title: HIV testing and prevention among foreign-born Men Who have Sex with Men: an online survey from Sweden.
abstract: There is an increasing trend toward international migration worldwide. With it comes a challenge for public health and public funded health care systems to meet the migrating population's health needs. Men who have sex with men are a key population for HIV, contributing an estimated 42% of new HIV cases in Europe in 2013. HIV monitoring data suggest that foreign-born MSM are not only exposed to a high risk of HIV before migration but also while living in Sweden. The aim of this study is to examine HIV testing prevalence and uptake of HIV prevention interventions among foreign-born MSM living in Sweden.
  
  
  
  A web survey available in English and Swedish was conducted from October 1 to October 30, 2013 via a Scandinavian Web community for Lesbian, Gay, Bisexual, Transgender and Intergender people. The web survey included modules on sociodemographics, condom use, sexual risk behaviour and HIV/STI testing experience. 244 eligible MSM participants born abroad and living in Sweden participated in the study. Descriptive and inferential analysis was performed.
  
  
  
  Half of the foreign-born MSM participants in this study had been tested for HIV during the last 12 months. Participants who had lived in Sweden less than or equal to 5 years were more likely to have been tested for HIV during the last 12 months. Having talked about HIV/STI with a prevention worker during the past year was associated with having been tested for HIV. Requested services among the majority of participants were HIV rapid test, anonymous HIV testing, HIV/STI testing outside of the health care setting and MSM-friendly clinics.
  
  
  
  Efforts are needed to promote HIV testing among foreign-born MSM. Peer outreach, individual and group counselling may be preferred interventions to do so. In addition, it is critically important to increase HIV testing among foreign-born MSM who have lived in Sweden for more than five years. Further research should explore if scale up of implementation of requested services may increase frequency of HIV testing and detection of new cases linked to treatment among foreign-born MSM living in Sweden.
authors.affiliation: Department of Public Health Sciences, Karolinska Institutet, Tomtebodavägen 18a, floor 4, SE-171 77, Stockholm, Sweden. susanne.stromdahl@ki.se.
authors.forename: Susanne
authors.identifier: 0000-0002-6706-0177
authors.initials: S
authors.lastname: Strömdahl
authors.affiliation: Department of Sociology, Stockholm University, SE-106 91, Stockholm, Sweden.
authors.forename: Fredrik
authors.initials: F
authors.lastname: Liljeros
authors.affiliation: Department of Public Health Sciences, Karolinska Institutet, Tomtebodavägen 18a, floor 4, SE-171 77, Stockholm, Sweden.
authors.forename: Anna Ekéus
authors.initials: AE
authors.lastname: Thorson
authors.affiliation: Department of Public Health Sciences, Karolinska Institutet, Tomtebodavägen 18a, floor 4, SE-171 77, Stockholm, Sweden.
authors.forename: Kristina Ingemarsdotter
authors.initials: KI
authors.lastname: Persson
authors.affiliation: Department of Public Health Sciences, Karolinska Institutet, Tomtebodavägen 18a, floor 4, SE-171 77, Stockholm, Sweden.
authors.forename: Birger C
authors.initials: BC
authors.lastname: Forsberg
mesh_terms: D000328:Adult; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005006:Ethnicity / Q000706:statistics & numerical data; D005060:Europe; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008403:Mass Screening; D015995:Prevalence; D012309:Risk-Taking; D021841:Safe Sex / Q000706:statistics & numerical data; D012725:Sexual Behavior / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D013548:Sweden; D055815:Young Adult