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AIDS Behav. 2018 Jul;22(7):2113-2126. doi: 10.1007/s10461-017-1894-3.

Correlates of Unknown HIV Status Among MSM Participating in the 2014 American Men's Internet Survey (AMIS).

Author information

1
Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA. smtraynor@med.miami.edu.
2
College of Human Medicine, Michigan State University, East Lansing, MI, USA.
3
Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.

Abstract

Increasing serostatus awareness is a key HIV prevention strategy. Despite expanded testing efforts, some men who have sex with men (MSM) remain unaware of their HIV status. This study explored demographic characteristics, sexual identity, sexual role, and behavioral factors associated with unknown HIV status among MSM in the United States. Data from 9170 MSM in the 2014 American Men's Internet Survey were analyzed using logistic regression to identify correlates of unknown HIV status. Young age, race, low education, rural residence, and lack of recent healthcare visits were significantly associated with unknown HIV status. In addition, nondisclosure of one's sexual orientation (OR = 3.70, 95% CI 2.99-4.59) and a self-identified sexual role as "bottom" (OR = 1.45, 95% CI 1.24-1.70) were predictors of unknown HIV status. Post-hoc analysis showed HIV-negative MSM not tested in the last year had fewer self-reported risk behaviors than recent testers, suggesting that repeat testing among MSM may be aligned with individual risk.

KEYWORDS:

HIV testing; Internet survey; Men who have sex with men (MSM); Unknown HIV status

PMID:
28852893
DOI:
10.1007/s10461-017-1894-3

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