Factors Associated With Recent HIV Testing Among Younger Gay and Bisexual Men in New Zealand, 2006-2011

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dc.contributor.authorLachowsky, Nathan J.
dc.contributor.authorSaxton, Peter J. W.
dc.contributor.authorDickson, Nigel P.
dc.contributor.authorHughes, Anthony J.
dc.contributor.authorSummerlee, Alastair J. S.
dc.contributor.authorDewey, Cate E.
dc.date.accessioned2022-06-16T23:47:04Z
dc.date.available2022-06-16T23:47:04Z
dc.date.copyright2014en_US
dc.date.issued2014
dc.description.abstractBackground: Understanding HIV testing behaviour is vital to developing evidence-based policy and programming that supports optimal HIV care, support, and prevention. This has not been investigated among younger gay, bisexual, and other men who have sex with men (YMSM, aged 16-29) in New Zealand. Methods: National HIV sociobehavioural surveillance data from 2006, 2008, and 2011 was pooled to determine the prevalence of recent HIV testing (in the last 12 months) among YMSM. Factors associated with recent testing were determined using manual backward stepwise multivariate logistic regression. Results: Of 3,352 eligible YMSM, 1,338 (39.9%) reported a recent HIV test. In the final adjusted model, the odds of having a recent HIV test were higher for YMSM who were older, spent more time with other gay men, reported multiple sex partners, had a regular partner for 6-12 months, reported high condom use with casual partners, and disagreed that HIV is a less serious threat nowadays and that an HIV-positive man would disclose before sex. The odds of having a recent HIV test were lower for YMSM who were bisexual, recruited online, reported Pacific Islander or Asian ethnicities, reported no regular partner or one for >3 years, were insertive-only during anal intercourse with a regular partner, and who had less HIV-related knowledge. Conclusion: A priority for HIV management should be connecting YMSM at risk of infection, but unlikely to test with appropriate testing services. New generations of YMSM require targeted, culturally relevant health promotion that provides accurate understandings about HIV transmission and prevention.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe primary author was supported by a Canadian Institutes of Health Research (CIHR) Vanier Canada Graduate Scholarship, a CIHR Michael Smith Foreign Study Supplement, a University of Guelph Ontario Veterinary College Dean’s Doctoral Scholarship, and a Rotary International Ambassadorial Scholarship. The second author was supported by a Health Sciences Career Development Award of the University of Otago. The Gay Auckland Periodic Sex Survey and Gay men’s Online Sex Survey were supported by the New Zealand Ministry of Health, the New Zealand AIDS Foundation, and the University of Otago.en_US
dc.identifier.citationLachowsky, N. J., Saxton, P. J. W., Dickson, N. P., Hughes, A. J., Summerlee, A. J. S., & Dewey, C. E. (2014). “Factors Associated With Recent HIV Testing Among Younger Gay and Bisexual Men in New Zealand, 2006-2011.” BMC Public Health, 14, 294. https://doi.org/10.1186/1471-2458-14-294en_US
dc.identifier.urihttps://doi.org/10.1186/1471-2458-14-294
dc.identifier.urihttp://hdl.handle.net/1828/13988
dc.language.isoenen_US
dc.publisherBMC Public Healthen_US
dc.subjectGay men
dc.subjectHIV/AIDS
dc.subjectSurveillance
dc.subjectTesting
dc.subjectYouth
dc.subjectMSM
dc.subjectNew Zealand
dc.subjectSexual behaviour
dc.subjectHealth promotion
dc.subject.departmentSchool of Public Health and Social Policy
dc.titleFactors Associated With Recent HIV Testing Among Younger Gay and Bisexual Men in New Zealand, 2006-2011en_US
dc.typeArticleen_US

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