Correlates of Unknown HIV Status Among MSM Participating in the 2014 American Men’s Internet Survey (AMIS)

S. M. Traynor, A. M. Brincks, Daniel J Feaster

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Increasing serostatus awareness is a key HIV prevention strategy. Despite expanded testing efforts, some men who have sex with men (MSM) remain unaware of their HIV status. This study explored demographic characteristics, sexual identity, sexual role, and behavioral factors associated with unknown HIV status among MSM in the United States. Data from 9170 MSM in the 2014 American Men’s Internet Survey were analyzed using logistic regression to identify correlates of unknown HIV status. Young age, race, low education, rural residence, and lack of recent healthcare visits were significantly associated with unknown HIV status. In addition, nondisclosure of one’s sexual orientation (OR = 3.70, 95% CI 2.99–4.59) and a self-identified sexual role as “bottom” (OR = 1.45, 95% CI 1.24–1.70) were predictors of unknown HIV status. Post-hoc analysis showed HIV-negative MSM not tested in the last year had fewer self-reported risk behaviors than recent testers, suggesting that repeat testing among MSM may be aligned with individual risk.

Original languageEnglish (US)
Pages (from-to)1-14
Number of pages14
JournalAIDS and Behavior
DOIs
StateAccepted/In press - Aug 29 2017

Fingerprint

Internet
HIV
Risk-Taking
Surveys and Questionnaires
Sexual Behavior
Logistic Models
Demography
Delivery of Health Care
Education

Keywords

  • HIV testing
  • Internet survey
  • Men who have sex with men (MSM)
  • Unknown HIV status

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Correlates of Unknown HIV Status Among MSM Participating in the 2014 American Men’s Internet Survey (AMIS). / Traynor, S. M.; Brincks, A. M.; Feaster, Daniel J.

In: AIDS and Behavior, 29.08.2017, p. 1-14.

Research output: Contribution to journalArticle

@article{bf9fb1c330d349b1a6fb2eed7dd6f756,
title = "Correlates of Unknown HIV Status Among MSM Participating in the 2014 American Men’s Internet Survey (AMIS)",
abstract = "Increasing serostatus awareness is a key HIV prevention strategy. Despite expanded testing efforts, some men who have sex with men (MSM) remain unaware of their HIV status. This study explored demographic characteristics, sexual identity, sexual role, and behavioral factors associated with unknown HIV status among MSM in the United States. Data from 9170 MSM in the 2014 American Men’s Internet Survey were analyzed using logistic regression to identify correlates of unknown HIV status. Young age, race, low education, rural residence, and lack of recent healthcare visits were significantly associated with unknown HIV status. In addition, nondisclosure of one’s sexual orientation (OR = 3.70, 95{\%} CI 2.99–4.59) and a self-identified sexual role as “bottom” (OR = 1.45, 95{\%} CI 1.24–1.70) were predictors of unknown HIV status. Post-hoc analysis showed HIV-negative MSM not tested in the last year had fewer self-reported risk behaviors than recent testers, suggesting that repeat testing among MSM may be aligned with individual risk.",
keywords = "HIV testing, Internet survey, Men who have sex with men (MSM), Unknown HIV status",
author = "Traynor, {S. M.} and Brincks, {A. M.} and Feaster, {Daniel J}",
year = "2017",
month = "8",
day = "29",
doi = "10.1007/s10461-017-1894-3",
language = "English (US)",
pages = "1--14",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",

}

TY - JOUR

T1 - Correlates of Unknown HIV Status Among MSM Participating in the 2014 American Men’s Internet Survey (AMIS)

AU - Traynor, S. M.

AU - Brincks, A. M.

AU - Feaster, Daniel J

PY - 2017/8/29

Y1 - 2017/8/29

N2 - Increasing serostatus awareness is a key HIV prevention strategy. Despite expanded testing efforts, some men who have sex with men (MSM) remain unaware of their HIV status. This study explored demographic characteristics, sexual identity, sexual role, and behavioral factors associated with unknown HIV status among MSM in the United States. Data from 9170 MSM in the 2014 American Men’s Internet Survey were analyzed using logistic regression to identify correlates of unknown HIV status. Young age, race, low education, rural residence, and lack of recent healthcare visits were significantly associated with unknown HIV status. In addition, nondisclosure of one’s sexual orientation (OR = 3.70, 95% CI 2.99–4.59) and a self-identified sexual role as “bottom” (OR = 1.45, 95% CI 1.24–1.70) were predictors of unknown HIV status. Post-hoc analysis showed HIV-negative MSM not tested in the last year had fewer self-reported risk behaviors than recent testers, suggesting that repeat testing among MSM may be aligned with individual risk.

AB - Increasing serostatus awareness is a key HIV prevention strategy. Despite expanded testing efforts, some men who have sex with men (MSM) remain unaware of their HIV status. This study explored demographic characteristics, sexual identity, sexual role, and behavioral factors associated with unknown HIV status among MSM in the United States. Data from 9170 MSM in the 2014 American Men’s Internet Survey were analyzed using logistic regression to identify correlates of unknown HIV status. Young age, race, low education, rural residence, and lack of recent healthcare visits were significantly associated with unknown HIV status. In addition, nondisclosure of one’s sexual orientation (OR = 3.70, 95% CI 2.99–4.59) and a self-identified sexual role as “bottom” (OR = 1.45, 95% CI 1.24–1.70) were predictors of unknown HIV status. Post-hoc analysis showed HIV-negative MSM not tested in the last year had fewer self-reported risk behaviors than recent testers, suggesting that repeat testing among MSM may be aligned with individual risk.

KW - HIV testing

KW - Internet survey

KW - Men who have sex with men (MSM)

KW - Unknown HIV status

UR - http://www.scopus.com/inward/record.url?scp=85028750562&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85028750562&partnerID=8YFLogxK

U2 - 10.1007/s10461-017-1894-3

DO - 10.1007/s10461-017-1894-3

M3 - Article

SP - 1

EP - 14

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

ER -