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BMC Public Health
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Prevalence of prior HIV testing and associated factors among MSM in Zhejiang Province, China: a cross-sectional study

Authors: Runhua Li, Xiaohong Pan, Qiaoqin Ma, Hui Wang, Lin He, Tingting Jiang, Dayong Wang, Yan Zhang, Xingliang Zhang, Shichang Xia

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

Men who have sex with men (MSM) have become one of high-risk population for human immunodeficiency virus (HIV) infection, due to their multiple sex partners and unprotected anal intercourse. Promoting HIV testing is an effective strategy for the prevention and control of HIV infection. We assessed the factors associated with a prior HIV testing history, which could provide guidance for implementation of future HIV intervention programs.

Methods

A cross-sectional study was conducted in three cities of Zhejiang Province, namely, Hangzhou, Ningbo and Wenzhou, using respondent-driven sampling, between December 2013 and June 2014. A face-to-face questionnaire survey was employed to collect relevant information about HIV testing. Univariate and multivariate logistic regression analyses were used to identify the factors associated with a prior HIV testing history.

Results

The adjusted rate of prior HIV testing among MSM in Zhejiang Province was 55.9 %. The adjusted rates of HIV and syphilis infections among MSM in Zhejiang Province were 14.0 % and 11.4 %, respectively. A weighted multivariate analysis showed that MSM of older age were more likely to be tested, as were MSM with higher level of education, self-reported homosexuality and a higher frequency of receiving AIDS/sexually transmitted infections educational intervention in the past year. MSM with suicidal inclination and self-perceived lower possibility of HIV infection were less likely to report ever having undergone an HIV test.

Conclusions

The prevalence of prior HIV testing among MSM in Zhejiang Province, China is low. Effective and more frequent interventional measures should be adopted to improve risk awareness and psychosocial support for younger, less educated MSM, and to encourage more MSM to undergo HIV testing.
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Metadata
Title
Prevalence of prior HIV testing and associated factors among MSM in Zhejiang Province, China: a cross-sectional study
Authors
Runhua Li
Xiaohong Pan
Qiaoqin Ma
Hui Wang
Lin He
Tingting Jiang
Dayong Wang
Yan Zhang
Xingliang Zhang
Shichang Xia
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3806-2

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