The objective of this study
was to characterize HIV testing practices among men who have sex with men in
Mexico and intention to use HIV self-testing.
In 2012, members of one of the
largest social/sexual networking websites for men who have sex with men in
Latin America completed an anonymous online survey. This analysis was
restricted to HIV-uninfected men who have sex with men residing in Mexico.
Multivariable logistic regression models were fit to assess factors associated
with HIV testing and intention to use a HIV self-test.
Of 4537 respondents,
70.9% reported ever having a HIV test, of whom 75.5% reported testing at least
yearly. The majority (94.3%) indicated that they would use a HIV home self-test
if it were available. Participants identifying as bisexual less often reported
ever HIV testing compared to those identifying as gay/homosexual (adjusted odds
ratio = 0.52, 95% confidence interval: 0.44-0.62). Having a physical exam in
the past year was associated with increased ever HIV testing (adjusted odds
ratio = 4.35, 95% confidence interval: 3.73-5.07), but associated with
decreased interest in HIV self-testing (adjusted odds ratio = 0.66, 95%
confidence interval: 0.48-0.89).
The high intention to use HIV home
self-testing supports the use of this method as an acceptable alternative to
clinic- or hospital-based HIV testing.
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By:
- 1Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA ceo242@mail.harvard.edu.
- 2The Fenway Institute, Fenway Community Health, Boston, MA, USA Departments of Behavioral & Social Health Sciences and Epidemiology and the Institute for Community Health Promotion, Brown University School of Public Health, Providence, RI, USA.
- 3Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY, USA.
- 4Department of Biobehavioral Health, Penn State University, University Park, PA, USA.
- 5Online Buddies, Inc, OLB Research Institute, Cambridge, MA, USA.
- 6The Fenway Institute, Fenway Community Health, Boston, MA, USA Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
- 7Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA The Fenway Institute, Fenway Community Health, Boston, MA, USA Departments of Behavioral & Social Health Sciences and Epidemiology and the Institute for Community Health Promotion, Brown University School of Public Health, Providence, RI, USA.
- Int J STD AIDS. 2016 Mar 27. pii: 0956462416641556.
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