Villarino Xaviera, Sanchez Travis, Martinez Cristian Acero, Baral Stefan, Lucas Iaah L, Murray Sarah M, Rao Amrita, Smith Michael, Valentine-Graves Mariah, Jones Jeb
Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA, 30322, USA.
Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD, USA.
AIDS Behav. 2025 Jun 17. doi: 10.1007/s10461-025-04800-0.
Current HIV testing recommendations for sexually active gay and bisexual men who have sex with men (GBMSM) are to test for HIV annually. However, some GBMSM might benefit from more frequent HIV testing. We conducted a cross-sectional, online survey of cisgender GBMSM across the United States. Data collection occurred from October 2022-October 2023. Participants reported demographic information, sexual behavior, and HIV testing frequency over the past 2 years. HIV testing frequency was categorized as less than annual, annual, or greater than annual. We examined demographic, behavioral, mental health, and stigma correlates of HIV testing frequency among respondents without a history of pre-exposure prophylaxis (PrEP) use. Of 1972 GBMSM included in the analysis, 1171 (59%), 379 (19%), and 422 (21%) reported less than annual, annual, and greater than annual HIV testing, respectively. Hispanic and non-Hispanic Black GBMSM, who experience the highest HIV incidence among GBMSM, were likely to test more frequently than non-Hispanic White GBMSM. More frequent testing was also associated with PrEP eligibility; less frequent testing was associated with living in a non-urban area. More frequent HIV testing was reported by groups that experience higher HIV incidence and by those who had indications for PrEP, indicating that HIV testing frequency aligns with need for many GBMSM. More efforts are needed to increase HIV testing among GBMSM who test less frequently, including those living in rural areas.
目前针对有性行为的男同性恋者和与男性发生性行为的双性恋男性（GBMSM）的HIV检测建议是每年进行一次HIV检测。然而，一些GBMSM可能会从更频繁的HIV检测中受益。我们对美国各地的顺性别GBMSM进行了一项横断面在线调查。数据收集于2022年10月至2023年10月进行。参与者报告了人口统计学信息、性行为以及过去两年的HIV检测频率。HIV检测频率被分类为低于每年一次、每年一次或高于每年一次。我们研究了在没有暴露前预防（PrEP）使用史的受访者中，HIV检测频率与人口统计学、行为、心理健康和耻辱感之间的相关性。在纳入分析的1972名GBMSM中，分别有1171名（59%）、379名（19%）和422名（21%）报告HIV检测频率低于每年一次、每年一次和高于每年一次。在GBMSM中HIV发病率最高的西班牙裔和非西班牙裔黑人GBMSM，可能比非西班牙裔白人GBMSM检测得更频繁。更频繁的检测也与PrEP资格相关；检测频率较低与居住在非城市地区有关。HIV发病率较高的群体以及有PrEP指征的人报告的检测频率更高，这表明许多GBMSM的HIV检测频率与需求相符。需要做出更多努力来提高检测频率较低的GBMSM的HIV检测率，包括那些生活在农村地区的人。
