Recent HIV testing among young men who have sex with men: correlates, contexts, and HIV seroconversion
| Autor: | Linda A. Valleroy, Gina M. Secura, David D. Celentano, Lucia V. Torian, Robert S. Janssen, Trista Bingham, Duncan A. MacKellar, Marlene LaLota, Douglas Shehan, Stephanie Behel, John E. Anderson, Hanne Thiede, Beryl A. Koblin |
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| Rok vydání: | 2006 |
| Předmět: |
Microbiology (medical)
Sexually transmitted disease Adult Counseling Male Urban Population media_common.quotation_subject HIV Infections Dermatology Hiv testing Men who have sex with men Acquired immunodeficiency syndrome (AIDS) Surveys and Questionnaires HIV Seropositivity Medicine Humans Homosexuality Homosexuality Male Sida media_common biology business.industry Public Health Environmental and Occupational Health virus diseases AIDS Serodiagnosis biology.organism_classification medicine.disease United States Infectious Diseases Health Care Surveys Population Surveillance Lentivirus Immunology Viral disease business Demography |
| Zdroj: | Sexually transmitted diseases. 33(3) |
| ISSN: | 0148-5717 |
| Popis: | Objectives: We evaluated the correlates and contexts of HIV testing within the past year, subsequent risk reduction, and HIV seroconversion among young men who have sex with men (MSM). Methods: Young men aged 23 to 29 years were approached, interviewed, counseled, and tested for HIV at 181 randomly sampled MSM-identified venues in six U.S. cities from 1998 through 2000. Analyses were restricted to 2,797 MSM who reported never testing HIV-positive. Results: Of the 2,797 MSM, 1,281 (46%) either never previously tested or had not tested in the past year (never/remote testers); 1,516 (54%) had tested in the past year (recent testers); and 271 (10%) tested HIV-positive as part of the study. Of 1,885 recent sex partners reported by HIV-infected participants, 68% were partners of never/remote testers. Of recent testers, 50% tested anonymously, 51% tested because of specific risks, 59% were counseled, 47% reported reducing their risks after testing, and 8% tested HIV-positive (percent HIV-infected by race: blacks, 24%; Hispanics, 6%; whites, 4%; Asians, 1%). Conclusion: Nearly half of young MSM participants had not tested in the past year and HIV-infected never/remote testers accounted for approximately two thirds of recent partners potentially exposed to HIV. Of those who had tested recently, many MSM, especially those who are black, had already acquired HIV. To reduce HIV transmission and facilitate early diagnosis and entry into care, increased HIV testing among young at-risk MSM in the United States, especially those who are black, is needed. |
| Databáze: | OpenAIRE |
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