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HIV testing practices and the potential role of HIV self-testing among men who have sex with men in Mexico.

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      Abstract

      The objective of this study was to characterize HIV testing practices among men who have sex with men in Mexico and intention to use HIV self-testing. In 2012, members of one of the largest social/sexual networking websites for men who have sex with men in Latin America completed an anonymous online survey. This analysis was restricted to HIV-uninfected men who have sex with men residing in Mexico. Multivariable logistic regression models were fit to assess factors associated with HIV testing and intention to use a HIV self-test. Of 4537 respondents, 70.9% reported ever having a HIV test, of whom 75.5% reported testing at least yearly. The majority (94.3%) indicated that they would use a HIV home self-test if it were available. Participants identifying as bisexual less often reported ever HIV testing compared to those identifying as gay/homosexual (adjusted odds ratio = 0.52, 95% confidence interval: 0.44-0.62). Having a physical exam in the past year was associated with increased ever HIV testing (adjusted odds ratio = 4.35, 95% confidence interval: 3.73-5.07), but associated with decreased interest in HIV self-testing (adjusted odds ratio = 0.66, 95% confidence interval: 0.48-0.89). The high intention to use HIV home self-testing supports the use of this method as an acceptable alternative to clinic- or hospital-based HIV testing.

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      Affiliations
      [1 ] 1 Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
      [2 ] 2 The Fenway Institute, Fenway Community Health, Boston, MA, USA.
      [3 ] 3 Departments of Behavioral & Social Health Sciences and Epidemiology and the Institute for Community Health Promotion, Brown University School of Public Health, Providence, RI, USA.
      [4 ] 4 Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY, USA.
      [5 ] 5 Department of Biobehavioral Health, Penn State University, University Park, PA, USA.
      [6 ] 6 Online Buddies, Inc, OLB Research Institute, Cambridge, MA, USA.
      [7 ] 7 Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
      [8 ] 8 Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
      Journal
      Int J STD AIDS
      International journal of STD & AIDS
      SAGE Publications
      1758-1052
      0956-4624
      Mar 2017
      : 28
      : 3
      27020081
      0956462416641556
      10.1177/0956462416641556
      5039047
      NIHMS765407

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