Factors Associated With Regular HIV Testing Among a Sample of US MSM With HIV-Negative Main Partners

Mitchell, Jason W. MPH, PhD*; Horvath, Keith J. MS, PhD

JAIDS Journal of Acquired Immune Deficiency Syndromes: 1 December 2013 - Volume 64 - Issue 4 - p 417–423
doi: 10.1097/QAI.0b013e3182a6c8d9
Epidemiology and Prevention

Abstract: HIV transmission is common within men who have sex with men (MSM) couples; despite recommendations that MSM who engage in risky sexual behaviors get tested biannually/annually, little is known about the testing patterns of MSM while in a current primary relationship. This study compared demographic and relationship characteristics of groups of MSM with different testing patterns while in their primary relationships and assessed which factors were associated with regular or irregular testing. Two hundred seventy-five HIV-negative male couples/550 MSM were recruited online to complete a survey in 2011. Since the start of their relationship, 21% of MSM tested for HIV every 3, 4, or 6 months; 29% tested once a year; 30% tested only when they felt at risk for HIV; and 20% never tested for HIV. Bivariate analyses indicated that men who had never been tested while in their relationship were younger, less educated, had greater trust in their partner, and were less likely to be in a couple that had 1 or both men having had sex with someone else. In the multivariate analyses, testing at regular intervals was associated with higher education, having a sexual agreement, being in a couple that had 1 or both men having had sex with someone else, and having lower faith in trust toward the main partner. Findings suggest that many MSM's testing behaviors while in their primary relationship do not align with their risk profile. Trust seems to be a barrier to regular HIV testing, which may be addressed by encouraging MSM to negotiate clear sexual agreements with their primary partner.

*Department of Risk Reduction and Health Promotion Programs, University of Michigan School of Nursing, Ann Arbor, MI; and

Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, WI.

Correspondence to: Jason W. Mitchell, MPH, PhD, Department of Risk Reduction and Health Promotion Programs, University of Michigan School of Nursing, 400 N Ingalls, Office 3343, Ann Arbor, MI 48109 (e-mail: jwmitche@med.umich.edu).

Research described in this secondary study was supported by the center (P30-MH52776) and NRSA (T32-MH19985) grants from the National Institute of Mental Health.

The authors have no conflicts of interest to disclose.

Received April 03, 2013

Accepted July 18, 2013

© 2013 by Lippincott Williams & Wilkins