Characteristics of First-Time and Repeat HIV Tests Among Men Who Have Sex With Men Who Test at CDC-Supported Sites, 2007

Fisher, Holly; Habarta, Nancy; Hardnett, Felicia; Toledo, Carlos; Hoyte, Tamika; Eke, Adanze; Valleroy, Linda A.

doi:10.1521/aeap.2011.23.3_supp.17

Cited by 9 publications

(6 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…22 However, they were lower than the proportions reporting a history of HIV testing found among urban MSM in high-income countries like Japan (Yokohama), United Kingdom (London), and United States (several cities) where proportions were more than 60%. [23][24][25] We anticipate the proportion of MSM with repeat HCT will continue to increase as HCT is further promoted, hopefully resulting in an increase in the proportion of MSM who repeat HCT within 180 days.…”

Section: Discussionmentioning

confidence: 99%

Repeat HIV testing among HIV-uninfected men who have sex with men attending Silom Community Clinic, Bangkok, 2011 − 2014

et al. 2018

View full text Add to dashboard Cite

Since 2010, the Thailand Ministry of Public Health has recommended that men who have sex with men (MSM) have an HIV test at least two times a year. We calculated the proportion of, and factors associated with, testing adherence among the HIV-uninfected MSM clients attending Silom Community Clinic @TropMed. We defined testing adherence as repeating at least one HIV test within six months of an initial HIV-negative test, and used log-binomial regression to test for associated factors. We included 1927 clients during 2011-2014; 362 (19%) were adherent with an increased trend ( p < 0.01), from 16% to 24%. Clients aged 18-24 years and those having a history of HIV testing were more likely to adhere (aRR: 1.3, 95% CI: 1.1-1.6; and aRR: 1.3, 95% CI: 1.0-1.5, respectively). One-fifth adhered to the recommendation; older clients or naïve testees were less likely to adhere. We need to impress on clients the importance of repeat HIV testing.

show abstract

Section: Discussionmentioning

confidence: 99%

Repeat HIV testing among HIV-uninfected men who have sex with men attending Silom Community Clinic, Bangkok, 2011 − 2014

et al. 2018

View full text Add to dashboard Cite

show abstract

“…This represents the biggest study to date analyzing the associations between repeat testing and risk behavior in repeat testers. In 2007, repeat testers accounted for more than 80 % of HIV tests performed annually in the United States [ 1 ], and when analyzing our program since 2008, repeat tests accounted for 48 % (8,396/17,333) of voluntary HIV tests among MSM. Our main finding was that repeat acute infection screening (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…Men who have sex with men (MSM) bear the greatest burden of HIV infection in California and the United States [ 1 – 5 ]. The Center for Disease Control and Prevention recommends that high-risk groups, like sexually active MSM, receive HIV testing and counseling at least annually [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Repeat HIV-testing is associated with an increase in behavioral risk among men who have sex with men: a cohort study

Hoenigl

Anderson

Green

et al. 2015

BMC Med

View full text Add to dashboard Cite

BackgroundThe Center for Disease Control and Prevention recommends that high-risk groups, like sexually active men who have sex with men (MSM), receive HIV testing and counseling at least annually. The objective of this study was to investigate the relationship between voluntary repeat HIV testing and sexual risk behavior in MSM receiving rapid serologic and nucleic acid amplification testing.MethodsWe performed a cohort study to analyze reported risk behavior among MSM receiving the “Early Test”, a community-based, confidential acute and early HIV infection screening program in San Diego, California, between April 2008 and July 2014. The study included 8,935 MSM receiving 17,333 “Early Tests”. A previously published risk behavior score for HIV acquisition in MSM (i.e. Menza score) was chosen as an outcome to assess associations between risk behaviors and number of repeated tests.ResultsAt baseline, repeat-testers (n = 3,202) reported more male partners and more condomless receptive anal intercourse (CRAI) when compared to single-testers (n = 5,405, all P <0.001). In 2,457 repeat testers there was a strong association observed between repeated HIV tests obtained and increased risk behavior, with number of male partners, CRAI with high risk persons, non-injection stimulant drug use, and sexually transmitted infections all increasing between the first and last test. There was also a linear increase of risk (i.e. high Menza scores) with number of tests up to the 17th test. In the multivariable mixed effects model, more HIV tests (OR = 1.18 for each doubling of the number of tests, P <0.001) and younger age (OR = 0.95 per 5-year increase, P = 0.006) had significant associations with high Menza scores.ConclusionsThis study found that the highest risk individuals for acquiring HIV (e.g. candidates for antiretroviral pre-exposure prophylaxis) can be identified by their testing patterns. Future studies should delineate causation versus association to improve prevention messages delivered to repeat testers during HIV testing and counseling sessions.

show abstract

“… 6 MSM bear the greatest burden of HIV infection in California and the United States. 7 – 9 But while MSM represent a significant risk group, the risk of HIV infection within this population is not uniform. Studies have shown that MSM presenting to community HIV-screening programs may represent a subsegment of the MSM population at higher risk for the acquisition of HIV infection.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Acute and Early HIV Infection Among Men Who Have Sex With Men (MSM) in San Diego, 2008 to 2014

2015

View full text Add to dashboard Cite

The objectives of this study were to identify risk factors associated with acute and early HIV infection (AEH) among men who have sex with men (MSM) undergoing community HIV testing and to compare demographics in those diagnosed with AEH with those diagnosed at chronic stage of HIV infection.In this retrospective cohort study, we analyzed risk factors associated with AEH among 8925 unique MSM (including 200 with AEH [2.2%] and 219 [2.5%] with newly diagnosed chronic HIV infection) undergoing community-based, confidential AEH screening in San Diego, California.The combination of condomless receptive anal intercourse (CRAI) plus ≥5 male partners, CRAI with an HIV-positive male, CRAI with a person who injects drugs, and prior syphilis diagnosis were significant predictors of AEH in the multivariable Cox regression model. Individuals reporting ≥1 of these 4 risk factors had a hazard ratio of 4.6 for AEH. MSM diagnosed with AEH differed in race (P = 0.005; more reported white race [P = 0.001], less black race [P = 0.030], trend toward less Native American race [P = 0.061]), when compared to those diagnosed with chronic HIV infection, while there was no difference observed regarding age.We established a multivariate model for the predicting risk of AEH infection in a cohort of MSM undergoing community HIV screening, which could be potentially used to discern those in need of further HIV nucleic acid amplification testing for community screening programs that do not test routinely for AEH. In addition, we found that race differed between those diagnosed with AEH and those diagnosed at chronic stage of HIV infection underlining the need for interventions that reduce stigma and promote the uptake of HIV testing for black MSM.

show abstract

Characteristics of First-Time and Repeat HIV Tests Among Men Who Have Sex With Men Who Test at CDC-Supported Sites, 2007

Cited by 9 publications

References 12 publications

Repeat HIV testing among HIV-uninfected men who have sex with men attending Silom Community Clinic, Bangkok, 2011 − 2014

Repeat HIV testing among HIV-uninfected men who have sex with men attending Silom Community Clinic, Bangkok, 2011 − 2014

Repeat HIV-testing is associated with an increase in behavioral risk among men who have sex with men: a cohort study

Risk Factors for Acute and Early HIV Infection Among Men Who Have Sex With Men (MSM) in San Diego, 2008 to 2014

Contact Info

Product

Resources

About