title: Investigating Recent Testing among MSM: Results from Community-Based HIV Rapid Testing Attendees in France.
abstract: Background. We aimed to identify factors associated with recent HIV testing in MSM who attended two experimental community-based and nonmedicalized voluntary counselling and testing programmes (CB-VCT) targeting MSM in France. Methods. This analysis was based on data collected in 2009-2011 through a self-administered pretesting questionnaire. An index measuring the level of participants' sexual orientation disclosure was built: the higher the index, the greater the disclosure. Factors associated with recent HIV testing (last test ≤ 1 year) were identified using a multivariate logistic regression model adjusted for the CB-VCT programme of enrolment. Results. 716 MSM provided data on testing history. Overall, 49% were recently tested for HIV and 51% were not. Recently tested MSM had a higher homosexuality disclosure index (adjusted OR [95% confidence interval]: aOR = 1.2 [1.1-1.4]), reported more inconsistent condom use during anal sex with men (aOR = 1.6 [1.2-2.1]), and were less likely to have sex under the influence of club drugs (aOR = 0.6 [0.4-1.0]). Conclusion. New testing strategies should focus on those who live their homosexuality relatively secretly and those who use club drugs before sex. Governments should develop policies which encourage improved social acceptance of homosexuality as concealment of sexual orientation represents a major barrier to testing.
authors: INSERM, UMR912 (SESSTIM), 13006 Marseille, France ; Aix Marseille Université, UMR_S912, IRD, 13006 Marseille, France ; ORS PACA, Observatoire Régional de la Santé Provence Alpes Côte d'Azur, 13006 Marseille, France.
authors: Nicolas
authors: 0000-0002-5320-1493
authors: N
authors: Lorente
authors: ATIP/AVENIR, INSERM U738, 75877 Paris, France.
authors: Karen
authors: K
authors: Champenois
authors: INSERM, UMR912 (SESSTIM), 13006 Marseille, France ; Aix Marseille Université, UMR_S912, IRD, 13006 Marseille, France ; ORS PACA, Observatoire Régional de la Santé Provence Alpes Côte d'Azur, 13006 Marseille, France.
authors: Jérôme
authors: J
authors: Blanche
authors: INSERM, UMR912 (SESSTIM), 13006 Marseille, France ; ORS PACA, Observatoire Régional de la Santé Provence Alpes Côte d'Azur, 13006 Marseille, France ; GREPS, Université Lyon 2, 69500 Bron, France.
authors: Marie
authors: M
authors: Préau
authors: INSERM, UMR912 (SESSTIM), 13006 Marseille, France ; Aix Marseille Université, UMR_S912, IRD, 13006 Marseille, France ; ORS PACA, Observatoire Régional de la Santé Provence Alpes Côte d'Azur, 13006 Marseille, France.
authors: Marie
authors: M
authors: Suzan-Monti
authors: INSERM, UMR912 (SESSTIM), 13006 Marseille, France ; Aix Marseille Université, UMR_S912, IRD, 13006 Marseille, France ; ORS PACA, Observatoire Régional de la Santé Provence Alpes Côte d'Azur, 13006 Marseille, France.
authors: Marion
authors: M
authors: Mora
authors: AIDES, 93508 Pantin, France ; Coalition PLUS, 93508 Pantin, France.
authors: Lionel
authors: L
authors: Fugon
authors: INSERM, UMR912 (SESSTIM), 13006 Marseille, France ; Aix Marseille Université, UMR_S912, IRD, 13006 Marseille, France ; ORS PACA, Observatoire Régional de la Santé Provence Alpes Côte d'Azur, 13006 Marseille, France.
authors: Maria Patrizia
authors: MP
authors: Carrieri
authors: INSERM, UMR912 (SESSTIM), 13006 Marseille, France ; Aix Marseille Université, UMR_S912, IRD, 13006 Marseille, France ; ORS PACA, Observatoire Régional de la Santé Provence Alpes Côte d'Azur, 13006 Marseille, France.
authors: Luis
authors: L
authors: Sagaon-Teyssier
authors: AIDES, 93508 Pantin, France.
authors: Jean-Marie
authors: JM
authors: Le Gall
authors: INSERM, UMR912 (SESSTIM), 13006 Marseille, France ; Aix Marseille Université, UMR_S912, IRD, 13006 Marseille, France ; ORS PACA, Observatoire Régional de la Santé Provence Alpes Côte d'Azur, 13006 Marseille, France ; AIDES, 93508 Pantin, France.
authors: Bruno
authors: 0000-0002-3546-8020
authors: B
authors: Spire
authors: ATIP/AVENIR, INSERM U738, 75877 Paris, France ; Service des Maladies Infectieuses et Tropicales, Hôpital Bichat-Claude Bernard, 75877 Paris, France ; Université Denis Diderot, 75877 Paris, France.
authors: Yazdan
authors: Y
authors: Yazdanpanah