Evidence map›Paper›PMID 23054041›Full record

ArticleAIDS and behavior2013

HIV-untested men who have sex with men in South Africa: the perception of not being at risk and fear of being tested.

Juan A Nel, Huso Yi, Theo G M Sandfort, Eileen Rich

Abstract read
In one paragraph

Article in AIDS and behavior, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Article
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  15. Review
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  17. Article
  18. Condom use and HIV testing among men who have sex with men in Jordan.Journal of the International AIDS Society · 2014
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Juan A NelUniversity of South Africa, P.O. Box 511, Groenkloof, Pretoria, 0027, South Africa. nelja@unisa.ac.za
Huso Yi
Theo G M Sandfort
Eileen Rich

Funding

The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MILTON L WAINBERG · 2003 to 2026
$48.2M
INSPIRE : Interdisciplinary Social and Behavioral Science Prevention and Intervention REsearch in HIVT32MH019139 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Claude Ann Mellins, Jae M. Sevelius · 1989 to 2026
$10.8M
SEXUAL RISK BEHAVIOR AND BEHAVIOR CHANGE IN HETEROSEXUAL WOMEN AND MENP50MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE · PI STEIN, ZENA · 1987 to 2002
$5.0M
NIMH NIH HHS P30 MH043520NIMH NIH HHS P30-MH43520NIMH NIH HHS P50 MH043520NIMH NIH HHS T32 MH019139NIMH NIH HHS T32-MH19139
6 · The paper itself

Abstract

A community-based needs assessment among men who have sex with men (MSM) in South Africa found that 27 % (n = 280/1,045) of MSM had never been tested for HIV. The most frequently reported reasons for not having been tested were the perception of not being at risk (57 %) and fear of being tested (52 %). This article explores factors associated with these two reasons among the untested MSM. In multiple logistic regressions, the perception of not being at risk of HIV infection was negatively associated with being black, coloured or Indian, being sexually active, knowing people living with HIV, and a history of sexually transmitted infections (STIs) in the past 24 months (adj. OR = .24, .32, .38, and .22, respectively). Fear of being tested for HIV was positively associated with being black, coloured or Indian, preferred gender expression as feminine, being sexually active, a history of STIs, and experience of victimization on the basis of sexual orientation (adj. OR = 2.90, 4.07, 4.62, 5.05, and 2.34, respectively). Results suggest that HIV prevention programs directed at South African MSM will be more effective if testing and treatment of STIs are better integrated into HIV testing systems. Finally, social exclusion on the basis of race and sexual orientation ought to be addressed in order to reach hidden, at-risk, populations of MSM.

Indexed as

Attitude to HealthAdolescentAdultAgedAIDS SerodiagnosisCommunity Health ServicesFearHealth Services Needs and DemandHealth SurveysHIV InfectionsHomosexuality, MaleHumansLogistic ModelsMaleMiddle AgedNeeds Assessment

Identifiers

PMID23054041
PMCPMC3566358

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.