Never Tested For HIV Among Men Who Have Sex With Men, Hanoi, Vietnam: Correlates and Missed Opportunities.

Details

• Alternative Title:
  Sexually Transmitted Diseases, 2025, v. 52, no. 5: Never Tested For HIV Among Men Who Have Sex With Men, Hanoi, Vietnam: Correlates and Missed Opportunities.
• Journal Article:
  Sexually Transmitted Diseases
• Personal Author:
  Van, Hoang Thi Hai ; Huong, Dang Thi ; Hong, Nguyen Thi Thu ; McFarland, Willi ; Diep, Vu Bich ; Ngoc, Lung Bich ; Giang, Le Minh
• Description:
  Understanding levels of human immunodeficiency virus (HIV) testing among populations at risk for acquisition is essential to meeting the goal of the United Nations that 95% of individuals living with HIV know their status. This study assessed HIV testing prevalence among men who had sex with men (MSM), characteristics of MSM who have never tested for HIV, and missed testing opportunities in Hanoi, Vietnam.
  
  We measured the prevalence of never testing for HIV and missed opportunities for testing in the baseline data of a cohort study of MSM recruited in 2017 to 2019 in Hanoi. Logistic regression analysis characterized MSM who had never tested before cohort participation.
  
  Of 1893 MSM enrolled in the cohort, 39.4% had never previously tested for HIV. Men who had sex with men with children (adjusted odds ratio, 1.75; 95% confidence interval, 1.09-2.82) and those who did not know or remember having a male partner living with HIV (adjusted odds ratio, 1.41; 95% confidence interval, 1.07-1.84) were more likely to have never tested. Older age, university education, higher income, and having a male partner living with HIV were associated with a lower likelihood of never having been tested. The most common missed testing opportunities to test MSM who had never been tested were when receiving free condoms from health educators (35.3%), testing for other sexually transmitted infections (STIs) (23.3%), reporting their MSM status to health care workers (16.4%), and receiving an STI diagnosis (13.0%). The most common barriers identified by MSM who had never tested were fear of seeking health care due to their sexual orientation (82.7%) and having been refused health care due to their sexual orientation (76.2%).
  
  Facilitating provider-initiated HIV testing in STI clinics and other health care services, community-based testing, and HIV self-test kits should enhance HIV testing options for young MSM, especially those with lower education and income.
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • Male
  • Homosexuality, Male
  • HIV Infections
  • Adult
  • Young Adult
  • HIV Testing
  • Prevalence
  • Adolescent
  • Sexual Partners
  More +
• Keywords:
  • Human immunodeficiency virus
  • HIV testing
  • men who have sex with men
  • Vietnam
• Source:
  Sexually Transmitted Diseases, 2025, v. 52, no. 5
• DOI:
  https://doi.org/10.1097/OLQ.0000000000002123
• ISSN:
  0148-5717 ; 1537-4521
• Pubmed ID:
  39692301
• Pubmed Central ID:
  PMC11991888
• Document Type:
  Text
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; R25 MH123256/MH/NIMH NIH HHSUnited States/ ; U01 GH002150/GH/CGH CDC HHSUnited States/ ; U2G GH000794/GH/CGH CDC HHSUnited States/
• Genre:
  Journal Article
• Place as Subject:
  Vietnam
• Pages in Document:
  310-316 (18 pdf pages)
• Volume:
  52
• Issue:
  5
• Download URL:
  https://stacks.cdc.gov/view/cdc/261846/cdc_261846_DS1.pdf
• File Type:
  [PDF - 473.64 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:06e6f0557412e9a7abb2f0d6b04f61f93850e3330138ae62a911d6a69908f01f41f4dc3c77069d488188fdecc8b6e8d674a3e26e2ea3867682e6c03e1caeebd2