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HIV Testing Behavior and Social Network Characteristics and Functions Among Young Men Who have Sex with Men (YMSM) in Metropolitan Detroit

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Abstract

HIV testing promotion is a critical HIV prevention strategy, especially among at-risk groups such as young men who have sex with men (YMSM). Based on a web survey of 194 YMSM (18–24), we examine the association of social network characteristics and functions, and of individual-level characteristics, with three HIV testing behaviors (ever, repeat, and recent testing). Network homophily was associated with recent testing in multivariable models. The network function of information acquisition was associated with ever testing and repeat testing. Perceived stigma regarding HIV-related help-seeking was negatively related to recent testing. Individual characteristics were associated with testing outcomes in all models; age, perceived behavioral control, and positive attitudes had the greatest influence. Individual characteristics had a stronger association with ever testing and repeat testing than network characteristics and functions; however, this relationship was reversed for recent testing. Findings support the value of multi-level and network-focused interventions for promoting HIV testing among YMSM.

Resumen

La promoción de la prueba del VIH es una estrategia fundamental de prevención en grupos de riesgo, incluyendo los hombres jóvenes que tienen sexo con otros hombres (YMSM). Utilizando una encuesta realizada por el internet (N = 194 YMSM entre las edades de 18-24 años), analizamos la asociación entre tres comportamientos de pruebas del VIH (nunca testeado, prueba repetida, y prueba reciente), las características y funciones de las redes sociales, y las características a nivel individual de los YMSM. La homofilia de red estuvo asociada con pruebas recientes en modelos multivariables. La función de la red para adquirir información de VIH estuvo asociada con haber testeado y haber repetido la prueba. El estigma de VIH asociado con búsqueda de ayuda estuvo negativamente asociado con con pruebas recientes. Características individuales se asociaron con los resultados de pruebas en todos los modelos; la edad, la percepción de control del comportamiento, y actitudes positivas tuvieron la mayor influencia. Las características individuales tuvieron una asociación más fuerte que las características y funciones de la red; sin embargo, esta relación se invirtió para la prueba reciente. Los resultados apoyan el valor de intervenciones multiniveles con un enfoque de redes sociales para promover la prueba del VIH entre los YMSM.

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Acknowledgments

This project was funded by the National Institutes of Health, National Center for Research Resources, Grant UL1RR024986. Dr. Bauermeister is supported by a Career Development K01 (K01-MH087242) from the National Institutes of Mental Health.

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  1. School of Information and Department of Health Behavior and Health Education, University of Michigan, 3443 North Quad, 105 S. State Street, Ann Arbor, MI, 48109-1285, USA

    Tiffany C. Veinot

  2. GRU/UGA Medical Partnership, University of Georgia, Athens, GA, USA

    Ebony Caldwell

  3. HIV/AIDS Resource Center, Ypsilanti, MI, USA

    Jimena Loveluck

  4. Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI, USA

    Michael P. Arnold & José Bauermeister

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  1. Tiffany C. Veinot
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Correspondence to Tiffany C. Veinot.

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Veinot, T.C., Caldwell, E., Loveluck, J. et al. HIV Testing Behavior and Social Network Characteristics and Functions Among Young Men Who have Sex with Men (YMSM) in Metropolitan Detroit. AIDS Behav 20, 2739–2761 (2016). https://doi.org/10.1007/s10461-016-1296-y

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