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2015-07-30Zeitschriftenartikel DOI: 10.1186/s12889-015-1945-5
Recency and frequency of HIV testing among men who have sex with men in Germany and socio-demographic factors associated with testing behaviour
dc.contributor.authorMarcus, Ulrich
dc.contributor.authorGassowski, Martyna
dc.contributor.authorKruspe, Martin
dc.contributor.authorDrewes, Jochen
dc.date.accessioned2018-05-07T18:23:10Z
dc.date.available2018-05-07T18:23:10Z
dc.date.created2015-08-06
dc.date.issued2015-07-30none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/rei7KeOZ3aDBI/PDF/24jagZkI5Vvkc.pdf
dc.identifier.urihttp://edoc.rki.de/176904/2107
dc.description.abstractBackground: Testing for presence of HIV infection is a pre-requisite to qualify for antiretroviral treatment. A considerable proportion of German men who have sex with men (MSM) infected with HIV have a CD4 cell count below 350 cells/μl at time of diagnosis and are thus defined as “late presenters”. Late presentation increases the risk of adverse disease outcomes. In addition, knowledge and assessment of HIV status is often used for decisions about condom use and anal intercourse with steady and non-steady partners. Incorrect assumptions may result in high risk for HIV transmission. Methods: Between 11/2013 and 01/2014 MSM were recruited to an online survey predominantly by personalized invitation messages from MSM social networking and dating websites. Respondents were asked about demographic characteristics, HIV testing history, reasons for testing decisions, and sexual behaviours. We describe reasons for not testing and analyse factors associated with not or infrequent testing using univariable and multivariable multinomial regression. Results: Questions on HIV testing history were answered by 15,297 respondents. An HIV test within the last 12 months was reported by 38 %, a test more than 12 months ago by 27 % and 35 % had never been tested for HIV. Compared to recently tested, respondents who had never tested were more likely to be younger than 25 years (adjusted relative risk ratio (aRRR) 2.90, 95 % CI 2.11-3.99), living in a settlement with less than 100,000 inhabitants (aRRR 1.47, 95 % CI 1.18-1.83), being less open about their sexual orientation to their co-workers/classmates, and particularly to their primary care provider (aRRR 4.54, 95 % CI 4.02-5.11). Untested and less frequently tested respondents reported less sex partners and a lower proportion reported unprotected anal intercourse (UAI) with a non-steady partner (24 % compared to 38 % among those recently tested). Conclusions: MSM who were younger, who did not live in large cities, and who were not out about their sexual orientation tested less frequently for HIV. Apart from strengthening protection from sexual orientation-related discrimination and empowering MSM who conceal their orientation, more opportunities to test anonymously and without revealing one’s sexual orientation should be provided.eng
dc.language.isoeng
dc.publisherRobert Koch-Institut, Infektionsepidemiologie
dc.subjectHumanseng
dc.subjectMaleeng
dc.subjectInterneteng
dc.subjectAdolescenteng
dc.subjectAdulteng
dc.subjectGermany/epidemiologyeng
dc.subjectYoung Adulteng
dc.subjectAge Factorseng
dc.subjectMass Screeningeng
dc.subjectSexual Behavioreng
dc.subjectCD4 Lymphocyte Counteng
dc.subjectHIV Infections/diagnosiseng
dc.subjectOdds Ratioeng
dc.subjectHomosexuality Male/statistics & numerical dataeng
dc.subjectSurveys and Questionnaireseng
dc.subjectDemographyeng
dc.subjectHomosexuality Male/psychologyeng
dc.subjectHIV Infections/psychologyeng
dc.subjectResidence Characteristicseng
dc.subject.ddc610 Medizin
dc.titleRecency and frequency of HIV testing among men who have sex with men in Germany and socio-demographic factors associated with testing behaviour
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-10040183
dc.identifier.doi10.1186/s12889-015-1945-5
dc.identifier.doihttp://dx.doi.org/10.25646/2032
local.edoc.container-titleBMC Public Health
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttp://www.biomedcentral.com/1471-2458/15/727
local.edoc.container-publisher-nameBioMedCentral
local.edoc.container-volume15
local.edoc.container-issue727
local.edoc.container-year2015

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