Suboptimal HIV Testing Uptake among Men Who Engage in Commercial Sex Work with Men in Asia

Harry Jin, MacKey Reuel Friedman, Sin How Lim, Thomas E. Guadamuz, Chongyi Wei

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: Men who have sex with men and are sex workers (MSMSW) are disproportionately affected by the growing and emerging HIV epidemic. As sex work and same-sex behavior are heavily stigmatized and often illegal in most Asian countries, HIV research focusing on MSMSW has been limited. The goal of this analysis is to examine HIV testing practices and identify correlates of HIV testing among MSMSW in Asia. Methods: The Asia Internet MSM Sex Survey, an online cross-sectional survey of 10,861 men who have sex with men (MSM), was conducted in 2010. Data on sociodemographic characteristics, HIV testing behaviors, and sexual behaviors were collected. Five hundred and seventy-four HIV-negative/unknown respondents reported receiving payment for sex with men at least once in the past 6 months and were included in this analysis. Multivariable logistic regression was conducted to identify independent correlates of HIV testing in the past year. Results: About half (48.6%) of the participants had been tested for HIV at least once within the past year, and 30.5% had never been tested. We also found that MSMSW participants who engaged in risky behaviors were less likely to be tested. Conclusion: While one might expect a high HIV testing rate among MSMSW due to the risks associated with engaging in sex work, we found that HIV testing uptake is suboptimal among MSMSW in Asia. These results suggest that targeted HIV prevention and testing promotion among MSMSW are needed.

Original languageEnglish (US)
Pages (from-to)465-471
Number of pages7
JournalLGBT health
Volume3
Issue number6
DOIs
StatePublished - Dec 1 2016
Externally publishedYes

Fingerprint

Sex Work
HIV
Sexual Behavior
Sex Workers
Internet

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Urology
  • Dermatology
  • Obstetrics and Gynecology

Cite this

Jin, Harry ; Friedman, MacKey Reuel ; Lim, Sin How ; Guadamuz, Thomas E. ; Wei, Chongyi. / Suboptimal HIV Testing Uptake among Men Who Engage in Commercial Sex Work with Men in Asia. In: LGBT health. 2016 ; Vol. 3, No. 6. pp. 465-471.
@article{2226e26080364a30beb0897981a87cd3,
title = "Suboptimal HIV Testing Uptake among Men Who Engage in Commercial Sex Work with Men in Asia",
abstract = "Purpose: Men who have sex with men and are sex workers (MSMSW) are disproportionately affected by the growing and emerging HIV epidemic. As sex work and same-sex behavior are heavily stigmatized and often illegal in most Asian countries, HIV research focusing on MSMSW has been limited. The goal of this analysis is to examine HIV testing practices and identify correlates of HIV testing among MSMSW in Asia. Methods: The Asia Internet MSM Sex Survey, an online cross-sectional survey of 10,861 men who have sex with men (MSM), was conducted in 2010. Data on sociodemographic characteristics, HIV testing behaviors, and sexual behaviors were collected. Five hundred and seventy-four HIV-negative/unknown respondents reported receiving payment for sex with men at least once in the past 6 months and were included in this analysis. Multivariable logistic regression was conducted to identify independent correlates of HIV testing in the past year. Results: About half (48.6{\%}) of the participants had been tested for HIV at least once within the past year, and 30.5{\%} had never been tested. We also found that MSMSW participants who engaged in risky behaviors were less likely to be tested. Conclusion: While one might expect a high HIV testing rate among MSMSW due to the risks associated with engaging in sex work, we found that HIV testing uptake is suboptimal among MSMSW in Asia. These results suggest that targeted HIV prevention and testing promotion among MSMSW are needed.",
author = "Harry Jin and Friedman, {MacKey Reuel} and Lim, {Sin How} and Guadamuz, {Thomas E.} and Chongyi Wei",
year = "2016",
month = "12",
day = "1",
doi = "https://doi.org/10.1089/lgbt.2015.0051",
language = "English (US)",
volume = "3",
pages = "465--471",
journal = "LGBT Health",
issn = "2325-8292",
publisher = "Mary Ann Liebert Inc.",
number = "6",

}

Suboptimal HIV Testing Uptake among Men Who Engage in Commercial Sex Work with Men in Asia. / Jin, Harry; Friedman, MacKey Reuel; Lim, Sin How; Guadamuz, Thomas E.; Wei, Chongyi.

