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HIV testing among men who have sex with men in Tijuana, Mexico: a cross-sectional study.

作者信息

Pines Heather A, Goodman-Meza David, Pitpitan Eileen V, Torres Karla, Semple Shirley J, Patterson Thomas L

机构信息

Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, California, USA.

Agencia Familiar Binacional, AC, Tijuana, Mexico.

出版信息

BMJ Open. 2016 Feb 4;6(2):e010388. doi: 10.1136/bmjopen-2015-010388.


DOI:10.1136/bmjopen-2015-010388
PMID:26846899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4746448/
Abstract

OBJECTIVES: 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. METHODS: 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. RESULTS: RDS-adjusted prevalence of prior and recent (≤ 12 months) HIV testing was 63.5% (95% CI 51.9% to 73.5%) and 36.8% (95% CI 25.4% to 46.4%), respectively. Prior HIV testing was positively associated with older age (adjusted OR (AOR)=1.09, 95% CI 1.04 to 1.15), being born in Tijuana (AOR=2.68, 95% CI 1.05 to 6.86), higher levels of education (AOR=2.65, 95% CI 1.08 to 6.53), identifying as homosexual or gay (AOR=3.73, 95% CI 1.48 to 9.42), being more 'out' about having sex with men (AOR=1.28, 95% CI:1.02 to 1.62), and a history of sexual abuse (AOR=3.24, 95% CI 1.06 to 9.86). Prior HIV testing was negatively associated with reporting more condomless anal intercourse acts (past 2 months) (AOR=0.95, 95% CI 0.92 to 0.98) and greater internalised homophobia (AOR=0.92, 95% CI 0.86 to 0.99). CONCLUSIONS: 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.

摘要

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[1]
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[3]
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[4]
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本文引用的文献

[1]
Initiation of Antiretroviral Therapy in Early Asymptomatic HIV Infection.

N Engl J Med. 2015-8-27

[2]
Factors Associated with Low Levels of HIV Testing among Men Who Have Sex with Men (MSM) in Brazil.

PLoS One. 2015-6-22

[3]
Young, Online and in the Dark: Scaling Up HIV Testing among MSM in ASEAN.

PLoS One. 2015-5-14

[4]
A cross-sectional study of low HIV testing frequency and high-risk behaviour among men who have sex with men and transgender women in Lima, Peru.

BMC Public Health. 2015-4-21

[5]
Prevalence and correlates of HIV among men who have sex with men in Tijuana, Mexico.

J Int AIDS Soc. 2015-2-9

[6]
Correlates of prior HIV testing among men who have sex with men in Cameroon: a cross-sectional analysis.

BMC Public Health. 2014-11-25

[7]
HIV testing among MSM in Bogotá, Colombia: the role of structural and individual characteristics.

AIDS Educ Prev. 2014-8

[8]
Homophobia as a barrier to HIV prevention service access for young men who have sex with men.

J Acquir Immune Defic Syndr. 2013-8-15

[9]
Is the HIV epidemic stable among MSM in Mexico? HIV prevalence and risk behavior results from a nationally representative survey among men who have sex with men.

PLoS One. 2013-9-5

[10]
High levels of unprotected anal intercourse and never testing for HIV among men who have sex with men in Nigeria: evidence from a cross-sectional survey for the need for innovative approaches to HIV prevention.

Sex Transm Infect. 2013-7-12

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