IDEAS home Printed from https://ideas.repec.org/a/sae/sagope/v11y2021i2p21582440211016835.html
   My bibliography  Save this article

Barriers to HIV Testing and Opportunities for Expansion Using Home-Based HIV Self-Testing: Results of a National Study of Higher HIV Risk Young Men Who Have Sex With Men

Author

Listed:
  • Sarah J. Marks
  • Roland C. Merchant
  • Melissa A. Clark
  • Tao Liu
  • Joshua G. Rosenberger
  • Jose A. Bauermeister
  • Kenneth H. Mayer

Abstract

HIV incidence among young adult men-who-have-sex-with-men (YMSM) is among the highest in the United States (US), yet YMSM have lower rates of HIV testing than most other MSM. Among 1,835 U.S. Black, Hispanic, and White YMSM who reported condomless anal intercourse (CAI) in the prior year, 30% (95% confidence interval [CI]: [28%, 32%]) had not been tested for HIV in the past year as recommended by national guidelines, and 19% (95% CI: [17%, 21%]) had never been tested. Factors associated with not being tested in the past year included not having a primary care provider (PCP)) (odds ratio [OR]: 2.00, 95% CI: [1.53, 2.60]), discomfort with asking a PCP for an HIV test (OR: 2.66, 95% CI: [2.05, 3.44]), living in a smaller community (OR: 1.71, 95% CI: [1.35, 2.18]), younger age (OR: 2.00, 95% CI: [1.53, 2.60]), and greater self-perception of having an undiagnosed HIV infection (OR: 1.46, 95% CI: [1.07, 1.99]). YMSM who had not been tested in the prior year were less likely to know where to get tested, yet were interested in trying home-based HIV self-testing. This study shows that knowledge, clinician-relationship, geographic, and perceptional barriers must be overcome to improve HIV testing among YMSM. Home-based HIV self-testing may address some of these barriers, particularly for YMSM living in smaller communities.

Suggested Citation

  • Sarah J. Marks & Roland C. Merchant & Melissa A. Clark & Tao Liu & Joshua G. Rosenberger & Jose A. Bauermeister & Kenneth H. Mayer, 2021. "Barriers to HIV Testing and Opportunities for Expansion Using Home-Based HIV Self-Testing: Results of a National Study of Higher HIV Risk Young Men Who Have Sex With Men," SAGE Open, , vol. 11(2), pages 21582440211, May.
    • Handle: RePEc:sae:sagope:v:11:y:2021:i:2:p:21582440211016835
    DOI: 10.1177/21582440211016835
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/21582440211016835
    Download Restriction: no
    File URL: https://libkey.io/10.1177/21582440211016835?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Ci Zhang & Xianhong Li & Mary-Lynn Brecht & Deborah Koniak-Griffin, 2017. "Can self-testing increase HIV testing among men who have sex with men: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-19, November.
    2. Wilson, P.A. & Moore, T.E., 2009. "Public health responses to the HIV epidemic among black men who have sex with men: A qualitative study of US Health Departments and Communities," American Journal of Public Health, American Public Health Association, vol. 99(6), pages 1013-1022.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ying Liu & Guohui Wu & Rongrong Lu & Rong Ou & Ling Hu & Yiping Yin & Yangchang Zhang & Hongjia Yan & Yong Zhao & Yetao Luo & Mengliang Ye, 2020. "Facilitators and Barriers Associated with Uptake of HIV Self-Testing among Men Who Have Sex with Men in Chongqing, China: A Cross-Sectional Survey," IJERPH, MDPI, vol. 17(5), pages 1-11, March.
    2. Christopher Chauncey Watson & Leo Wilton & Jonathan Paul Lucas & Lawrence Bryant & Gregory D. Victorianne & Kerry Aradhya & Sheldon D. Fields & Darrell P. Wheeler & on behalf of the HPTN Black Caucus, 2020. "Development of a Black Caucus within the HIV Prevention Trials Network (HPTN): Representing the Perspectives of Black Men Who Have Sex with Men (MSM)," IJERPH, MDPI, vol. 17(3), pages 1-16, February.
    3. Varsicka Kularadhan & Joscelyn Gan & Eric P. F. Chow & Christopher K. Fairley & Jason J. Ong, 2022. "HIV and STI Testing Preferences for Men Who Have Sex with Men in High-Income Countries: A Scoping Review," IJERPH, MDPI, vol. 19(5), pages 1-17, March.
    4. S. Raquel Ramos & Geetha Beauchamp & Darrell P. Wheeler & Leo Wilton & Darren L. Whitfield & Donte T. Boyd & Lisa Hightow-Weidman & Sheldon D. Fields & LaRon E. Nelson & on behalf of the HPTN 073 Team, 2022. "Optimizing PrEP Continuance: A Secondary Analysis Examining Perceived Autonomy Support and Care Coordination Quality among Black MSM in HPTN 073," IJERPH, MDPI, vol. 19(8), pages 1-10, April.

    More about this item

    Keywords

    HIV; YMSM; testing; HIV home testing;
    All these keywords.

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:sagope:v:11:y:2021:i:2:p:21582440211016835. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.