OBJECTIVES: We compared recent risk behaviors and HIV seroconversion among young men who have sex with men (MSM) who were first-time, infrequent, and repeat HIV testers. METHODS: Male adolescents and young men aged 15 to 22 years were randomly sampled, interviewed, counseled, and tested for HIV at 194 gay-identified venues in seven U.S. cities from 1994 through 1998. Analyses were restricted to MSM who reported having never tested or last tested HIV-negative. RESULTS: Of 3430 participants, 36% tested for the first time, 39% had tested infrequently (one or two times), and 26% had tested repeatedly (> or = three times). Compared with first-time testers, repeat testers were more likely to report recent risk behaviors and to acquire HIV (7% versus 4%). Over 75% of repeat testers who seroconverted acquired HIV within 1 year of their last test. Compared with repeat testers, first-time testers reported similar use of health care but delayed testing for nearly 2 additional years after initiating risk. CONCLUSIONS: Many young MSM soon acquire HIV after repeated use of HIV counseling and testing services. Providers must strengthen practices to identify, counsel, and test young MSM and provide enhanced behavioral interventions for those with persistent risks.
OBJECTIVES: We compared recent risk behaviors and HIV seroconversion among young men who have sex with men (MSM) who were first-time, infrequent, and repeat HIV testers. METHODS: Male adolescents and young men aged 15 to 22 years were randomly sampled, interviewed, counseled, and tested for HIV at 194 gay-identified venues in seven U.S. cities from 1994 through 1998. Analyses were restricted to MSM who reported having never tested or last tested HIV-negative. RESULTS: Of 3430 participants, 36% tested for the first time, 39% had tested infrequently (one or two times), and 26% had tested repeatedly (> or = three times). Compared with first-time testers, repeat testers were more likely to report recent risk behaviors and to acquire HIV (7% versus 4%). Over 75% of repeat testers who seroconverted acquired HIV within 1 year of their last test. Compared with repeat testers, first-time testers reported similar use of health care but delayed testing for nearly 2 additional years after initiating risk. CONCLUSIONS: Many young MSM soon acquire HIV after repeated use of HIV counseling and testing services. Providers must strengthen practices to identify, counsel, and test young MSM and provide enhanced behavioral interventions for those with persistent risks.
Authors: Stephanie K Behel; Duncan A MacKellar; Linda A Valleroy; Gina M Secura; Trista Bingham; David D Celentano; Beryl A Koblin; Marlene Lalota; Douglas Shehan; Lucia V Torian Journal: J Urban Health Date: 2008-07-12 Impact factor: 3.671
Authors: Martin Hoenigl; Nadir Weibel; Sanjay R Mehta; Christy M Anderson; Jeffrey Jenks; Nella Green; Sara Gianella; Davey M Smith; Susan J Little Journal: Clin Infect Dis Date: 2015-04-22 Impact factor: 9.079
Authors: Frank Y Wong; Eric J Nehl; Jennifer J Han; Z Jennifer Huang; Yu Wu; Darwin Young; Michael W Ross Journal: Public Health Rep Date: 2012 Mar-Apr Impact factor: 2.792
Authors: Suzanne P Fiorillo; Keren Z Landman; Alison C Tribble; Antipas Mtalo; Dafrosa K Itemba; Jan Ostermann; Nathan M Thielman; John A Crump Journal: AIDS Care Date: 2012-03-01
Authors: Supriya D Mehta; Jonathan Hall; Jeffrey L Greenwald; Kevin Cranston; Paul R Skolnik Journal: Public Health Rep Date: 2008 Sep-Oct Impact factor: 2.792
Authors: Michael S Lyons; Christopher J Lindsell; Andrew H Ruffner; Alexander T Trott; Carl J Fichtenbaum Journal: Curr HIV Res Date: 2009-11 Impact factor: 1.581