Monday, February 8, 2016

HIV Testing among Men Who Have Sex with Men in Tijuana, Mexico

HIV testing is critical to the delivery of comprehensive HIV prevention and care services, yet coverage of sexual minorities by HIV testing programmes remains insufficient in many low- and middle-income countries, including Mexico. The objective of this study was to identify the prevalence and correlates of HIV testing among men who have sex with men (MSM) in Tijuana, Mexico.

We conducted a cross-sectional study (2012-2013) among 189 MSM recruited via respondent-driven sampling (RDS). RDS-weighted logistic regression was used to identify correlates of prior HIV testing.

RDS-adjusted prevalence of prior and recent (≤12 months) HIV testing was 63.5% and 36.8%, respectively. Prior HIV testing was positively associated with older age, being born in Tijuana, higher levels of education, identifying as homosexual or gay, being more 'out' about having sex with men, and a history of sexual abuse. Prior HIV testing was negatively associated with reporting more condomless anal intercourse acts (past 2 months) and greater internalised homophobia.

Our findings indicate an urgent need for expanded HIV testing services for MSM in Tijuana. Innovative, non-stigmatising, confidential HIV testing interventions targeted at young, less educated, migrant and non-gay identifying MSM may facilitate HIV testing and timely linkage to HIV care and treatment within this population.

Full article at:

  • 1Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, California, USA.
  • 2Agencia Familiar Binacional, AC, Tijuana, Mexico.
  • 3Department of Psychiatry, University of California, San Diego, La Jolla, USA. 
  •  2016 Feb 4;6(2):e010388. doi: 10.1136/bmjopen-2015-010388.

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