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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">HIV-Untested Men who have Sex with Men in South Africa: The Perception of Not Being at Risk and Fear of Being Tested</title><author><name sortKey="Nel, Juan A" sort="Nel, Juan A" uniqKey="Nel J" first="Juan A." last="Nel">Juan A. Nel</name><affiliation><nlm:aff id="A1">University of South Africa, Pretoria, South Africa</nlm:aff></affiliation></author><author><name sortKey="Yi, Huso" sort="Yi, Huso" uniqKey="Yi H" first="Huso" last="Yi">Huso Yi</name><affiliation><nlm:aff id="A2">School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, HKSAR, China</nlm:aff></affiliation></author><author><name sortKey="Sandfort, Theo G M" sort="Sandfort, Theo G M" uniqKey="Sandfort T" first="Theo G. M." last="Sandfort">Theo G. M. Sandfort</name><affiliation><nlm:aff id="A3">HIV Center for Clinical and Behavioral Studies, Department of Psychiatry, Columbia University and New York State Psychiatric Institute, New York, USA</nlm:aff></affiliation></author><author><name sortKey="Rich, Eileen" sort="Rich, Eileen" uniqKey="Rich E" first="Eileen" last="Rich">Eileen Rich</name><affiliation><nlm:aff id="A1">University of South Africa, Pretoria, South Africa</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23054041</idno><idno type="pmc">3566358</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3566358</idno><idno type="RBID">PMC:3566358</idno><idno type="doi">10.1007/s10461-012-0329-4</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001F65</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001F65</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">HIV-Untested Men who have Sex with Men in South Africa: The Perception of Not Being at Risk and Fear of Being Tested</title><author><name sortKey="Nel, Juan A" sort="Nel, Juan A" uniqKey="Nel J" first="Juan A." last="Nel">Juan A. Nel</name><affiliation><nlm:aff id="A1">University of South Africa, Pretoria, South Africa</nlm:aff></affiliation></author><author><name sortKey="Yi, Huso" sort="Yi, Huso" uniqKey="Yi H" first="Huso" last="Yi">Huso Yi</name><affiliation><nlm:aff id="A2">School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, HKSAR, China</nlm:aff></affiliation></author><author><name sortKey="Sandfort, Theo G M" sort="Sandfort, Theo G M" uniqKey="Sandfort T" first="Theo G. M." last="Sandfort">Theo G. M. Sandfort</name><affiliation><nlm:aff id="A3">HIV Center for Clinical and Behavioral Studies, Department of Psychiatry, Columbia University and New York State Psychiatric Institute, New York, USA</nlm:aff></affiliation></author><author><name sortKey="Rich, Eileen" sort="Rich, Eileen" uniqKey="Rich E" first="Eileen" last="Rich">Eileen Rich</name><affiliation><nlm:aff id="A1">University of South Africa, Pretoria, South Africa</nlm:aff></affiliation></author></analytic><series><title level="j">AIDS and behavior</title><idno type="ISSN">1090-7165</idno><idno type="eISSN">1573-3254</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">A community-based needs assessment among men who have sex with men (MSM) in South Africa found that 27% (n=280/1045) of MSM had never been tested for HIV. The most frequently reported reasons for not having been tested were the perception of not being at risk (57%) and fear of being tested (52%). This article explores factors associated with these two reasons among the untested MSM. In multiple logistic regressions, the perception of not being at risk of HIV infection was negatively associated with being black, coloured or Indian, being sexually active, knowing people living with HIV, and a history of sexually transmitted infections (STIs) in the past 24 months (adj. OR = 0.24, 0.32, 0.38, and 0.22, respectively). Fear of being tested for HIV was positively associated with being black, coloured or Indian, preferred gender expression as feminine, being sexually active, a history of STIs, and experience of victimization on the basis of sexual orientation (adj. OR = 2.90, 4.07, 4.62, 5.05, and 2.34, respectively). Results suggest that HIV prevention programs directed at South African MSM will be more effective if testing and treatment of STIs are better integrated into HIV testing systems. Finally, social exclusion on the basis of race and sexual orientation ought to be addressed in order to reach hidden, at-risk, populations of MSM.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9712133</journal-id><journal-id journal-id-type="pubmed-jr-id">21042</journal-id><journal-id journal-id-type="nlm-ta">AIDS Behav</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Behav</journal-id><journal-title-group><journal-title>AIDS and behavior</journal-title></journal-title-group><issn pub-type="ppub">1090-7165</issn><issn pub-type="epub">1573-3254</issn></journal-meta><article-meta><article-id pub-id-type="pmid">23054041</article-id><article-id pub-id-type="pmc">3566358</article-id><article-id pub-id-type="doi">10.1007/s10461-012-0329-4</article-id><article-id pub-id-type="manuscript">NIHMS412264</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>HIV-Untested Men who have Sex with Men in South Africa: The Perception of Not Being at Risk and Fear of Being Tested</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Nel</surname><given-names>Juan A.</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Yi</surname><given-names>Huso</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Sandfort</surname><given-names>Theo G. M.</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Rich</surname><given-names>Eileen</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>University of South Africa, Pretoria, South Africa</aff><aff id="A2"><label>2</label>School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, HKSAR, China</aff><aff id="A3"><label>3</label>HIV Center for Clinical and Behavioral Studies, Department of Psychiatry, Columbia University and New York State Psychiatric Institute, New York, USA</aff><author-notes><corresp id="FN1">Author for review of proofs: Juan A. Nel; Address: PO Box 511 GROENKLOOF 0027 South Africa; Tel: +27(0)83 282 0791; Fax: +27(0)12 429 6853; <email>nelja@unisa.ac.za</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>11</day><month>10</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>5</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>5</month><year>2014</year></pub-date><volume>17</volume><issue>0 1</issue><fpage>51</fpage><lpage>59</lpage><abstract><p id="P1">A community-based needs assessment among men who have sex with men (MSM) in South Africa found that 27% (n=280/1045) of MSM had never been tested for HIV. The most frequently reported reasons for not having been tested were the perception of not being at risk (57%) and fear of being tested (52%). This article explores factors associated with these two reasons among the untested MSM. In multiple logistic regressions, the perception of not being at risk of HIV infection was negatively associated with being black, coloured or Indian, being sexually active, knowing people living with HIV, and a history of sexually transmitted infections (STIs) in the past 24 months (adj. OR = 0.24, 0.32, 0.38, and 0.22, respectively). Fear of being tested for HIV was positively associated with being black, coloured or Indian, preferred gender expression as feminine, being sexually active, a history of STIs, and experience of victimization on the basis of sexual orientation (adj. OR = 2.90, 4.07, 4.62, 5.05, and 2.34, respectively). Results suggest that HIV prevention programs directed at South African MSM will be more effective if testing and treatment of STIs are better integrated into HIV testing systems. Finally, social exclusion on the basis of race and sexual orientation ought to be addressed in order to reach hidden, at-risk, populations of MSM.</p></abstract><kwd-group><kwd>HIV testing</kwd><kwd>Prevention programs</kwd><kwd>Reasons for not being tested for HIV</kwd><kwd>Social exclusion</kwd><kwd>Men who have sex with men</kwd><kwd>South Africa</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source><award-id>T32 MH019139 || MH</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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