title: HIV test uptake among MSM in China: Implications for enhanced HIV test promotion campaigns among key populations.
abstract: Despite global efforts to increase HIV test uptake among men who have sex with men (MSM), social stigma and negative attitudes toward homosexuality hinder the effectiveness of traditional test promotion campaigns. Increasing HIV test uptake requires greater understanding of the conditions that facilitate decisions to get tested. We conducted an online survey hosted by two of the most highly frequented MSM web portals in China. A generalised ordered logistic regression analysis was conducted to determine factors associated with HIV testing behaviour. Compared to men who had never tested for HIV, men who had tested in the past year were more likely to have never engaged in sex with women, have multiple male sex partners in the past 3 months and have disclosed their sexual orientation to others. MSM found testing at local Chinese Centers for Disease Control and Prevention (80.7%), gay men's community-based organisations (80.2%) and public hospitals (70.9%) to be acceptable, while saunas (50.5%) and gay bars (41.8%) were found to be unacceptable testing venues. Our study shows that MSM in China prefer to test at venues that guarantee confidentiality, quality and quick results. Our study also suggests that self-testing may be a feasible approach to increase test uptake.
authors.affiliation: a University of North Carolina Project - China , Guangzhou , People's Republic of China.|b Department of Biostatistics, Gillings School of Global Public Health , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
authors.forename: Larry
authors.initials: L
authors.lastname: Han
authors.affiliation: c Department of Epidemiology and Biostatistics & Global Health Sciences , University of California - San Francisco , San Francisco , CA , USA.
authors.forename: Chongyi
authors.initials: C
authors.lastname: Wei
authors.affiliation: a University of North Carolina Project - China , Guangzhou , People's Republic of China.|d Department of Health Behavior, Gillings School of Global Public Health , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
authors.forename: Kathryn E
authors.initials: KE
authors.lastname: Muessig
authors.affiliation: a University of North Carolina Project - China , Guangzhou , People's Republic of China.|e Icahn School of Medicine at Mount Sinai , New York , NY , USA.
authors.forename: Cedric H
authors.initials: CH
authors.lastname: Bien
authors.affiliation: f Guangtong - Lingnan MSM Community Support Center , Guangzhou , People's Republic of China.
authors.forename: Gang
authors.initials: G
authors.lastname: Meng
authors.affiliation: g Department of Geography , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
authors.forename: Michael E
authors.initials: ME
authors.lastname: Emch
authors.affiliation: a University of North Carolina Project - China , Guangzhou , People's Republic of China.|h School of Medicine , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Tucker
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D042241:Early Diagnosis; D004522:Educational Status; D004651:Employment; D015658:HIV Infections / Q000175:diagnosis* / Q000517:prevention & control / Q000635:transmission; D018451:Homosexuality, Male / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000523:psychology / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D012747:Sexual Partners; D057545:Social Stigma; D055815:Young Adult
keywords: China; HIV; MSM; acceptability; rapid testing