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Wang Y, Mitchell J, Zhang C, Brown L, Przybyla S, Liu Y. Suboptimal Follow-Up on HIV Test Results among Young Men Who Have Sex with Men: A Community-Based Study in Two U.S. Cities. Trop Med Infect Dis 2022; 7:tropicalmed7070139. [PMID: 35878150 PMCID: PMC9322097 DOI: 10.3390/tropicalmed7070139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Revised: 07/15/2022] [Accepted: 07/17/2022] [Indexed: 11/25/2022] Open
Abstract
Frequent HIV testing and knowledge of HIV serostatus is the premise before timely access to HIV prevention and treatment services, but a portion of young men who have sex with men (YMSM) do not always follow up on their HIV test results after HIV testing, which is detrimental to the implementation of HIV prevention and care among this subgroup. The comprehensive evaluation of factors associated with inconsistent follow-up on HIV test results may inform relevant interventions to address this critical issue among YMSM. To this end, we conducted a cross-sectional study in Nashville, Tennessee and Buffalo, New York from May 2019 to May 2020 to assess demographic, behavioral, and psychosocial correlates of inconsistent follow-up on HIV test results among YMSM. Of the 347 participants, 27.1% (n = 94) reported inconsistent follow-up on their HIV test results. Multivariable logistic regression showed that inconsistent follow-up on HIV test results was positively associated with condomless receptive anal sex, group sex, recreational drug use before or during sex, internalized homophobia, and stress; while negatively associated with housing stability, social support, and general resilience. Future HIV prevention intervention efforts should target these modifiable determinants to enhance the follow-up on HIV test results among YMSM.
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Affiliation(s)
- Ying Wang
- Department of Public Health Sciences, School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, NY 14642, USA;
| | - Jason Mitchell
- Department of Health Promotion and Disease Prevention, Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA;
| | - Chen Zhang
- School of Nursing, University of Rochester Medical Center, Rochester, NY 14642, USA;
| | - Lauren Brown
- Department of Psychiatry and Behavioral Sciences, Meharry Medical College, Nashville, TN 37208, USA;
- Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USA
| | - Sarahmona Przybyla
- Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY 14214, USA;
| | - Yu Liu
- Department of Public Health Sciences, School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, NY 14642, USA;
- Correspondence:
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