Department of Psychology, Hunter College of the City University of New York, 695 Park Ave. 611 Hunter North, 10065, New York, NY, USA.
Doctoral Program in Health Psychology and Clinical Science, Graduate Center of the City, University of New York, New York, NY, USA.
J Behav Med. 2022 Dec;45(6):975-982. doi: 10.1007/s10865-022-00341-2. Epub 2022 Aug 2.
Regular HIV testing is an essential component of the HIV prevention and care cascade. Sexual minority males (SMM) account for most new HIV infections in the US and testing rates among SMM vary substantially across the lifespan. Research has largely overlooked the developmental context of HIV testing. The current study compared correlates of HIV testing among adolescents (aged 13-17; n = 1,641), emerging adults (aged 18-29; n = 50,483), early adults (aged 30-39; n = 25,830), middle adults (aged 40-64; n = 25,326), and late adults (65 and older; n = 1,452) who were recruited online. Overall, HIV testing rates were lowest among adolescent SMM. Having condomless anal sex in the past 3-months was a consistentpredictor of HIV testing across all age cohorts.The association between relationship status and frequency of HIV testing varied across ages. Being in a non-monogamous relationship (versus single) was associated with more frequent HIV testing among adolescent and emerging adult SMM , while being in a monogamous relationship (versus single) was associated with lower odds of HIV testing among early, middle, and late adults.
定期进行 HIV 检测是 HIV 预防和护理工作的重要组成部分。性少数群体男性(SMM)占美国大多数新的 HIV 感染病例,而且 SMM 的检测率在整个生命周期中存在显著差异。研究在很大程度上忽略了 HIV 检测的发展背景。本研究比较了青少年(13-17 岁;n=1641)、新兴成年人(18-29 岁;n=50483)、早期成年人(30-39 岁;n=25830)、中年成年人(40-64 岁;n=25326)和老年成年人(65 岁及以上;n=1452)的 HIV 检测相关因素,这些人是通过网络招募的。总体而言,青少年 SMM 的 HIV 检测率最低。过去 3 个月发生无保护肛交性行为是所有年龄组 HIV 检测的一致预测因素。关系状况与 HIV 检测频率之间的关联因年龄而异。与单身相比,处于非一夫一妻制关系(而非单身)与青少年和新兴成年 SMM 中更频繁的 HIV 检测相关,而与单身相比,处于一夫一妻制关系(而非单身)与早期、中期和晚期成年人中 HIV 检测的可能性较低相关。