Document Detail


HIV-untested men who have sex with men in South Africa: the perception of not being at risk and fear of being tested.
MedLine Citation:
PMID:  23054041     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A community-based needs assessment among men who have sex with men (MSM) in South Africa found that 27 % (n = 280/1,045) of MSM had never been tested for HIV. The most frequently reported reasons for not having been tested were the perception of not being at risk (57 %) and fear of being tested (52 %). This article explores factors associated with these two reasons among the untested MSM. In multiple logistic regressions, the perception of not being at risk of HIV infection was negatively associated with being black, coloured or Indian, being sexually active, knowing people living with HIV, and a history of sexually transmitted infections (STIs) in the past 24 months (adj. OR = .24, .32, .38, and .22, respectively). Fear of being tested for HIV was positively associated with being black, coloured or Indian, preferred gender expression as feminine, being sexually active, a history of STIs, and experience of victimization on the basis of sexual orientation (adj. OR = 2.90, 4.07, 4.62, 5.05, and 2.34, respectively). Results suggest that HIV prevention programs directed at South African MSM will be more effective if testing and treatment of STIs are better integrated into HIV testing systems. Finally, social exclusion on the basis of race and sexual orientation ought to be addressed in order to reach hidden, at-risk, populations of MSM.
Authors:
Juan A Nel; Huso Yi; Theo G M Sandfort; Eileen Rich
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  AIDS and behavior     Volume:  17 Suppl 1     ISSN:  1573-3254     ISO Abbreviation:  AIDS Behav     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-04-17     Completed Date:  2013-07-30     Revised Date:  2014-05-08    
Medline Journal Info:
Nlm Unique ID:  9712133     Medline TA:  AIDS Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S51-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
AIDS Serodiagnosis / utilization*
Adolescent
Adult
Aged
Attitude to Health*
Community Health Services
Fear / psychology*
HIV Infections / diagnosis*,  prevention & control,  psychology
Health Services Needs and Demand
Health Surveys
Homosexuality, Male / psychology*,  statistics & numerical data
Humans
Logistic Models
Male
Middle Aged
Needs Assessment
Perception
Questionnaires
Social Distance
Social Stigma
Social Support
Socioeconomic Factors
South Africa
Young Adult
Grant Support
ID/Acronym/Agency:
P30-MH43520/MH/NIMH NIH HHS; P50 MH043520/MH/NIMH NIH HHS; T32 MH019139/MH/NIMH NIH HHS; T32-MH19139/MH/NIMH NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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