Exploration of 5-year trends in HIV/STI testing, including during COVID-19 Open Access

Srinivasan, Vijay (Spring 2023)

Permanent URL: https://etd.library.emory.edu/concern/etds/9306t071f?locale=en


Given the disproportionately high burden of HIV on men who have sex with men (MSM), it is imperative that the CDC testing recommendations for HIV and other STIs for high-risk subgroups are met. The American Men’s Internet Survey (AMIS) is conducted annually with around 10,000 adult men who have sex with men (MSM). Modelling was used with 52,450 from 5 cycles between July 2017 to March 2022 to identify temporal trends in testing behaviors (within 12 months preceding survey and during lifetime) stratified by participants’ self-reported HIV status. HIV-negative/unknown status MSM had decreasing and stabilizing rates from 2017 to 2020 for HIV testing ever and in the past 12 months, respectively, followed by a large drop in testing in 2020 and then a steep increase in 2021. Similar trends were observed among HIV-negative/unknown status MSM for testing for gonorrhea, chlamydia, or syphilis for both ever and in the past 12 months, although STI testing in the past 12 months was overall lower. Similar trends were observed for ever having received STI testing for those living with HIV, although overall baseline STI testing was significantly higher than HIV-negative/unknown counterparts. STI testing in the past 12 months among those living with HIV increased from 2017-2019. Although higher rates of HIV/STI testing in 2021 following low rates on all testing metrics in 2020 are promising, many indicators show testing rates were either declining or stabilizing, but not increasing, from 2017-2020. Mitigation measures aimed to increase testing access during 2020 in lieu of social distancing lockdowns may prove to be efficacious in increasing testing rates well into the future. 

Table of Contents


Introduction. 1

Methods. 2

Study Population. 2

Variables. 2

Analysis. 3

Discussion. 5

References. 10

Tables and Figures. 12

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