In: LGBT health, Vol. 3, No. 6, 01.12.2016, p. 465-471.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Suboptimal HIV Testing Uptake among Men Who Engage in Commercial Sex Work with Men in Asia

AU - Jin, Harry

AU - Friedman, MacKey Reuel

AU - Lim, Sin How

AU - Guadamuz, Thomas E.

AU - Wei, Chongyi

PY - 2016/12/1

Y1 - 2016/12/1

N2 - Purpose: Men who have sex with men and are sex workers (MSMSW) are disproportionately affected by the growing and emerging HIV epidemic. As sex work and same-sex behavior are heavily stigmatized and often illegal in most Asian countries, HIV research focusing on MSMSW has been limited. The goal of this analysis is to examine HIV testing practices and identify correlates of HIV testing among MSMSW in Asia. Methods: The Asia Internet MSM Sex Survey, an online cross-sectional survey of 10,861 men who have sex with men (MSM), was conducted in 2010. Data on sociodemographic characteristics, HIV testing behaviors, and sexual behaviors were collected. Five hundred and seventy-four HIV-negative/unknown respondents reported receiving payment for sex with men at least once in the past 6 months and were included in this analysis. Multivariable logistic regression was conducted to identify independent correlates of HIV testing in the past year. Results: About half (48.6%) of the participants had been tested for HIV at least once within the past year, and 30.5% had never been tested. We also found that MSMSW participants who engaged in risky behaviors were less likely to be tested. Conclusion: While one might expect a high HIV testing rate among MSMSW due to the risks associated with engaging in sex work, we found that HIV testing uptake is suboptimal among MSMSW in Asia. These results suggest that targeted HIV prevention and testing promotion among MSMSW are needed.

AB - Purpose: Men who have sex with men and are sex workers (MSMSW) are disproportionately affected by the growing and emerging HIV epidemic. As sex work and same-sex behavior are heavily stigmatized and often illegal in most Asian countries, HIV research focusing on MSMSW has been limited. The goal of this analysis is to examine HIV testing practices and identify correlates of HIV testing among MSMSW in Asia. Methods: The Asia Internet MSM Sex Survey, an online cross-sectional survey of 10,861 men who have sex with men (MSM), was conducted in 2010. Data on sociodemographic characteristics, HIV testing behaviors, and sexual behaviors were collected. Five hundred and seventy-four HIV-negative/unknown respondents reported receiving payment for sex with men at least once in the past 6 months and were included in this analysis. Multivariable logistic regression was conducted to identify independent correlates of HIV testing in the past year. Results: About half (48.6%) of the participants had been tested for HIV at least once within the past year, and 30.5% had never been tested. We also found that MSMSW participants who engaged in risky behaviors were less likely to be tested. Conclusion: While one might expect a high HIV testing rate among MSMSW due to the risks associated with engaging in sex work, we found that HIV testing uptake is suboptimal among MSMSW in Asia. These results suggest that targeted HIV prevention and testing promotion among MSMSW are needed.

UR - http://www.scopus.com/inward/record.url?scp=85002002605&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85002002605&partnerID=8YFLogxK

U2 - https://doi.org/10.1089/lgbt.2015.0051

DO - https://doi.org/10.1089/lgbt.2015.0051

M3 - Article

VL - 3

SP - 465

EP - 471

JO - LGBT Health

JF - LGBT Health

SN - 2325-8292

IS - 6

ER -