Increases in Recent HIV Testing Among Men Who Have Sex With Men Coincide With the Centers for Disease Control and Prevention's Expanded Testing Initiative

Cooley, Laura A.; Wejnert, Cyprian; Rose, Charles E.; Paz–Bailey, Gabriela; Taussig, Jennifer; Gern, Robert; Hoyte, Tamika; Salazar, Laura F.; White, Jianglan Z.; Todd, Jeff; Bautista, Greg; Flynn, Colin; Sifakis, Frangiscos; German, Danielle; Isenberg, Debbie; Driscoll, Maura A.; Hurwitz, Elizabeth; Doherty, Rose; Wittke, Chris; Prachand, Nikhil; Benbow, Nanette; Melville, Sharon K.; Pannala, Praveen R.; Yeager, Richard A.; Sayegh, Aaron; Dyer, Jim; Sheu, Shane; Novoa, Alicia; Thrun, Mark; Al-Tayyib, Alia; Wilmoth, Ralph; Higgins, Emily; Griffin, Vivian; Mokotoff, Eve D.; MacMaster, Karen; Wolverton, Marcia; Risser, Jan M. H.; Rehman, Hafeez ur; Padgett, Paige; Bingham, Trista; Sey, Ekow Kwa; LaLota, Marlene; Metsch, Lisa R.; Forrest, D.W.; Beck, Dano W.; Cardenas, Gabriel; Nemeth, Chris; Anderson, Bridget J.; Watson, Carol-Ann; Smith, Lou; Robinson, William T.; Gruber, DeAnn; Barak, Narquis; Murrill, Chris; Neaigus, Alan; Jenness, Samuel M.; Hagan, Holly; Reilly, Kathleen H.; Wendel, Travis; Cross, Helene; Bolden, Barbara; D'Errico, Sally; Wogayehu, Afework; Godette, Henry; Brady, Kathleen A.; Kirkland, Althea; Sifferman, Andrea; Miguelino-Keasling, Vanessa; Velasco, Al; Tovar, Veronica; Raymond, Henry F.; León, Sandra Miranda De; Rolón-Colón, Yadira; Marzan, Melissa; Courogen, Maria; Jaenicke, Tom; Thiede, Hanne; Burt, Richard D.; Jia, Yujiang; Opoku, Jenevieve; Sansone, Marie; West, Tiffany; Magnus, Manya; Kuo, Irene

doi:10.1093/cid/ciu851

Cited by 11 publications

(8 citation statements)

References 6 publications

(5 reference statements)

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“…Peer influence and perceived social norms have been identified as highly influential factors that motivate people to get tested for HIV, along with a history of sexually transmitted infection and risk awareness (8, 28). Our findings on youths‘ motivations to use the HIVST confirm existing research.…”

Section: Resultsmentioning

confidence: 99%

“…Lack of HIV testing contributes to this unawareness. Although the CDC recommends testing for HIV every 12 months for persons at high-risk for infection, over 35% of young MSM have not been tested in the past year (8). All of these populations remain at high-risk for acquiring HIV, and knowing their HIV status is fundamental to linking them to care and secondary prevention (9).…”

Section: Introductionmentioning

confidence: 99%

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Information, Motivation, and Behavioral Skills of High-Risk Young Adults to Use the HIV Self-Test

et al. 2016

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HIV Self Tests (HIVST) have the potential to increase testing among young adults. However, little is known about high-risk young adults‘ perception of the HIVST as a risk reduction tool and how they would use the HIVST in their everyday lives. Our study sought to examine these factors. Twenty-one ethnically diverse participants (ages 18–24) used the HIVST at our study site, completed surveys, and underwent an in-depth interview. Descriptive statistics were used to analyze the survey responses, and interview data were coded using constructs from the Information-Motivation-Behavioral skills model. Information deficits included: how to use the HIVST and the “window period” for sero-conversion. Motivations supporting HIVST use included: not needing to visit the clinic, fast results, easy access, and use in non-monogamous relationships. Behavioral skills discussed included: coping with a positive test, handling partner violence after a positive test, and accessing HIV services. These findings can inform the use of the HIVST for improving HIV testing rates and reducing HIV risk behavior.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Information, Motivation, and Behavioral Skills of High-Risk Young Adults to Use the HIV Self-Test

et al. 2016

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“…Awareness of HIV infection could result in reducing risk behaviors and thus decrease the likelihood of HIV transmission to others ( Hall, Holtgrave, & Maulsby, 2012 ; Marks, Crepaz, & Janssen, 2006 ). HIV testing, at least annually recommended by the CDC for sexually active MSM, is also the first step to link HIV-infected MSM into HIV treatment cascade and other medical services ( Cooley et al, 2014 ). Although home-based rapid HIV testing kits have been approved for self-testing since 2012, health-care providers (HCPs) still play a critical role for MSM’s uptake of HIV-testing and counseling service ( Lorenc et al, 2011 ).…”

mentioning

confidence: 99%

Disclosure of Same-Sex Behaviors to Health-care Providers and Uptake of HIV Testing for Men Who Have Sex With Men: A Systematic Review

