Examining HIV Testing Coverage and Factors InfluencingFirst-Time Testing among Men Who Have Sex with Men Inzhejiang Province, China:Cross-Sectional Study Based on Alarge Internet Survey
JMIR PUBLIC HEALTH AND SURVEILLANCE(2024)
Zhejiang Prov Ctr Dis Control & Prevent
Abstract
Background: Men who have sex with men (MSM) constitute a significant population of patients infected with HIV. In recentyears, several efforts have been made to promote HIV testing among MSM in China. Objective: This study aimed to assess HIV testing coverage and factors associated with first-time HIV testing among MSM toprovide a scientific basis for achieving the goal of diagnosing 95% of patients infected with HIV by 2030. Methods: This cross-sectional study was conducted between July 2023 and December 2023. MSM were recruited from the"Sunshine Test," an internet platform that uses location-based services to offer free HIV testing services to MSM by visiting theWeChat official account in Zhejiang Province, China. Participants were required to complete a questionnaire on their demographiccharacteristics, sexual behaviors, substance use, and HIV testing history. A logistic regression model was used to analyze first-timeHIV testing and its associated factors. Results: A total of 7629 MSM participated in the study, with 87.1% (6647) having undergone HIV testing before and 12.9%(982) undergoing HIV testing for the first time. Multivariate logistic regression analysis revealed that first-time HIV testing wasassociated with younger age (adjusted odds ratio [aOR] 2.55, 95% CI 1.91-3.42), lower education (aOR 1.39, 95% CI 1.03-1.88),student status (aOR 1.35, 95% CI 1.04-1.75), low income (aOR 1.55, 95% CI 1.16-2.08), insertive anal sex role (aOR 1.28, 95%CI 1.05-1.56), bisexuality (aOR 1.69, 95% CI 1.40-2.03), fewer sex partners (aOR 1.44, 95% CI 1.13-1.83), use of rush poppers(aOR 2.06, 95% CI 1.70-2.49), unknown HIV status of sex partners (aOR 1.40, 95% CI 1.17-1.69), lack of awareness of HIVpre-exposure prophylaxis (aOR 1.39, 95% CI 1.03-1.88), and offline HIV testing uptake (aOR 2.08, 95% CI 1.80-2.41). Conclusions: A notable 12.9% (982/7629) of MSM had never undergone HIV testing before this large internet survey. Werecommend enhancing HIV intervention and testing through internet-based platforms and gay apps to promote testing amongMSM and achieve the target of diagnosing 95% of patients infected with HIV by 2030.
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Key words
HIV,testing,men who have sex with men,MSM,internet,pre-exposure prophylaxis,China,mobile phone
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