men who have sex with men.
abstract: OBJECTIVE
  To determine the extent to which personal, behavioral, and environmental factors are associated with human immunodeficiency virus/sexually transmitted infection (HIV/STI) testing and disclosure.
  
  
  METHODS
  Nine hundred thirty HIV-negative collegiate men who have sex with men (MSM) who completed an online survey about alcohol use and sexual behavior.
  
  
  METHODS
  Correlates of testing and disclosure significant in bivariate analyses (p < .05) were grouped into personal, behavioral, or environmental factors and entered into multivariable logistic regression models.
  
  
  RESULTS
  About half of participants tested for HIV (51.9%) and for STIs (45.8%) at least annually. Over half (57.8%) of participants always/almost always discussed HIV status with new sex partners; 61.1% with new unprotected sex partners. Personal and behavioral factors (age and outness) explained differences in testing, and the behavioral factor (routine testing) explained differences in disclosure.
  
  
  CONCLUSIONS
  Collegiate MSM should be supported in coming out, encouraged to engage in routine testing, and counseled on discussing HIV/STI status with potential sex partners.
authors.affiliation: a The University of Texas Health Science Center at Houston (UTHealth) School of Public Health , Houston , Texas.
authors.forename: J Michael
authors.initials: JM
authors.lastname: Wilkerson
authors.forename: Erika L
authors.initials: EL
authors.lastname: Fuchs
authors.forename: Sonya S
authors.initials: SS
authors.lastname: Brady
authors.forename: Rhonda
authors.initials: R
authors.lastname: Jones-Webb
authors.forename: B R Simon
authors.initials: BR
authors.lastname: Rosser
mesh_terms: D030881:Disclosure / Q000941:ethics*; D006678:HIV; D018451:Homosexuality, Male / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D012309:Risk-Taking; D012725:Sexual Behavior / Q000941:ethics / Q000523:psychology*; D012749:Sexually Transmitted Diseases / Q000175:diagnosis*; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data*; D014495:Universities; D047568:Unsafe Sex / Q000941:ethics / Q000523:psychology*
keywords: HIV prevention; gay men; health education; sexual behavior; social cognitive theory