Qiao

Zhou

2018

Am J Mens Health

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To promote HIV-testing and offer optimal care for men who have sex with men (MSM), health-care providers (HCPs) must first be aware of their patients’ sexual behaviors. Otherwise, HCPs may overlook MSM’s risks for HIV infection and their special health-care needs. For MSM, reporting their same-sex behaviors to HCPs (disclosure to HCPs) may promote their linkage to HIV prevention and treatment cascade and improve their health outcomes. No literature review has been conducted to examine the relationship between disclosure to HCPs and uptake of HIV-testing among MSM. The current study reviewed and synthesized findings from 29 empirical studies published in English by 2016. We summarized the rates of MSM’s disclosure to HCPs, investigated the association between disclosure and HIV-testing among MSM, identified potential facilitators and barriers for disclosure, and discussed the implications of our findings in research and clinical practices. The disclosure rates varied across subgroups and study settings, ranging from 16% to 90% with a median of 61%. Disclosure to HCPs was positively associated with uptake of HIV-testing. African American MSM were less likely to disclose to HCPs. MSM who lived in urban settings with higher education attainment and higher income were more likely to disclose. MSM tended to perceive younger or gay-friendly doctors as safer targets of disclosure. Clinics with LGBT-friendly signs were viewed as safer contexts for disclosure. Having previous communications about substance use, sex, and HIV with HCPs could also facilitate disclosure. The main reasons for nondisclosure included lack of probing from HCPs, concerns on confidentiality breach and stigma, and perceived irrelevance with services. Providing appropriate trainings for HCPs and creating gay-friendly clinical settings can be effective strategies to facilitate disclosures of same-sex behaviors among MSM and meet their specific medical needs. Interventions to promote disclosure should give priorities to MSM from the most marginalized subgroups (e.g., MSM in rural areas, MSM of ethnic minorities).

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“…An analysis among cities funded through CDC’s Expanded HIV Testing Initiative found a similar increase in recent testing between 2008 and 2011 among MSM, 28 and Washington, DC reports among the highest levels of past year testing in all populations. 3,4,27 Over time we observed successively higher proportions of engagement in care and ARV use among heterosexuals and PWID.…”

Section: Discussionmentioning

confidence: 92%

Development of an HIV Testing Dashboard to Complement the HIV Care Continuum Among MSM, PWID, and Heterosexuals in Washington, DC, 2007–2015

Patrick

Greenberg

Magnus³

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background We developed an HIV testing dashboard to complement the HIV care continuum in selected high-risk populations. Using NHBS data, we examined trends in HIV testing and care for men who have sex with men (MSM), persons who inject drugs (PWID) and heterosexuals at elevated risk (HET). Methods Between 2007–2015, 4,792 participants ≥18 years old completed a behavioral survey and were offered HIV testing. For the testing dashboard, proportions ever tested, tested in the past year, testing HIV-positive, and newly testing positive were calculated. An abbreviated care continuum for self-reported positives (SRP) included ever engagement in care, past year care, and current ARV use. The testing dashboard and care continuum were calculated separately for each population. Chi-square test for trend was used to assess significant trends over time. Results Among MSM, lifetime HIV testing and prevalence significantly increased from 96% to 98% (p=0.01) and 14% to 20% (p=0.02) over time; prevalence was highest among Black MSM at all time points. HIV prevalence among female PWID was significantly higher in 2015 vs. 2009 (27% and 13%; p<0.01). Among HET from 2010 to 2013, annual testing increased significantly (45% to 73%; p<0.001) and the proportion newly diagnosed decreased significantly (p<0.01). SRP MSM had high levels of care engagement and ARV use; among SRP PWID and HET, past year care engagement and ARV use increased over time. Conclusions The HIV testing dashboard can be used to complement the HIV care continuum to display improvements and disparities in HIV testing and care over time.

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Increases in Recent HIV Testing Among Men Who Have Sex With Men Coincide With the Centers for Disease Control and Prevention's Expanded Testing Initiative

Cited by 11 publications

References 6 publications

Information, Motivation, and Behavioral Skills of High-Risk Young Adults to Use the HIV Self-Test

Information, Motivation, and Behavioral Skills of High-Risk Young Adults to Use the HIV Self-Test

Disclosure of Same-Sex Behaviors to Health-care Providers and Uptake of HIV Testing for Men Who Have Sex With Men: A Systematic Review

Development of an HIV Testing Dashboard to Complement the HIV Care Continuum Among MSM, PWID, and Heterosexuals in Washington, DC, 2007–2015

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