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What Factors Are Associated With Receiving a Recommendation to Get Tested for HIV by Health Care Providers among Men who Have Sex with Men?
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7 01 2017
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Source: J Acquir Immune Defic Syndr. 75(Suppl 3):S357-S362
[PDF-336.82 KB]
Details:
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Alternative Title:J Acquir Immune Defic Syndr
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Personal Author:
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Description:Background:
The approach of treatment as prevention for reducing HIV incidence and prevalence hinges upon early detection of HIV infection and treatment in order to achieve viral suppression and, thus, to reduce HIV transmissibility. However, men who have sex with men (MSM), who are at greater risk of HIV infection than the average adult in the United States, are often not tested because many providers do not provide routine opt-out testing or even recommend HIV testing.
Methods:
In a sample of 244 MSM in San Francisco, CA, the present study examined whether 1) sociodemographic characteristics (i.e., youth; education; employment status; being African American; being Latino), 2) health care access and utilization, and 3) participants having disclosed their sexual orientation to their health care providers were associated with their odds of having received a recommendation from a health care provider for HIV testing.
Results:
Results showed that none of the sociodemographic or health care-related factors were associated with whether a health care provider recommended HIV testing, but MSM having disclosed their sexual orientation to their health care providers was associated with an over eight times greater odds of MSM receiving a recommendation for HIV testing.
Conclusion:
The study findings underscore the need for routine opt-out HIV testing in order to screen members of high-risk populations who may not enter the HIV continuum of care and for health care providers to be able to ask patients about HIV risk behavior and sexual orientation and behavior.
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Pubmed ID:28604439
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Pubmed Central ID:PMC9080449
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Volume:75
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