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Utilization of facility-based HIV testing and associated factors among men who have sex with men in Shanghai / 上海预防医学
Shanghai Journal of Preventive Medicine ; (12): 687-691, 2021.
Article in Chinese | WPRIM | ID: wpr-886641
ABSTRACT

Objective:

To determine the prevalence of facility-based HIV testing and its associated factors among men who have sex with men (MSM) in Shanghai.

Methods:

From June 2018 to December 2020, MSM were recruited by a community organization “Shanghai CSW&MSM Center (SCMC)”. A total of 3 251 MSM were included as follows: being 18 years old and above, being HIV-negative or with unknown HIV status, living in Shanghai, had homosexual behavior in the past year, and completed informed consent. Using a self-designed questionnaire, we performed an online survey powered by www.wjx.cn to collect information on demographics, sexual behavior, and facility-based HIV testing. A total of 3 240 valid questionnaires were collected. Univariate and multivariate logistic regression were used to determine the factors associated with facility-based HIV testing.

Results:

A total of 3 240 MSM participated in the study with mean age of (29.7±6.2) years .The prevalence of facility-based HIV testing was 63.2% (2 049/3 240), Multivariate logistic regression showed that the participants with a college degree or above were less likely to have facility-based HIV testing(OR=0.73,P=0.008), compared to those with lower educational background. The proportion of the MSM who sought sexual partners through the internet received facility-based testing was 68.7%. Compared to the participants with the sexual role being 0 (only be penetrated), those being 0.5 (both penetrated and be penetrated) and 1 (only penetrated) were both more likely to have the HIV testing (both P<0.05). Those who used condoms during the last homosexual behavior were more likely to be tested than those who did not (OR=1.39, P=0.001). Those who had been diagnosed with sexually transmitted diseases were more likely to be tested than those who did not (OR=2.05, P<0.001). The participants who had used HIV self-testing kits in the past were more likely to be tested than those who did not (OR=2.31, P<0.001).

Conclusion:

MSM in Shanghai have lower utilization of facility-based HIV testing, which may be improved by strengthening the advocacy of facility-based HIV testing services through the internet and peer education, and innovating service models.

Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Shanghai Journal of Preventive Medicine Year: 2021 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Shanghai Journal of Preventive Medicine Year: 2021 Type: Article