Missed Opportunities for Human Immunodeficiency Virus and Syphilis Testing Among Men Who Have Sex With Men in China: A Cross-Sectional Study

Sexually Transmitted Diseases
Jason J OngJoseph D Tucker

Abstract

Men who have sex with men (MSM) are at high risk of human immunodeficiency virus (HIV)/syphilis. To inform strategies for dual testing, we describe patterns of HIV/syphilis testing, and examine factors associated with never testing for HIV/syphilis in China. An online survey (2016) was completed by MSM from 8 cities: men born biologically male, 16 years or older, and had sex with another man at least once during their lifetime. Demographic, sexual behavioral, and HIV/syphilis testing data were collected. Multivariable multinomial logistic regression identified characteristics associated with men who never tested for HIV/syphilis compared with men who ever tested for both infections. Overall, 2105 men participated. Among them, 35.1% (738/2105) never tested for HIV/syphilis, and in those ever tested for HIV, only half (54.0%, 709/1312) had tested for syphilis. Relative to men who had ever tested for both infections, those with increased probability of never testing for HIV/syphilis include non-gay sexual identity (prevalence odds ratio [POR] 1.86; 95% confidence interval [CI], 1.45-2.37), not disclosed their sexuality/sexual history with men other than their regular partner (POR, 2.22; 95% CI, 1.75-2.78]) or with health professio...Continue Reading

References

Jan 19, 2008·World Journal of Gastroenterology : WJG·Shuang FuIqbal Ramzan
Apr 16, 2010·Sexually Transmitted Diseases·Richard T GrayDavid P Wilson
Dec 18, 2012·Current Opinion in Infectious Diseases·Joseph D TuckerRosanna W Peeling
Feb 14, 2013·Sexually Transmitted Diseases·Lan ZhangYiming Shao
May 16, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Yue-Ping YinXiang-Sheng Chen
Mar 12, 2016·Bulletin of the World Health Organization·Weibin ChengMing Wang
May 1, 2016·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Weiming TangJoseph D Tucker
Apr 1, 2017·Science·Kathleen McLaughlin
Apr 19, 2017·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Eric P F ChowUNKNOWN ACCESS collaboration
Aug 28, 2017·Sexually Transmitted Infections·Jason J OngWilliam C W Wong

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Citations

Jun 27, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Dan WuWeiming Tang
May 6, 2020·BMC Public Health·Navin KumarMarcus Alexander

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