Predictors of HIV Testing Adherence Among Men Who Have Sex with Men: a Cross-sectional Study

Overview

Journal BMC Public Health

Publisher Biomed Central

Date 2025 Jan 14

PMID 39810161

Authors

Laelson Rochelle Milanes Sousa

Raphael Augusto Gir de Carvalho

Daniel de Macedo Rocha

Marcela Antonini

Milton Jorge de Carvalho Filho

Maria Wiklander

Elucir Gir

Renata Karina Reis

Affiliations

Soon will be listed here.

Abstract

Men who have sex with men are a target group for HIV prevention and control. HIV testing is part of a broader combination prevention strategy. This study aimed to analyze the predictors for adherence to HIV infection testing among Brazilian men who have sex with men. A cross-sectional study was conducted with 1438 participants, online selected for convenience in all regions of Brazil. Binary logistic regression analysis was used to identify independent predictors of HIV testing in the study population. Adherence to the HIV test was high (80.1%). Had condomless anal intercourse in the last 12 months (Adjusted Odds Ratio [AOR]: 1,659; 95% Confidence Interval [CI]:1,12 - 2,43; p = 0,010), knew one place to seek HIV testing (AOR 6,158 [IC95%: 4,27 - 8,86]; p < 0,001), Received counselling on HIV testing by a health professional (AOR 3,389 [IC95%: 2,28 - 5,02]; p < 0,001), Have been diagnosed with STI (AOR 2,266 [IC95%: 1,41 - 3,62]; p < 0,001) and Knew someone living with HIV (AOR 1,86 [IC95%: 1,29 - 2,67]; p < 0,001) were independently associated with higher chances of HIV testing.

References

Ren C, Tucker J, Tang W, Tao X, Liao M, Wang G . Digital crowdsourced intervention to promote HIV testing among MSM in China: study protocol for a cluster randomized controlled trial. Trials. 2020; 21(1):931. PMC: 7673095. DOI: 10.1186/s13063-020-04860-8. View

Hoyos J, Fernandez-Balbuena S, de La Fuente L, Sordo L, Ruiz M, Barrio G . Never tested for HIV in Latin-American migrants and Spaniards: prevalence and perceived barriers. J Int AIDS Soc. 2013; 16:18560. PMC: 3651516. DOI: 10.7448/IAS.16.1.18560. View

Beyrer C, Sullivan P, Sanchez J, Dowdy D, Altman D, Trapence G . A call to action for comprehensive HIV services for men who have sex with men. Lancet. 2012; 380(9839):424-38. PMC: 3805059. DOI: 10.1016/S0140-6736(12)61022-8. View

Saleem K, Ting E, Loh A, Baggaley R, Mello M, Jamil M . Missed opportunities for HIV testing among those who accessed sexually transmitted infection (STI) services, tested for STIs and diagnosed with STIs: a systematic review and meta-analysis. J Int AIDS Soc. 2023; 26(4):e26049. PMC: 10131090. DOI: 10.1002/jia2.26049. View

Van Den Heuvel A, Smet H, Prat I, Sands A, Urassa W, Fransen K . Laboratory evaluation of four HIV/syphilis rapid diagnostic tests. BMC Infect Dis. 2019; 19(1):1. PMC: 6318958. DOI: 10.1186/s12879-018-3567-x. View

Aleo Lujan E, Lopez-Picado A, Rivas A, Joyanes Abancens B, Rojo M, Garcia P . Pre-operative anxiolysis in children through a combined pharmacological therapy with hydroxyzine and a non-pharmacological distraction technique with a clown (SONRISA): study protocol for randomised double-blind clinical trial. Trials. 2020; 21(1):1. PMC: 6941242. DOI: 10.1186/s13063-019-3906-2. View

Valdiserri R, Holtgrave D, West G . Promoting early HIV diagnosis and entry into care. AIDS. 1999; 13(17):2317-30. DOI: 10.1097/00002030-199912030-00003. View

