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AIDS and Behavior

, Volume 21, Issue 2, pp 561–575 | Cite as

HIV Testing Among Internet-Using MSM in the United States: Systematic Review

  • Meredith Noble
  • Amanda M. Jones
  • Kristina Bowles
  • Elizabeth A. DiNenno
  • Stephen J. Tregear
Substantive Review

Abstract

Regular HIV testing enables early identification and treatment of HIV among at-risk men who have sex with men (MSM). Characterizing HIV testing needs for Internet-using MSM informs development of Internet-facilitated testing interventions. In this systematic review we analyze HIV testing patterns among Internet-using MSM in the United States who report, through participation in an online study or survey, their HIV status as negative or unknown and identify demographic or behavioral risk factors associated with testing. We systematically searched multiple electronic databases for relevant English-language articles published between January 1, 2005 and December 16, 2014. Using meta-analysis, we summarized the proportion of Internet-using MSM who had ever tested for HIV and the proportion who tested in the 12 months preceding participation in the online study or survey. We also identified factors predictive of these outcomes using meta-regression and narrative synthesis. Thirty-two studies that enrolled 83,186 MSM met our inclusion criteria. Among the studies reporting data for each outcome, 85 % (95 % CI 82–87 %) of participants had ever tested, and 58 % (95 % CI 53–63 %) had tested in the year preceding enrollment in the study, among those for whom those data were reported. Age over 30 years, at least a college education, use of drugs, and self-identification as being homosexual or gay were associated with ever having tested for HIV. A large majority of Internet-using MSM indicated they had been tested for HIV at some point in the past. A smaller proportion—but still a majority—reported they had been tested within the year preceding study or survey participation. MSM who self-identify as heterosexual or bisexual, are younger, or who use drugs (including non-injection drugs) may be less likely to have ever tested for HIV. The overall findings of our systematic review are encouraging; however, a subpopulation of MSM may benefit from targeted outreach. These findings indicate unmet needs for HIV testing among Internet-using MSM and identify subpopulations that might benefit from targeted outreach, such as provision of HIV self-testing kits.

Keywords

Homosexuality Male Bisexuality HIV testing Internet Social media Systematic review Meta-analysis 

Notes

Funding

This work was funded by the Centers for Disease Control and Prevention under contract 200-2010-37417 awarded to MANILA Consulting Group, Inc.

Compliance with Ethical Standards

Conflict of Interest

None of the authors declare any potential conflicts of interest.

Disclaimer

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Supplementary material

10461_2016_1506_MOESM1_ESM.docx (47 kb)
Supplementary material 1 (DOCX 47 kb)

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Meredith Noble
    • 1
  • Amanda M. Jones
    • 2
  • Kristina Bowles
    • 3
  • Elizabeth A. DiNenno
    • 3
  • Stephen J. Tregear
    • 4
  1. 1.Hayes, Inc.LansdaleUSA
  2. 2.MANILA Consulting GroupMcleanUSA
  3. 3.Division of HIV/AIDS PreventionCenters for Disease Control and PreventionAtlantaUSA
  4. 4.Civil Health GroupBooz Allen HamiltonWashington, D.C.USA

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