HIV testing among Portuguese men who have sex with men - results from the European MSM Internet Survey (EMIS)

Detalhes bibliográficos
Autor(a) principal: Carvalho, C
Data de Publicação: 2013
Outros Autores: Fuertes, R, Lucas, R, Martins, A, Campos, M, Mendao, L
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10216/114752
Resumo: Objectives: To describe HIV testing behaviour and context of MSM in Portugal participating in the European MSM Internet Survey (EMIS). Methods: Data for the Portuguese sample were extracted and those for 5187 participants were analysed. Multivariate logistic regression models were fitted to quantify the association between participants' characteristics and HIV testing behaviour and context. Results: Seventy‐two percent of the participants had ever been tested for HIV and among those ever tested, 11% were diagnosed with HIV. Primary care was the most common testing setting for HIV‐negative men (37%). Compared to those never tested, men who had ever taken an HIV test had higher educational level (aOR 1.89, 95% CI 1.67‐2.14) and identified themselves as gay/homosexual more frequently (aOR 1.94 , 95% CI 1.70‐2.20). HIV testing odds significantly increased with the number of sexual partners in the previous 12 months. Those who reported unprotected anal intercourse (UAI) with a partner of unknown or serodiscordant HIV status in the previous 12 months were less likely to report an HIV test (aOR 0.38, 95% CI 0.33–0.44). Among those never tested or who tested negative, 41% and 22% reported UAI with a partner of unknown or serodiscordant status in the previous 12 months, respectively. Among men with diagnosed HIV, 72% were currently on antiretroviral therapy and 58% reported an undetectable viral load. More than one third (38%) of those who had detectable or unknown/undisclosed viral load reported at least one episode of UAI with a partner of unknown or serodiscordant HIV status in the last 12 months. Conclusions: Actual interventions should focus on: improving testing uptake and counselling; increasing treatment coverage; achieving and maintaining an undetectable viral load; and intensifying prevention efforts focused on consistent condom use.
id RCAP_2ac56c8d27beb193d3f6ad080beb6f10
oai_identifier_str oai:repositorio-aberto.up.pt:10216/114752
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling HIV testing among Portuguese men who have sex with men - results from the European MSM Internet Survey (EMIS)HIV/AIDSMen who have sex with menBehavioral survaillenceObjectives: To describe HIV testing behaviour and context of MSM in Portugal participating in the European MSM Internet Survey (EMIS). Methods: Data for the Portuguese sample were extracted and those for 5187 participants were analysed. Multivariate logistic regression models were fitted to quantify the association between participants' characteristics and HIV testing behaviour and context. Results: Seventy‐two percent of the participants had ever been tested for HIV and among those ever tested, 11% were diagnosed with HIV. Primary care was the most common testing setting for HIV‐negative men (37%). Compared to those never tested, men who had ever taken an HIV test had higher educational level (aOR 1.89, 95% CI 1.67‐2.14) and identified themselves as gay/homosexual more frequently (aOR 1.94 , 95% CI 1.70‐2.20). HIV testing odds significantly increased with the number of sexual partners in the previous 12 months. Those who reported unprotected anal intercourse (UAI) with a partner of unknown or serodiscordant HIV status in the previous 12 months were less likely to report an HIV test (aOR 0.38, 95% CI 0.33–0.44). Among those never tested or who tested negative, 41% and 22% reported UAI with a partner of unknown or serodiscordant status in the previous 12 months, respectively. Among men with diagnosed HIV, 72% were currently on antiretroviral therapy and 58% reported an undetectable viral load. More than one third (38%) of those who had detectable or unknown/undisclosed viral load reported at least one episode of UAI with a partner of unknown or serodiscordant HIV status in the last 12 months. Conclusions: Actual interventions should focus on: improving testing uptake and counselling; increasing treatment coverage; achieving and maintaining an undetectable viral load; and intensifying prevention efforts focused on consistent condom use.20132013-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10216/114752eng1464-266210.1111/hiv.12058Carvalho, CFuertes, RLucas, RMartins, ACampos, MMendao, Linfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-29T15:42:49Zoai:repositorio-aberto.up.pt:10216/114752Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T00:30:15.530162Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv HIV testing among Portuguese men who have sex with men - results from the European MSM Internet Survey (EMIS)
title HIV testing among Portuguese men who have sex with men - results from the European MSM Internet Survey (EMIS)
spellingShingle HIV testing among Portuguese men who have sex with men - results from the European MSM Internet Survey (EMIS)
Carvalho, C
HIV/AIDS
Men who have sex with men
Behavioral survaillence
title_short HIV testing among Portuguese men who have sex with men - results from the European MSM Internet Survey (EMIS)
title_full HIV testing among Portuguese men who have sex with men - results from the European MSM Internet Survey (EMIS)
title_fullStr HIV testing among Portuguese men who have sex with men - results from the European MSM Internet Survey (EMIS)
title_full_unstemmed HIV testing among Portuguese men who have sex with men - results from the European MSM Internet Survey (EMIS)
title_sort HIV testing among Portuguese men who have sex with men - results from the European MSM Internet Survey (EMIS)
author Carvalho, C
author_facet Carvalho, C
Fuertes, R
Lucas, R
Martins, A
Campos, M
Mendao, L
author_role author
author2 Fuertes, R
Lucas, R
Martins, A
Campos, M
Mendao, L
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Carvalho, C
Fuertes, R
Lucas, R
Martins, A
Campos, M
Mendao, L
dc.subject.por.fl_str_mv HIV/AIDS
Men who have sex with men
Behavioral survaillence
topic HIV/AIDS
Men who have sex with men
Behavioral survaillence
description Objectives: To describe HIV testing behaviour and context of MSM in Portugal participating in the European MSM Internet Survey (EMIS). Methods: Data for the Portuguese sample were extracted and those for 5187 participants were analysed. Multivariate logistic regression models were fitted to quantify the association between participants' characteristics and HIV testing behaviour and context. Results: Seventy‐two percent of the participants had ever been tested for HIV and among those ever tested, 11% were diagnosed with HIV. Primary care was the most common testing setting for HIV‐negative men (37%). Compared to those never tested, men who had ever taken an HIV test had higher educational level (aOR 1.89, 95% CI 1.67‐2.14) and identified themselves as gay/homosexual more frequently (aOR 1.94 , 95% CI 1.70‐2.20). HIV testing odds significantly increased with the number of sexual partners in the previous 12 months. Those who reported unprotected anal intercourse (UAI) with a partner of unknown or serodiscordant HIV status in the previous 12 months were less likely to report an HIV test (aOR 0.38, 95% CI 0.33–0.44). Among those never tested or who tested negative, 41% and 22% reported UAI with a partner of unknown or serodiscordant status in the previous 12 months, respectively. Among men with diagnosed HIV, 72% were currently on antiretroviral therapy and 58% reported an undetectable viral load. More than one third (38%) of those who had detectable or unknown/undisclosed viral load reported at least one episode of UAI with a partner of unknown or serodiscordant HIV status in the last 12 months. Conclusions: Actual interventions should focus on: improving testing uptake and counselling; increasing treatment coverage; achieving and maintaining an undetectable viral load; and intensifying prevention efforts focused on consistent condom use.
publishDate 2013
dc.date.none.fl_str_mv 2013
2013-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10216/114752
url http://hdl.handle.net/10216/114752
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1464-2662
10.1111/hiv.12058
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799136212666023936