HIV testing behaviour and use of risk reduction strategies by HIV risk category among MSM in Vancouver

Bogowicz, Paul; Moore, David; Kanters, Steve; Michelow, Warren; Robert, Wayne; Hogg, Robert; Gustafson, Réka; Gilbert, Mark
March 2016
International Journal of STD & AIDS;Mar2016, Vol. 27 Issue 4, p281
Academic Journal
We carried out an analysis of a serobehavioural study of men who have sex with men >19 years of age in Vancouver, Canada to examine HIV testing behaviour and use of risk reduction strategies by HIV risk category, as defined by routinely gathered clinical data. We restricted our analysis to those who self-identified as HIV-negative, completed a questionnaire, and provided a dried blood spot sample. Of 842 participants, 365 (43.3%) were categorised as lower-risk, 245 (29.1%) as medium-risk and 232 (27.6%) as higher-risk. The prevalence of undiagnosed HIV infection was low (lower 0.8%, medium 3.3%, higher 3.9%; p = 0.032). Participants differed by risk category in terms of having had an HIV test in the previous year (lower 46.5%, medium 54.6%, higher 67.0%; p < 0.001) and in their use of serosorting (lower 23.3%, medium 48.3%, higher 43.1%; p < 0.001) and only having sex with HIV-positive men if those men had low viral loads or were taking HIV medication (lower 5.1%, medium 4.8%, higher 10.9%; p = 0.021) as risk reduction strategies. These findings speak to the need to consider segmented health promotion services for men who have sex with men with differing risk profiles. Risk stratification could be used to determine who might benefit from tailored multiple health promotion interventions, including HIV pre-exposure prophylaxis.


Related Articles

  • An exploratory review of HIV prevention mass media campaigns targeting men who have sex with men. French, Rebecca S.; Bonell, Chris; Wellings, Kaye; Weatherburn, Peter // BMC Public Health;2014, Vol. 14 Issue 1, p1022 

    Background Men who have sex with men (MSM) are at increased risk of HIV infection in both high- and low-income settings. Mass media campaigns have been used as a means of communicating HIV health promotion messages to large audiences of MSM. There is no consensus on which designs are most...

  • Mental health functioning among men who use the Internet specifically to find partners for unprotected sex. Klein, Hugh // Mental Illness (2036-7457);2013, Vol. 5 Issue 1, p18 

    Previous studies have shown a link between mental health functioning and involvement in HIV risk practices. The present research examines how well one specific group of men who have sex with other men (MSM) fare in terms of their mental health functioning, and then focuses on how mental health...

  • Risk behaviours for HIV/AIDS infection among men who have sex with men in Cairo, Egypt. El.-Sayyed, N.; Kabbash, I. A.; El.-Gueniedy, M. // Eastern Mediterranean Health Journal;jul/aug2008, Vol. 14 Issue 4, p905 

    A sample of 73 men who have sex with men (MSM) in Cairo, Egypt, were screened for HIV infection and were interviewed to study their risk behaviours for HIV/AIDS. Most (65.8%) had initiated sexual activity before 15 years; 65.8% took both active and passive roles in sexual acts. The frequency of...

  • Secondary syphilis: the classical triad of skin rash, mucosal ulceration and lymphadenopathy. Mullooly, C.; Higgins, S. P. // International Journal of STD & AIDS;Aug2010, Vol. 21 Issue 8, p537 

    After years of declining incidence in many developed countries, syphilis infection has re-emerged as a major public health problem in the past decade. The secondary stage of syphilis epitomizes the capacity of the infection to present in myriad ways. The skin, lymph glands and mucosal membranes...

  • Willingness-to-accept reductions in HIV risks: conditional economic incentives in Mexico. Galárraga, Omar; Sosa-Rubí, Sandra; Infante, César; Gertler, Paul; Bertozzi, Stefano // European Journal of Health Economics;Jan2014, Vol. 15 Issue 1, p41 

    The objective of this study was to measure willingness-to-accept (WTA) reductions in risks for HIV and other sexually transmitted infections (STI) using conditional economic incentives (CEI) among men who have sex with men (MSM), including male sex workers (MSW) in Mexico City. A survey...

  • Effectiveness of a combination prevention strategy for HIV risk reduction with men who have sex with men in Central America: a mid-term evaluation. Firestone, Rebecca; Rivas, Jorge; Lungo, Susana; Cabrera, Alejandra; Ruether, Susan; Wheeler, Jennifer; Lung Vu // BMC Public Health;2014, Vol. 14 Issue 1, p1 

    Background Despite over a decade of research and programming, little evidence is available on effective strategies to reduce HIV risks among Central American men who have sex with men (MSM). The Pan-American Social Marketing Organization (PASMO) and partners are implementing a HIV Combination...

  • Pathways towards Risk: Syndemic Conditions Mediate the Effect of Adversity on HIV Risk Behaviors among Young Men Who Have Sex with Men (YMSM). Herrick, Amy; Stall, Ron; Egan, James; Schrager, Sheree; Kipke, Michele // Journal of Urban Health;Oct2014, Vol. 91 Issue 5, p969 

    Research shows that young men who have sex with men (YMSM) engage in higher rates of health risk behaviors and experience higher rates of negative health outcomes than their peers. The purpose of this study is to determine if the effects of adversity on HIV risk are mediated by syndemics...

  • Patterns of syphilis testing in a large cohort of HIV patients in Ontario, Canada, 2000-2009. Burchell, Ann N.; Allen, Vanessa G.; Moravan, Veronika; Gardner, Sandra; Raboud, Janet; Tan, Darrell H. S.; Bayoumi, Ahmed M.; Kaul, Rupert; Mazzulli, Tony; McGee, Frank; Millson, Peggy; Remis, Robert S.; Rourke, Sean B. // BMC Infectious Diseases;2013, Vol. 13 Issue 1, p1 

    Background: Since 2000, reported syphilis cases increased ten-fold in Canada, particularly among men who have sex with men (MSM) co-infected with HIV. We characterized temporal patterns of of syphilis testing in a large cohort of HIV patients in Ontario, Canada. Methods: We analyzed data from a...

  • Introducing rapid oral-fluid HIV testing among high risk populations in Shandong, China: feasibility and challenges. Gifty Marley; Dianmin Kang; Wilson, Erin C.; Tao Huang; Yuesheng Qian; Xiufang Li; Xiaorun Tao; Guoyong Wang; Huanmiao Xun; Wei M // BMC Public Health;2014, Vol. 14 Issue 1, p1 

    Background This study was conducted to ascertain the feasibility of using rapid oral fluid testing as an alternative HIV testing method in China. Method This is a mixed-method study among men who have sex with men (MSM), female sex workers (FSW) and VCT clients, conducted in 4 cities in Shandong...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics