Perceptions of Lifetime Risk and Actual Risk for Acquiring HIV Among Young Men Who Have Sex with Men |
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| Authors: | Duncan A MacKellar Linda A Valleroy Gina M Secura Stephanie Behel Trista Bingham David D Celentano Beryl A Koblin Marlene LaLota Douglas Shehan Hanne Thiede Lucia V Torian |
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| Institution: | (1) Division of HIV/AIDS Prevention-Surveillance and Epidemiology, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS E-46, Atlanta, Georgia GA 30333, USA;(2) St. Louis University School of Public Health, Saint Louis, Missouri, USA;(3) Los Angeles County Department of Health Services, Los Angeles, California, USA;(4) Johns Hopkins University School of Hygiene and Public Health, Baltimore, Maryland, USA;(5) The New York Blood Center, New York City, New York, USA;(6) Florida Department of Health, Tallahassee, Florida, USA;(7) University of Texas Southwestern Medical Center, Dallas, Texas, USA;(8) Public Health—Seattle & King County, Seattle, Washington, USA;(9) New York City Department of Health, New York City, New York, USA |
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| Abstract: | Among young men who have sex with men (MSM) surveyed in six US cities, we evaluated the magnitude and correlates of perceived
lifetime risk for acquiring HIV, and missed opportunities to increase risk perception by providers of health-care and HIV-testing
services. Overall, approximately one quarter of young MSM perceived themselves at moderate/high risk for acquiring HIV. Adjusting
for demographic, prior testing, and behavioral characteristics, moderate/high perceived risk had the strongest association
with unrecognized HIV infection. However, half of the 267 young MSM with unrecognized infection perceived themselves at low
lifetime risk for acquiring HIV, and many young MSM with low-risk perception reported considerable risk behaviors. Providers
of health-care and HIV-testing services missed opportunities to assess risks and recommend testing for young MSM. To increase
HIV testing, prevention providers should intensify efforts to assess, and to increase when needed, perceptions of lifetime
risks for acquiring HIV among young MSM. |
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| Keywords: | Risk perception HIV Young MSM |
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