title: HIV testing among MSM in Bogotá, Colombia: the role of structural and individual characteristics.
abstract: This study used mixed methods to examine characteristics related to HIV testing among men who have sex with men (MSM) in Bogotá, Colombia. A sample of 890 MSM responded to a computerized quantitative survey. Follow-up qualitative data included 20 in-depth interviews with MSM and 12 key informant interviews. Hierarchical logistic set regression indicated that sequential sets of variables reflecting demographic characteristics, insurance coverage, risk appraisal, and social context each added to the explanation of HIV testing. Follow-up logistic regression showed that individuals who were older, had higher income, paid for their own insurance, had had a sexually transmitted infection, knew more people living with HIV, and had greater social support were more likely to have been tested for HIV at least once. Qualitative findings provided details of personal and structural barriers to testing, as well as inter-relationships among these factors. Recommendations to increase HIV testing among Colombian MSM are offered.
authors: Carol A
authors: CA
authors: Reisen
authors: Maria Cecilia
authors: MC
authors: Zea
authors: Fernanda T
authors: FT
authors: Bianchi
authors: Paul J
authors: PJ
authors: Poppen
authors: Ana Maria
authors: AM
authors: del Río González
authors: Rodrigo A Aguayo
authors: RA
authors: Romero
authors: Carolin
authors: C
authors: Pérez
mesh_terms: D000328:Adult; D003105:Colombia / Q000453:epidemiology; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D006679:HIV Seropositivity; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D036301:Qualitative Research; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D012944:Social Support; D012959:Socioeconomic Factors