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Strategies for promoting HIV testing uptake: willingness to receive couple-based and collective HIV testing among a cross-sectional online sample of men who have sex with men in China
  1. Chongyi Wei1,
  2. Kathryn E Muessig2,3,
  3. Cedric Bien3,4,
  4. Ligang Yang5,
  5. Roger Meng6,
  6. Larry Han3,7,
  7. Min Yang3,7,
  8. Joseph D Tucker3,7
  1. 1Department of Epidemiology and Biostatistics & Global Health Sciences, University of California—San Francisco, San Francisco, California, USA
  2. 2Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina—Chapel Hill, Chapel Hill, North Carolina, USA
  3. 3University of North Carolina Project—China, Guangzhou, China
  4. 4Icahn School of Medicine at Mount Sinai, New York, New York, USA
  5. 5Guangdong Provincial Center for STI Control and Prevention, Guangzhou, China
  6. 6Guangtong—Lingnan MSM Community Support Center, Guangzhou, China
  7. 7School of Medicine, University of North Carolina—Chapel Hill, Chapel Hill, North Carolina, USA
  1. Correspondence to Dr Chongyi Wei, 50 Beale Street, Suite 1300, San Francisco, CA 94105, USA; Chongyi.Wei{at}ucsf.edu

Abstract

Objectives Low rates of HIV testing drive the rapidly growing HIV epidemic among men who have sex with men (MSM) in China. We examined the potential usefulness of couple-based and collective HIV testing strategies among Chinese MSM.

Methods A cross-sectional online survey was conducted among 1113 MSM in 2013. Multivariable logistic regression analyses were conducted to identify factors associated with willingness to receive couple-based and collective testing.

Results Acceptability of couple-based testing was very high among participants (86.1%), with a moderate level of interest in collective testing (43.2%). Being ‘out’ to others about one's sexual identity (adjusted OR (AOR)=1.48, 95% CI 1.01 to 2.17) and having ever had an HIV test (AOR=3.05, 95% CI 2.10 to 4.33) were associated with willingness to receive couple-based testing. Having multiple male anal sex partners in the past 3 months was associated with willingness to participate in collective testing (AOR=1.43, 95% CI 1.03 to 1.99).

Discussion Couple-based and collective HIV testing could help better control the HIV epidemic among Chinese MSM if implemented and promoted in a culturally competent manner.

  • CHINA
  • HIV
  • SEXUAL HEALTH
  • TESTING
  • HOMOSEXUALITY

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