HIV Testing Among Internet-Using MSM in the United States: Systematic Review.
Regular HIV testing enables early identification and treatment of HIV among at-risk men who have sex with men (MSM). Characterizing HIV testing needs for Internet-using MSM informs development of Internet-facilitated testing interventions. In this systematic review we analyze HIV testing patterns am...
| Publicado en: | AIDS & Behavior Vol. 21; no. 2; pp. 561 - 576 |
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| Autores principales: | , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121061512&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121061512 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Feb2017 vid: 21 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 121061512 121061512 144160699 121061512 10.1007/s10461-016-1506-7 121061512 ppf: 561 ppct: 15 formats: fmt: @attributes: type: P tig: atl: HIV Testing Among Internet-Using MSM in the United States: Systematic Review. aug: au: Noble, Meredith Jones, Amanda Bowles, Kristina DiNenno, Elizabeth Tregear, Stephen affil: Hayes, Inc. , 157 S. Broad Street Lansdale 19446 USA sug: subj: HIV Infections Prevention and Control Internet Gay Men HIV Infections Diagnosis Homosexuality Meta Analysis Checklists Human Male Sexual Partners Surveys United States Descriptive Research Descriptive Statistics Confidence Intervals PubMed Psycinfo CINAHL Database Research Methodology Evaluation Regression Adult Middle Age Aged Aged, 80 and Over Time Factors Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male ab: Regular HIV testing enables early identification and treatment of HIV among at-risk men who have sex with men (MSM). Characterizing HIV testing needs for Internet-using MSM informs development of Internet-facilitated testing interventions. In this systematic review we analyze HIV testing patterns among Internet-using MSM in the United States who report, through participation in an online study or survey, their HIV status as negative or unknown and identify demographic or behavioral risk factors associated with testing. We systematically searched multiple electronic databases for relevant English-language articles published between January 1, 2005 and December 16, 2014. Using meta-analysis, we summarized the proportion of Internet-using MSM who had ever tested for HIV and the proportion who tested in the 12 months preceding participation in the online study or survey. We also identified factors predictive of these outcomes using meta-regression and narrative synthesis. Thirty-two studies that enrolled 83,186 MSM met our inclusion criteria. Among the studies reporting data for each outcome, 85 % (95 % CI 82-87 %) of participants had ever tested, and 58 % (95 % CI 53-63 %) had tested in the year preceding enrollment in the study, among those for whom those data were reported. Age over 30 years, at least a college education, use of drugs, and self-identification as being homosexual or gay were associated with ever having tested for HIV. A large majority of Internet-using MSM indicated they had been tested for HIV at some point in the past. A smaller proportion-but still a majority-reported they had been tested within the year preceding study or survey participation. MSM who self-identify as heterosexual or bisexual, are younger, or who use drugs (including non-injection drugs) may be less likely to have ever tested for HIV. The overall findings of our systematic review are encouraging; however, a subpopulation of MSM may benefit from targeted outreach. These findings indicate unmet needs for HIV testing among Internet-using MSM and identify subpopulations that might benefit from targeted outreach, such as provision of HIV self-testing kits. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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