Age related factors influence HIV testing within subpopulations: a cross sectional survey of MSM within the Celtic nations

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Abstract

Objectives
Despite a recent fall in the incidence of HIV within the UK, men who have sex with men (MSM) continue to be disproportionately affected. As biomedical prevention technologies, including pre-exposure prophylaxis (PrEP) are increasingly taken up to reduce transmission, the role of HIV testing has become central to management of risk. Against a background of lower testing rates among older MSM, this study aimed to identify age related factors influencing recent (= 12 months) HIV testing.
Methods
Cross sectional sub-population data from an online survey of sexually active MSM in the Celtic nations: Scotland, Wales, Northern Ireland and the Republic of Ireland (n=2436) were analysed to compare demographic, behavioural and socio-cultural factors influencing HIV testing between MSM aged 16-25 (n=447), 26-45 (n=1092) and =46 (n=897).
Results
Multivariate logistic regression demonstrated that for men aged = 46, not identifying as gay (OR 0.62 CI 0.41-0.95), location (Wales) (OR 0.49, CI 0.32-0.76) and scoring higher on the personalised stigma scale (OR 0.97, CI 0.94-1.00) significantly reduced the odds for HIV testing in the preceding year. Men aged 26-45 who did not identify as gay (OR 0.61, CI 0.41-0.92) were also significantly less likely to have recently tested for HIV. For men aged 16-25, not having a degree (OR 0.48, CI 0.29-0.79), location (Republic of Ireland) (OR 0.55, CI 0.30-1.00) and scoring higher on emotional competence (OR 0.57, CI 0.42-0.77) were also significantly associated with not having recently tested for HIV.
Conclusion
Key differences in age related factors influencing HIV testing suggest health improvement interventions should accommodate the wide diversities among MSM populations across the life course. Future research should seek to identify barriers and enablers to HIV testing among the oldest and youngest MSM, with specific focus on education and stigma.
Original languageEnglish
JournalSexually Transmitted Infections
DOIs
Publication statusPublished - 14 Jun 2019

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Age Factors
Cross-Sectional Studies
HIV
Wales
Ireland
Northern Ireland
Biomedical Technology
Risk Management
Scotland
Mental Competency
Population
Logistic Models
Demography
Education
Incidence
Health

Keywords

  • HIV testing behaviours
  • men who have sex with men
  • quantitative
  • life course view

Cite this

@article{b19412f3be7a4869a3671d63b92a6453,
title = "Age related factors influence HIV testing within subpopulations: a cross sectional survey of MSM within the Celtic nations",
abstract = "ObjectivesDespite a recent fall in the incidence of HIV within the UK, men who have sex with men (MSM) continue to be disproportionately affected. As biomedical prevention technologies, including pre-exposure prophylaxis (PrEP) are increasingly taken up to reduce transmission, the role of HIV testing has become central to management of risk. Against a background of lower testing rates among older MSM, this study aimed to identify age related factors influencing recent (= 12 months) HIV testing. Methods Cross sectional sub-population data from an online survey of sexually active MSM in the Celtic nations: Scotland, Wales, Northern Ireland and the Republic of Ireland (n=2436) were analysed to compare demographic, behavioural and socio-cultural factors influencing HIV testing between MSM aged 16-25 (n=447), 26-45 (n=1092) and =46 (n=897). ResultsMultivariate logistic regression demonstrated that for men aged = 46, not identifying as gay (OR 0.62 CI 0.41-0.95), location (Wales) (OR 0.49, CI 0.32-0.76) and scoring higher on the personalised stigma scale (OR 0.97, CI 0.94-1.00) significantly reduced the odds for HIV testing in the preceding year. Men aged 26-45 who did not identify as gay (OR 0.61, CI 0.41-0.92) were also significantly less likely to have recently tested for HIV. For men aged 16-25, not having a degree (OR 0.48, CI 0.29-0.79), location (Republic of Ireland) (OR 0.55, CI 0.30-1.00) and scoring higher on emotional competence (OR 0.57, CI 0.42-0.77) were also significantly associated with not having recently tested for HIV. ConclusionKey differences in age related factors influencing HIV testing suggest health improvement interventions should accommodate the wide diversities among MSM populations across the life course. Future research should seek to identify barriers and enablers to HIV testing among the oldest and youngest MSM, with specific focus on education and stigma.",
keywords = "HIV testing behaviours, men who have sex with men, quantitative, life course view",
author = "Jenny Dalrymple and Kareena McAloney-Kocaman and Paul Flowers and McDaid, {Lisa M.} and Frankis, {Jamie Scott}",
note = "Acceptance in SAN AAM: no embargo at publication Author supplied figure not present in AAM: have set to closed in meantime 7/6/19 DC",
year = "2019",
month = "6",
day = "14",
doi = "10.1136/sextrans-2018-053935",
language = "English",
journal = "Sexually Transmitted Infections",
issn = "1368-4973",
publisher = "BMJ Publishing Group",

}

TY - JOUR

T1 - Age related factors influence HIV testing within subpopulations: a cross sectional survey of MSM within the Celtic nations

AU - Dalrymple, Jenny

AU - McAloney-Kocaman, Kareena

AU - Flowers, Paul

AU - McDaid, Lisa M.

