A cross-sectional evaluation of correlates of HIV testing practices among men who have sex with men (MSM) in Mongolia

Faiza Yasin, Altanchimeg Delegchoimbol, Naranchimeg Jamiyanjamts, Tugsdelger Sovd, Krystal Mason, Stefan Baral

Research output: Contribution to journalArticlepeer-review

Abstract

This study analyzed patterns and associations of HIV testing including sexual practices, HIV related knowledge, and human rights contexts among MSM in Mongolia. 313 participants were accrued using respondent-driven sampling and administered a structured questionnaire. Descriptive statistics are presented with crude and adjusted-point estimates with confidence intervals (95 % CI); and logistic regression models were used to identify factors associated with HIV testing in the last 12 months. RDS-adjustment demonstrated that 48.9 % (95 % CI = 36.7-58.3) of MSM had an HIV test in the past 12 months. Logistic regression revealed that experience of a human rights violation, enacted (OR = 0.50, 95 % CI = 0.26-0.97) or perceived (OR = 0.56, 95 % CI = 0.26-0.97), was inversely associated with a recent HIV test. Higher level of education (OR = 1.84, 95 % CI = 1.14-2.99), knowledge that anal sex is highest risk for HIV infection (OR = 4.54, 95 % CI = 2.41-8.56), and having 5 or more male sexual partners (OR = 1.82, 95 % CI = 1.00-3.30), were positively associated with a recent HIV test. MSM in Mongolia are at high risk for HIV infection and coverage of HIV testing is suboptimal. Understanding the variable sexual risk practices and barriers to HIV testing are vital to designing effective and relevant HIV-status dependent HIV intervention services.

Original languageEnglish (US)
Pages (from-to)1378-1385
Number of pages8
JournalAIDS and behavior
Volume17
Issue number4
DOIs
StatePublished - May 2013

Keywords

  • HIV prevention
  • Men who have sex with men
  • Mongolia
  • Respondent driven sampling

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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