Altman D, Aggleton P, Williams M, Kong T, Reddy V, Harrad D . Men who have sex with men: stigma and discrimination. Lancet. 2012; 380(9839):439-45. DOI: 10.1016/S0140-6736(12)60920-9. View

Trapence G, Collins C, Avrett S, Carr R, Sanchez H, Ayala G . From personal survival to public health: community leadership by men who have sex with men in the response to HIV. Lancet. 2012; 380(9839):400-10. PMC: 3805044. DOI: 10.1016/S0140-6736(12)60834-4. View

Joseph H, Belcher L, ODonnell L, Fernandez M, Spikes P, Flores S . HIV testing among sexually active Hispanic/Latino MSM in Miami-Dade County and New York City: opportunities for increasing acceptance and frequency of testing. Health Promot Pract. 2014; 15(6):867-80. DOI: 10.1177/1524839914537493. View

Persson K, Berglund T, Bergstrom J, Eriksson L, Tikkanen R, Thorson A . Motivators and barriers for HIV testing among men who have sex with men in Sweden. J Clin Nurs. 2016; 25(23-24):3605-3618. DOI: 10.1111/jocn.13293. View

Deblonde J, de Koker P, Hamers F, Fontaine J, Luchters S, Temmerman M . Barriers to HIV testing in Europe: a systematic review. Eur J Public Health. 2010; 20(4):422-32. DOI: 10.1093/eurpub/ckp231. View

10.

Beyrer C, Baral S, van Griensven F, Goodreau S, Chariyalertsak S, Wirtz A . Global epidemiology of HIV infection in men who have sex with men. Lancet. 2012; 380(9839):367-77. PMC: 3805037. DOI: 10.1016/S0140-6736(12)60821-6. View

11.

Kerr L, Mota R, Kendall C, Pinho A, Mello M, Guimaraes M . HIV among MSM in a large middle-income country. AIDS. 2013; 27(3):427-35. DOI: 10.1097/QAD.0b013e32835ad504. View

12.

. The Joint United Nations Programme on HIV / AIDS (UNAIDS). Project update. Pac AIDS Alert Bull. 2002; (18):15-6. View

13.

Ibragimov U, Harnisch J, Nehl E, He N, Zheng T, Ding Y . Estimating self-reported sex practices, drug use, depression, and intimate partner violence among MSM in China: a comparison of three recruitment methods. AIDS Care. 2016; 29(1):125-131. PMC: 8080274. DOI: 10.1080/09540121.2016.1201191. View

14.

George-Svahn L, Eriksson L, Wiklander M, Bjorling G, Svedhem V, Brannstrom J . Barriers to HIV testing as reported by individuals newly diagnosed with HIV infection in Sweden. AIDS Care. 2020; 33(10):1286-1295. DOI: 10.1080/09540121.2020.1844862. View

15.

Kerr L, Kendall C, Crosland Guimaraes M, Mota R, Veras M, Dourado I . HIV prevalence among men who have sex with men in Brazil: results of the 2nd national survey using respondent-driven sampling. Medicine (Baltimore). 2018; 97(1S Suppl 1):S9-S15. PMC: 5991534. DOI: 10.1097/MD.0000000000010573. View

16.

Beyrer C, Sullivan P, Sanchez J, Baral S, Collins C, Wirtz A . The increase in global HIV epidemics in MSM. AIDS. 2013; 27(17):2665-78. DOI: 10.1097/01.aids.0000432449.30239.fe. View

17.

Passaro R, Castaneda-Huaripata A, Gonzales-Saavedra W, Chavez-Gomez S, Segura E, Lake J . Contextualizing condoms: a cross-sectional study mapping intersections of locations of sexual contact, partner type, and substance use as contexts for sexual risk behavior among MSM in Peru. BMC Infect Dis. 2019; 19(1):958. PMC: 6849170. DOI: 10.1186/s12879-019-4517-y. View