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Repeat HIV-testing is associated with an increase in behavioral risk among men who have sex with men: a cohort study

Overview of attention for article published in BMC Medicine, October 2015
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  • Good Attention Score compared to outputs of the same age (69th percentile)

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Title
Repeat HIV-testing is associated with an increase in behavioral risk among men who have sex with men: a cohort study
Published in
BMC Medicine, October 2015
DOI 10.1186/s12916-015-0458-5
Pubmed ID
Authors

Martin Hoenigl, Christy M. Anderson, Nella Green, Sanjay R. Mehta, Davey M. Smith, Susan J. Little

Abstract

The Center for Disease Control and Prevention recommends that high-risk groups, like sexually active men who have sex with men (MSM), receive HIV testing and counseling at least annually. The objective of this study was to investigate the relationship between voluntary repeat HIV testing and sexual risk behavior in MSM receiving rapid serologic and nucleic acid amplification testing. We performed a cohort study to analyze reported risk behavior among MSM receiving the "Early Test", a community-based, confidential acute and early HIV infection screening program in San Diego, California, between April 2008 and July 2014. The study included 8,935 MSM receiving 17,333 "Early Tests". A previously published risk behavior score for HIV acquisition in MSM (i.e. Menza score) was chosen as an outcome to assess associations between risk behaviors and number of repeated tests. At baseline, repeat-testers (n = 3,202) reported more male partners and more condomless receptive anal intercourse (CRAI) when compared to single-testers (n = 5,405, all P <0.001). In 2,457 repeat testers there was a strong association observed between repeated HIV tests obtained and increased risk behavior, with number of male partners, CRAI with high risk persons, non-injection stimulant drug use, and sexually transmitted infections all increasing between the first and last test. There was also a linear increase of risk (i.e. high Menza scores) with number of tests up to the 17th test. In the multivariable mixed effects model, more HIV tests (OR = 1.18 for each doubling of the number of tests, P <0.001) and younger age (OR = 0.95 per 5-year increase, P = 0.006) had significant associations with high Menza scores. This study found that the highest risk individuals for acquiring HIV (e.g. candidates for antiretroviral pre-exposure prophylaxis) can be identified by their testing patterns. Future studies should delineate causation versus association to improve prevention messages delivered to repeat testers during HIV testing and counseling sessions.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 90 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 1%
Unknown 89 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 24 27%
Researcher 20 22%
Student > Bachelor 7 8%
Student > Ph. D. Student 7 8%
Student > Postgraduate 6 7%
Other 11 12%
Unknown 15 17%
Readers by discipline Count As %
Medicine and Dentistry 32 36%
Nursing and Health Professions 12 13%
Social Sciences 11 12%
Psychology 7 8%
Agricultural and Biological Sciences 3 3%
Other 7 8%
Unknown 18 20%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 January 2016.
All research outputs
#6,903,187
of 22,829,683 outputs
Outputs from BMC Medicine
#2,495
of 3,430 outputs
Outputs of similar age
#84,828
of 278,126 outputs
Outputs of similar age from BMC Medicine
#75
of 87 outputs
Altmetric has tracked 22,829,683 research outputs across all sources so far. This one has received more attention than most of these and is in the 69th percentile.
So far Altmetric has tracked 3,430 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 43.5. This one is in the 26th percentile – i.e., 26% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 278,126 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 69% of its contemporaries.
We're also able to compare this research output to 87 others from the same source and published within six weeks on either side of this one. This one is in the 13th percentile – i.e., 13% of its contemporaries scored the same or lower than it.