Evidence map›Paper›PMID 39971870›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2025

HIV testing among heterosexual Black men in Toronto: What are the determinants?

Roger Antabe, Yujiro Sano, Egbe B Etowa, Joseph Bertrand Nguemo Djiometio, Mandana Vahabi, Kenneth Po-Lun Fung, Josephine Pui-Hing Wong, Winston Husbands

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Article in Canadian journal of public health = Revue canadienne de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Roger AntabeDepartment of Health and Society, University of Toronto Scarborough, Toronto, ON, Canada. roger.antabe@utoronto.ca.ORCID 0000-0003-0312-3201
Yujiro SanoDepartment of Sociology and Anthropology, Nipissing University, North Bay, ON, Canada.
Egbe B EtowaDaphne Cockwell School of Nursing, Faculty of Community Services, Toronto Metropolitan University, Toronto, ON, Canada.
Joseph Bertrand Nguemo DjiometioControlled Substances and Overdose Response Directorate, Health Canada, Ottawa, ON, Canada.
Mandana VahabiLawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Kenneth Po-Lun FungDepartment of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Josephine Pui-Hing WongDaphne Cockwell School of Nursing, Faculty of Community Services, Toronto Metropolitan University, Toronto, ON, Canada.
Winston HusbandsDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.

Funding

CIHR 138354Ontario HIV Treatment Network 1052
6 · The paper itself

Abstract

objectivesAfrican, Caribbean, and Black (ACB) men in Canada face a higher risk of HIV infection relative to other men. Despite this concern, these are nascent studies focused on the usage of HIV testing services among ACB men. To contribute to health policy in Canada, we seek to understand the prevalence and predictors of HIV testing among heterosexual ACB men living in Toronto.

methodsWe used a sample of 325 self-identified heterosexual Black men in Toronto, Ontario, who participated in the weSpeak study, which examined HIV vulnerability among ACB men. Guided by Andersen's framework of health services utilization, we fitted negative log-log regression models to cross-sectional data of ACB men 16 years or older.

resultsThe findings indicate that (1) ACB men with secondary or lower levels of educational attainment (OR = 0.57, p < 0.1) were less likely to have ever been tested for HIV compared to their counterparts with a university education or higher, (2) foreign-born men were more likely to have ever been tested for HIV than their Canadian-born counterparts (OR = 3.14, p < 0.01), and (3) ACB men who report multiple sexual partners were more likely to have ever been tested for HIV compared to colleagues with one sexual partner (OR = 2.76, p < 0.01).

conclusionBased on these findings, we recommend further research to understand the barriers to HIV testing among non-priority risk groups and the design of a more nuanced population-based approach to HIV testing that incorporates case management or various incentives.

Indexed as

Black PeopleHeterosexualityHIV InfectionsHIV TestingAdolescentAdultCross-Sectional StudiesHumansMaleMiddle AgedOntarioYoung AdultAfrican, Caribbean, and BlackCanadaHIVResilienceVulnerability

Identifiers

PMID39971870
PMCPMC12076984

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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.