Increase HIV testing uptake among MSM: the psychosocial levers. Mabire, R., Palich, R., Di Ciaccio, M., Supervie, V., & Préau, M. August, 2021.
abstract   bibtex   
Background In France, men who have sex with men (MSM) are particularly affected by HIV, constituting the population with the highest HIV incidence. Early diagnosis improves the health of people living with HIV (PLHIV) and reduces transmission. In France, regular testing is recommended for MSM. Our study aims to identify the psychosocial factors associated with HIV testing uptake among MSM in France. Methods A survey, based on an online questionnaire, among 515 MSM self-reporting being HIV-negative was conducted between October 2019 and February 2020 in France. We measured knowledge related to different means of HIV prevention, the perception of stigmatization, and subjective proximity to gay venues. A Zero-Inflated Poisson regression was conducted to identify factors involved in the frequency of testing in the 12 months prior to the survey. Findings Not knowing HIV self-tests (OR=4.47 [1.60-12.5]), not attending gay venues (4.84 [1.57-14.95]), and being in a couple (2.17 [1.12-15.52]) were independently associated with not being tested for HIV in the 12 months preceding the survey. The use of HIV pre-exposure prophylaxis (PrEP) (IRR [95%CI]=2.42 [1.44-2.63]) and lack of confidence in the effectiveness of condoms to protect against HIV (1.05 [1.02-1.08]) were independently associated with higher HIV testing uptake while perceiving high stigma against PLHIV (0.91 [0.85-0.99]) was associated with lower testing uptake. Discussion Our findings advocate for intensifying the promotion of self-testing, especially among people who do not attend gay venues and/or those who are in couples and lowering HIV stigma against PLHIV to increase HIV testing uptake among MSM.
@misc{mabire_increase_2021,
	address = {Online conference},
	title = {Increase {HIV} testing uptake among {MSM}: the psychosocial levers},
	abstract = {Background
In France, men who have sex with men (MSM) are particularly affected by HIV, constituting the population with the highest HIV incidence. Early diagnosis improves the health of people living with HIV (PLHIV) and reduces transmission. In France, regular testing is recommended for MSM. Our study aims to identify the psychosocial factors associated with HIV testing uptake among MSM in France. 

Methods
A survey, based on an online questionnaire, among 515 MSM self-reporting being HIV-negative was conducted between October 2019 and February 2020 in France. We measured knowledge related to different means of HIV prevention, the perception of stigmatization, and subjective proximity to gay venues. A Zero-Inflated Poisson regression was conducted to identify factors involved in the frequency of testing in the 12 months prior to the survey. 

Findings
Not knowing HIV self-tests (OR=4.47 [1.60-12.5]), not attending gay venues (4.84 [1.57-14.95]), and being in a couple (2.17 [1.12-15.52]) were independently associated with not being tested for HIV in the 12 months preceding the survey. The use of HIV pre-exposure prophylaxis (PrEP) (IRR [95\%CI]=2.42 [1.44-2.63]) and lack of confidence in the effectiveness of condoms to protect against HIV (1.05 [1.02-1.08]) were independently associated with higher HIV testing uptake while perceiving high stigma against PLHIV (0.91 [0.85-0.99]) was associated with lower testing uptake.

Discussion
Our findings advocate for intensifying the promotion of self-testing, especially among people who do not attend gay venues and/or those who are in couples and lowering HIV stigma against PLHIV to increase HIV testing uptake among MSM.},
	author = {Mabire, Renaud and Palich, Romain and Di Ciaccio, Marion and Supervie, Virginie and Préau, Marie},
	month = aug,
	year = {2021},
}

Downloads: 0