AU - Frankis, Jamie Scott

N1 - Acceptance in SAN AAM: no embargo at publication Author supplied figure not present in AAM: have set to closed in meantime 7/6/19 DC

PY - 2019/6/14

Y1 - 2019/6/14

N2 - ObjectivesDespite a recent fall in the incidence of HIV within the UK, men who have sex with men (MSM) continue to be disproportionately affected. As biomedical prevention technologies, including pre-exposure prophylaxis (PrEP) are increasingly taken up to reduce transmission, the role of HIV testing has become central to management of risk. Against a background of lower testing rates among older MSM, this study aimed to identify age related factors influencing recent (= 12 months) HIV testing. Methods Cross sectional sub-population data from an online survey of sexually active MSM in the Celtic nations: Scotland, Wales, Northern Ireland and the Republic of Ireland (n=2436) were analysed to compare demographic, behavioural and socio-cultural factors influencing HIV testing between MSM aged 16-25 (n=447), 26-45 (n=1092) and =46 (n=897). ResultsMultivariate logistic regression demonstrated that for men aged = 46, not identifying as gay (OR 0.62 CI 0.41-0.95), location (Wales) (OR 0.49, CI 0.32-0.76) and scoring higher on the personalised stigma scale (OR 0.97, CI 0.94-1.00) significantly reduced the odds for HIV testing in the preceding year. Men aged 26-45 who did not identify as gay (OR 0.61, CI 0.41-0.92) were also significantly less likely to have recently tested for HIV. For men aged 16-25, not having a degree (OR 0.48, CI 0.29-0.79), location (Republic of Ireland) (OR 0.55, CI 0.30-1.00) and scoring higher on emotional competence (OR 0.57, CI 0.42-0.77) were also significantly associated with not having recently tested for HIV. ConclusionKey differences in age related factors influencing HIV testing suggest health improvement interventions should accommodate the wide diversities among MSM populations across the life course. Future research should seek to identify barriers and enablers to HIV testing among the oldest and youngest MSM, with specific focus on education and stigma.

AB - ObjectivesDespite a recent fall in the incidence of HIV within the UK, men who have sex with men (MSM) continue to be disproportionately affected. As biomedical prevention technologies, including pre-exposure prophylaxis (PrEP) are increasingly taken up to reduce transmission, the role of HIV testing has become central to management of risk. Against a background of lower testing rates among older MSM, this study aimed to identify age related factors influencing recent (= 12 months) HIV testing. Methods Cross sectional sub-population data from an online survey of sexually active MSM in the Celtic nations: Scotland, Wales, Northern Ireland and the Republic of Ireland (n=2436) were analysed to compare demographic, behavioural and socio-cultural factors influencing HIV testing between MSM aged 16-25 (n=447), 26-45 (n=1092) and =46 (n=897). ResultsMultivariate logistic regression demonstrated that for men aged = 46, not identifying as gay (OR 0.62 CI 0.41-0.95), location (Wales) (OR 0.49, CI 0.32-0.76) and scoring higher on the personalised stigma scale (OR 0.97, CI 0.94-1.00) significantly reduced the odds for HIV testing in the preceding year. Men aged 26-45 who did not identify as gay (OR 0.61, CI 0.41-0.92) were also significantly less likely to have recently tested for HIV. For men aged 16-25, not having a degree (OR 0.48, CI 0.29-0.79), location (Republic of Ireland) (OR 0.55, CI 0.30-1.00) and scoring higher on emotional competence (OR 0.57, CI 0.42-0.77) were also significantly associated with not having recently tested for HIV. ConclusionKey differences in age related factors influencing HIV testing suggest health improvement interventions should accommodate the wide diversities among MSM populations across the life course. Future research should seek to identify barriers and enablers to HIV testing among the oldest and youngest MSM, with specific focus on education and stigma.

KW - HIV testing behaviours

KW - men who have sex with men

KW - quantitative

KW - life course view

U2 - 10.1136/sextrans-2018-053935

DO - 10.1136/sextrans-2018-053935

M3 - Article

JO - Sexually Transmitted Infections

JF - Sexually Transmitted Infections

SN - 1368-4973

ER -