Factors influencing HIV testing and counselling services among men who have sex with men in Western China: a cross-sectional study based on Andersen’s Behavioral Model
Background: Men who have sex with men (MSM), as a marginal population, has been largely ignored by health service projects. We assessed the utilization of HIV testing and counselling services and its influencing factors based on Andersen’s Behavioral Model, so as to provide a theoretical basis for f...
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| Format: | Article |
| Language: | English |
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Komiyama Printing Co. Ltd
2022-05-01
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| Series: | Environmental Health and Preventive Medicine |
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| Online Access: | https://www.jstage.jst.go.jp/article/ehpm/27/0/27_22-00066/_html/-char/en |
| _version_ | 1811183593656942592 |
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| author | Bing Lin Jiaxiu Liu Yingjie Ma Xiaoni Zhong |
| author_facet | Bing Lin Jiaxiu Liu Yingjie Ma Xiaoni Zhong |
| author_sort | Bing Lin |
| collection | DOAJ |
| description | Background: Men who have sex with men (MSM), as a marginal population, has been largely ignored by health service projects. We assessed the utilization of HIV testing and counselling services and its influencing factors based on Andersen’s Behavioral Model, so as to provide a theoretical basis for future infectious disease prevention and control strategies and health services policy formulation for these population. Method: This was a cross-sectional study. A sample survey was conducted in Western China, and an anonymous self-administered questionnaire survey was conducted among MSM. Based on Andersen’s Behavioral Model, the questionnaire divided the influencing factors into predisposing factor, enabling factor and need factor. Multivariate logistic regression analysis was used to explore the factors influencing the utilization of HIV testing and counselling. Results: There were 3184 valid questionnaires. In the survey of HIV health services, 82.85% MSM had HIV testing and 64.98% MSM had HIV counselling, respectively. Among the predisposing factor, age 25 years old and over was a facilitator of HIV testing and counselling, and ethnicity was a factor associated with HIV testing. Among the enabling factor, MSM living in urban were more likely to have access to testing and counselling services, and income was also linked to HIV testing. Among the need factor, a high level of HIV knowledge could promote testing and counselling, and a history of sexually transmitted diseases (STD) was a facilitator of testing. Conclusions: HIV testing is widespread in Western China and higher than counselling service. MSM with high-risk characteristics should be identified as a priority in the future public health services. |
| first_indexed | 2024-04-11T09:48:32Z |
| format | Article |
| id | doaj.art-44282dd676b3486ca532c64adf4b4868 |
| institution | Directory Open Access Journal |
| issn | 1342-078X 1347-4715 |
| language | English |
| last_indexed | 2024-04-11T09:48:32Z |
| publishDate | 2022-05-01 |
| publisher | Komiyama Printing Co. Ltd |
| record_format | Article |
| series | Environmental Health and Preventive Medicine |
| spelling | doaj.art-44282dd676b3486ca532c64adf4b48682022-12-22T04:30:52ZengKomiyama Printing Co. LtdEnvironmental Health and Preventive Medicine1342-078X1347-47152022-05-0127212110.1265/ehpm.22-00066ehpmFactors influencing HIV testing and counselling services among men who have sex with men in Western China: a cross-sectional study based on Andersen’s Behavioral ModelBing Lin0Jiaxiu Liu1Yingjie Ma2Xiaoni Zhong3School of Public Health and Management, Research Center for Medicine and Social Development, Chongqing Medical UniversitySchool of Medical Informatics, Chongqing Medical UniversitySchool of Public Health and Management, Research Center for Medicine and Social Development, Chongqing Medical UniversitySchool of Public Health and Management, Research Center for Medicine and Social Development, Chongqing Medical UniversityBackground: Men who have sex with men (MSM), as a marginal population, has been largely ignored by health service projects. We assessed the utilization of HIV testing and counselling services and its influencing factors based on Andersen’s Behavioral Model, so as to provide a theoretical basis for future infectious disease prevention and control strategies and health services policy formulation for these population. Method: This was a cross-sectional study. A sample survey was conducted in Western China, and an anonymous self-administered questionnaire survey was conducted among MSM. Based on Andersen’s Behavioral Model, the questionnaire divided the influencing factors into predisposing factor, enabling factor and need factor. Multivariate logistic regression analysis was used to explore the factors influencing the utilization of HIV testing and counselling. Results: There were 3184 valid questionnaires. In the survey of HIV health services, 82.85% MSM had HIV testing and 64.98% MSM had HIV counselling, respectively. Among the predisposing factor, age 25 years old and over was a facilitator of HIV testing and counselling, and ethnicity was a factor associated with HIV testing. Among the enabling factor, MSM living in urban were more likely to have access to testing and counselling services, and income was also linked to HIV testing. Among the need factor, a high level of HIV knowledge could promote testing and counselling, and a history of sexually transmitted diseases (STD) was a facilitator of testing. Conclusions: HIV testing is widespread in Western China and higher than counselling service. MSM with high-risk characteristics should be identified as a priority in the future public health services.https://www.jstage.jst.go.jp/article/ehpm/27/0/27_22-00066/_html/-char/enhiv testinghiv counsellinghealth servicemen who have sex with menandersen’s behavioral model |
| spellingShingle | Bing Lin Jiaxiu Liu Yingjie Ma Xiaoni Zhong Factors influencing HIV testing and counselling services among men who have sex with men in Western China: a cross-sectional study based on Andersen’s Behavioral Model Environmental Health and Preventive Medicine hiv testing hiv counselling health service men who have sex with men andersen’s behavioral model |
| title | Factors influencing HIV testing and counselling services among men who have sex with men in Western China: a cross-sectional study based on Andersen’s Behavioral Model |
| title_full | Factors influencing HIV testing and counselling services among men who have sex with men in Western China: a cross-sectional study based on Andersen’s Behavioral Model |
| title_fullStr | Factors influencing HIV testing and counselling services among men who have sex with men in Western China: a cross-sectional study based on Andersen’s Behavioral Model |
| title_full_unstemmed | Factors influencing HIV testing and counselling services among men who have sex with men in Western China: a cross-sectional study based on Andersen’s Behavioral Model |
| title_short | Factors influencing HIV testing and counselling services among men who have sex with men in Western China: a cross-sectional study based on Andersen’s Behavioral Model |
| title_sort | factors influencing hiv testing and counselling services among men who have sex with men in western china a cross sectional study based on andersen s behavioral model |
| topic | hiv testing hiv counselling health service men who have sex with men andersen’s behavioral model |
| url | https://www.jstage.jst.go.jp/article/ehpm/27/0/27_22-00066/_html/-char/en |
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