Empowering HIV testing as a prevention tool: Targeting interventions for high-risk men who have sex with men
Nicolas Lorente
(1)
,
Marie Suzan-Monti
(1)
,
Chantal Vernay-Vaissed
(2)
,
Marion Mora
(1)
,
Jerome Blanche
(1)
,
Lionel Fugon
(1, 3)
,
Philippe Dhotte
(4)
,
Jean-Marie Le Gall
(5)
,
Patrick Rovera
(4)
,
Maria Patrizia Carrieri
(1)
,
Marie Preau
(6, 1)
,
Bruno Spire
(1)
1
SESSTIM - U912 INSERM - Aix Marseille Univ - IRD -
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
2 Conseil General des Bouches du Rhone, Marseille, France
3 Coalition PLUS
4 CDAG - Centre de dépistage anonyme et gratuit du Figuier
5 AIDES
6 GRePS - Groupe de Recherche en Psychologie Sociale
2 Conseil General des Bouches du Rhone, Marseille, France
3 Coalition PLUS
4 CDAG - Centre de dépistage anonyme et gratuit du Figuier
5 AIDES
6 GRePS - Groupe de Recherche en Psychologie Sociale
Nicolas Lorente
- Fonction : Auteur
- PersonId : 765490
- ORCID : 0000-0003-0952-8031
- IdRef : 13629829X
Marie Suzan-Monti
- Fonction : Auteur
- PersonId : 21154
- IdHAL : marie-suzan-monti
- ORCID : 0000-0003-2507-2863
- IdRef : 253119545
Marion Mora
- Fonction : Auteur
- PersonId : 763200
- ORCID : 0000-0001-7543-6982
Maria Patrizia Carrieri
- Fonction : Auteur
- PersonId : 21176
- IdHAL : patrizia-carrieri
- ORCID : 0000-0002-6794-4837
- IdRef : 144323036
Marie Preau
- Fonction : Auteur
- PersonId : 171105
- IdHAL : preau-marie
- ORCID : 0000-0002-6239-1671
- IdRef : 084340525
Bruno Spire
- Fonction : Auteur
- PersonId : 21429
- IdHAL : cheick-haiballa-kounta
- ORCID : 0000-0001-6800-0742
Résumé
In France, HIV testing can be easily performed in free and anonymous voluntary counselling testing (VCT) centres. The recent national study among French men who have sex with men (MSM) showed that 73% of those already tested for HIV had been tested in the previous two years. Nothing is known about the risk behaviours of MSM attending VCT centres. This study aimed to characterize sexual risk behaviours of MSM tested for HIV in such centres and identify factors associated with inconsistent condom use (ICU). A cross-sectional study was conducted from March to December 2009 in four VCT centres where a self-administered questionnaire was proposed to all MSM about to have a HIV test. ICU was defined as reporting non-systematic condom use during anal intercourse with casual male partners. Among the 287 MSM who fully completed their questionnaire, 44% reported ICU in the previous six months. Among those who had been already tested, 63% had had their test in the previous two years. Factors independently associated with ICU included: never avoiding one-night stands, not having been recently HIV tested, experiencing difficulty in using condoms when with a HIV negative partner or when under the influence of drugs or alcohol and finally, reporting to have had a large number of casual male partners in the previous six months. The rate of recently tested MSM was high in our study. Nevertheless, this rate was lower than that found in the last national study. Furthermore those not recently tested were significantly more likely to report high risk behaviours. We therefore recommend that further efforts be made to adapt the offer of both HIV testing and counselling to meet the specific needs of hard-to-reach MSM. Accordingly, an additional community-based offer of HIV testing to reach most-at-risk MSM is forthcoming in France.
Domaines
PsychologieFormat du dépôt | Notice |
---|---|
Type de dépôt | Article dans une revue |
Résumé |
en
In France, HIV testing can be easily performed in free and anonymous voluntary counselling testing (VCT) centres. The recent national study among French men who have sex with men (MSM) showed that 73% of those already tested for HIV had been tested in the previous two years. Nothing is known about the risk behaviours of MSM attending VCT centres. This study aimed to characterize sexual risk behaviours of MSM tested for HIV in such centres and identify factors associated with inconsistent condom use (ICU). A cross-sectional study was conducted from March to December 2009 in four VCT centres where a self-administered questionnaire was proposed to all MSM about to have a HIV test. ICU was defined as reporting non-systematic condom use during anal intercourse with casual male partners. Among the 287 MSM who fully completed their questionnaire, 44% reported ICU in the previous six months. Among those who had been already tested, 63% had had their test in the previous two years. Factors independently associated with ICU included: never avoiding one-night stands, not having been recently HIV tested, experiencing difficulty in using condoms when with a HIV negative partner or when under the influence of drugs or alcohol and finally, reporting to have had a large number of casual male partners in the previous six months. The rate of recently tested MSM was high in our study. Nevertheless, this rate was lower than that found in the last national study. Furthermore those not recently tested were significantly more likely to report high risk behaviours. We therefore recommend that further efforts be made to adapt the offer of both HIV testing and counselling to meet the specific needs of hard-to-reach MSM. Accordingly, an additional community-based offer of HIV testing to reach most-at-risk MSM is forthcoming in France.
|
Titre |
en
Empowering HIV testing as a prevention tool: Targeting interventions for high-risk men who have sex with men
|
Auteur(s) |
Nicolas Lorente
1
, Marie Suzan-Monti
1
, Chantal Vernay-Vaissed
2
, Marion Mora
1
, Jerome Blanche
1
, Lionel Fugon
1, 3
, Philippe Dhotte
4
, Jean-Marie Le Gall
5
, Patrick Rovera
4
, Maria Patrizia Carrieri
1
, Marie Preau
6, 1
, Bruno Spire
1
1
SESSTIM - U912 INSERM - Aix Marseille Univ - IRD -
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
( 540465 )
- Faculté de Médecine - Site Timone - 27 Bd Jean Moulin 13385 – Marseille Cedex 05
- France
2
Conseil General des Bouches du Rhone, Marseille, France
( 501417 )
- France
3
Coalition PLUS
( 356750 )
-
- France
4
CDAG -
Centre de dépistage anonyme et gratuit du Figuier
( 454613 )
- France
5
AIDES
( 340069 )
-
- France
6
GRePS -
Groupe de Recherche en Psychologie Sociale
( 49955 )
- Université Lyon 2 - Institut de Psychologie 5 avenue Pierre Mendès-France - 69676 BRON cedex
- France
|
Comité de lecture |
Oui
|
Vulgarisation |
Non
|
Nom de la revue |
|
Langue du document |
Anglais
|
Audience |
Internationale
|
Date de publication |
2012
|
Date de publication électronique |
2012-04-23
|
Volume |
24
|
Numéro |
8
|
Page/Identifiant |
1039-1045
|
Domaine(s) |
|
Mots-clés |
en
HIV testing, France, men who have sex with men, voluntary counselling and testing centresaids c, inconsistent condom use
|
DOI | 10.1080/09540121.2012.668171 |
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