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J Am Coll Health. 2014;62(7):450-60. doi: 10.1080/07448481.2014.917654.

Correlates of human immunodeficiency virus/sexually transmitted infection (HIV/STI) testing and disclosure among HIV-negative collegiate men who have sex with men.

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  • 1a The University of Texas Health Science Center at Houston (UTHealth) School of Public Health , Houston , Texas.

Abstract

OBJECTIVE:

To determine the extent to which personal, behavioral, and environmental factors are associated with human immunodeficiency virus/sexually transmitted infection (HIV/STI) testing and disclosure.

PARTICIPANTS:

Nine hundred thirty HIV-negative collegiate men who have sex with men (MSM) who completed an online survey about alcohol use and sexual behavior.

METHODS:

Correlates of testing and disclosure significant in bivariate analyses (p < .05) were grouped into personal, behavioral, or environmental factors and entered into multivariable logistic regression models.

RESULTS:

About half of participants tested for HIV (51.9%) and for STIs (45.8%) at least annually. Over half (57.8%) of participants always/almost always discussed HIV status with new sex partners; 61.1% with new unprotected sex partners. Personal and behavioral factors (age and outness) explained differences in testing, and the behavioral factor (routine testing) explained differences in disclosure.

CONCLUSIONS:

Collegiate MSM should be supported in coming out, encouraged to engage in routine testing, and counseled on discussing HIV/STI status with potential sex partners.

KEYWORDS:

HIV prevention; gay men; health education; sexual behavior; social cognitive theory

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