Missed Opportunities for Human Immunodeficiency Virus and Syphilis Testing Among Men Who Have Sex With Men in China: A Cross-Sectional Study. Issue 6 (June 2018)
- Record Type:
- Journal Article
- Title:
- Missed Opportunities for Human Immunodeficiency Virus and Syphilis Testing Among Men Who Have Sex With Men in China: A Cross-Sectional Study. Issue 6 (June 2018)
- Main Title:
- Missed Opportunities for Human Immunodeficiency Virus and Syphilis Testing Among Men Who Have Sex With Men in China
- Authors:
- Ong, Jason J.
Fu, Hongyun
Pan, Stephen
Smith, M. Kumi
Wu, Dan
Wei, Chongyi
Cao, Bolin
Ma, Wei
Yang, Ligang
Tang, Weiming
Tucker, Joseph D. - Abstract:
- Abstract : Background: Men who have sex with men (MSM) are at high risk of human immunodeficiency virus (HIV)/syphilis. To inform strategies for dual testing, we describe patterns of HIV/syphilis testing, and examine factors associated with never testing for HIV/syphilis in China. Methods: An online survey (2016) was completed by MSM from 8 cities: men born biologically male, 16 years or older, and had sex with another man at least once during their lifetime. Demographic, sexual behavioral, and HIV/syphilis testing data were collected. Multivariable multinomial logistic regression identified characteristics associated with men who never tested for HIV/syphilis compared with men who ever tested for both infections. Results: Overall, 2105 men participated. Among them, 35.1% (738/2105) never tested for HIV/syphilis, and in those ever tested for HIV, only half (54.0%, 709/1312) had tested for syphilis. Relative to men who had ever tested for both infections, those with increased probability of never testing for HIV/syphilis include non-gay sexual identity (prevalence odds ratio [POR] 1.86; 95% confidence interval [CI], 1.45–2.37), not disclosed their sexuality/sexual history with men other than their regular partner (POR, 2.22; 95% CI, 1.75–2.78]) or with health professionals (POR, 11.11; 95% CI, 7.69–14.29), no condomless sex with casual partners in the last 3 months (POR, 1.89; 95% CI, 1.37–2.56), no community engagement in sexual health (POR, 15.16; 95% CI, 9.40–24.45), andAbstract : Background: Men who have sex with men (MSM) are at high risk of human immunodeficiency virus (HIV)/syphilis. To inform strategies for dual testing, we describe patterns of HIV/syphilis testing, and examine factors associated with never testing for HIV/syphilis in China. Methods: An online survey (2016) was completed by MSM from 8 cities: men born biologically male, 16 years or older, and had sex with another man at least once during their lifetime. Demographic, sexual behavioral, and HIV/syphilis testing data were collected. Multivariable multinomial logistic regression identified characteristics associated with men who never tested for HIV/syphilis compared with men who ever tested for both infections. Results: Overall, 2105 men participated. Among them, 35.1% (738/2105) never tested for HIV/syphilis, and in those ever tested for HIV, only half (54.0%, 709/1312) had tested for syphilis. Relative to men who had ever tested for both infections, those with increased probability of never testing for HIV/syphilis include non-gay sexual identity (prevalence odds ratio [POR] 1.86; 95% confidence interval [CI], 1.45–2.37), not disclosed their sexuality/sexual history with men other than their regular partner (POR, 2.22; 95% CI, 1.75–2.78]) or with health professionals (POR, 11.11; 95% CI, 7.69–14.29), no condomless sex with casual partners in the last 3 months (POR, 1.89; 95% CI, 1.37–2.56), no community engagement in sexual health (POR, 15.16; 95% CI, 9.40–24.45), and mainly met partners offline (POR, 1.49; 95% CI, 1.16–1.92). Conclusions: There are significant gaps in lifetime testing for HIV/syphilis among Chinese MSM. Strategies to target never testers and integrate syphilis testing within HIV testing services are urgently needed. Future opportunities include point-of-care dual test kits, and testing in China's expanding primary healthcare system. Abstract : A study of men who have sex with men in China revealed 35% had never tested for human immunodeficiency virus/syphilis, and among human immunodeficiency virus testers, only 51% had ever tested for syphilis. … (more)
- Is Part Of:
- Sexually transmitted diseases. Volume 45:Issue 6(2018)
- Journal:
- Sexually transmitted diseases
- Issue:
- Volume 45:Issue 6(2018)
- Issue Display:
- Volume 45, Issue 6 (2018)
- Year:
- 2018
- Volume:
- 45
- Issue:
- 6
- Issue Sort Value:
- 2018-0045-0006-0000
- Page Start:
- Page End:
- Publication Date:
- 2018-06
- Subjects:
- Sexually transmitted diseases -- Periodicals
Sexual health -- Periodicals
616.951005 - Journal URLs:
- http://gateway.ovid.com/ovidweb.cgi?T=JS&MODE=ovid&PAGE=toc&D=ovft&AN=00007435-000000000-00000 ↗
http://www.stdjournal.com ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/OLQ.0000000000000773 ↗
- Languages:
- English
- ISSNs:
- 0148-5717
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 8254.486500
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- 7052.xml