{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:39:26Z","timestamp":1791218366753,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,5,24]],"date-time":"2019-05-24T00:00:00Z","timestamp":1558656000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["163057"],"award-info":[{"award-number":["163057"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>In the UK, men who have sex with men (MSM) bear a disproportionate sexually transmitted infection (STI) burden. We investigated MSM's STI knowledge; whether their STI testing behaviour met national guidelines (annually if sexually active; 3\u2010monthly if engaging in STI risk behaviours); and the relationship between STI testing in the last 3 months, STI knowledge and STI risk behaviours by HIV status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sexually active (in the last year) men aged &gt;\u00a015 years who were UK residents and were recruited from gay\u2010orientated online dating platforms completed an anonymous online survey about STI knowledge, STI risk behaviours, and STI testing (March\u2013May 2017). This included 11 true statements about STIs. Respondents scored 1 for each statement they \u2018knew\u2019, with those scoring &lt;\u00a06 overall treated as having \u2018poor\u2019 STI knowledge. Descriptive and multivariable analyses were conducted, separately by HIV status, to test our hypothesis and calculate adjusted odds ratios (AORs) with 95% confidence intervals (CIs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared to HIV\u2010positive men (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>489), the proportion of HIV\u2010negative\/unknown\u2010status men (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>3157) with \u2018poor\u2019 STI knowledge was significantly higher (46.4% versus 22.9% for HIV\u2010positive men) and the proportion with STI testing in the last 12 months was lower (71.6% versus 87.2%, respectively). In the last 3 months, 56.9% of HIV\u2010negative\/unknown\u2010status and 74.1% of HIV\u2010positive men reported STI risk behaviours, of whom 45.8% and 55.1%, respectively, had been tested for STIs during this time. Among HIV\u2010negative\/unknown\u2010status men, those reporting STI risk behaviours were more likely (AOR 1.52; 95% CI 1.26\u20131.84) and those with poor STI knowledge less likely (AOR 0.73; 95% CI 0.61\u20130.89) to have been tested during the last 3 months. However, neither factor was independently associated with 3\u2010monthly testing among HIV\u2010positive men.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Improving STI knowledge, especially among HIV\u2010negative\/unknown\u2010status men, and promoting frequent STI testing among men engaging in STI risk behaviours are vital to address the poor sexual health of MSM.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.12753","type":"journal-article","created":{"date-parts":[[2019,5,24]],"date-time":"2019-05-24T07:43:40Z","timestamp":1558683820000},"page":"523-533","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Association between knowledge, risk behaviours, and testing for sexually transmitted infections among men who have sex with men: findings from a large online survey in the United Kingdom"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5878-7665","authenticated-orcid":false,"given":"S","family":"Wayal","sequence":"first","affiliation":[{"name":"Institute for Global Health University College London London UK"},{"name":"HIV &amp; STI Department Centre for Infectious Disease Surveillance and Control (CIDSC) Public Health England London UK"},{"name":"The National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Blood Borne and Sexually Transmitted Infections UCL in partnership with Public Health England (PHE) and in collaboration with the London School of Hygiene &amp; Tropical Medicine London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Reid","sequence":"additional","affiliation":[{"name":"HIV &amp; STI Department Centre for Infectious Disease Surveillance and Control (CIDSC) Public Health England London UK"},{"name":"The National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Blood Borne and Sexually Transmitted Infections UCL in partnership with Public Health England (PHE) and in collaboration with the London School of Hygiene &amp; Tropical Medicine London UK"},{"name":"Sigma Research, Public Health, Environments and Society London School of Hygiene &amp; Tropical Medicine London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Weatherburn","sequence":"additional","affiliation":[{"name":"The National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Blood Borne and Sexually Transmitted Infections UCL in partnership with Public Health England (PHE) and in collaboration with the London School of Hygiene &amp; Tropical Medicine London UK"},{"name":"Sigma Research, Public Health, Environments and Society London School of Hygiene &amp; Tropical Medicine London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Blomquist","sequence":"additional","affiliation":[{"name":"HIV &amp; STI Department Centre for Infectious Disease Surveillance and Control (CIDSC) Public Health England London UK"},{"name":"The National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Blood Borne and Sexually Transmitted Infections UCL in partnership with Public Health England (PHE) and in collaboration with the London School of Hygiene &amp; Tropical Medicine London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Fabiane","sequence":"additional","affiliation":[{"name":"Institute for Global Health University College London London UK"},{"name":"The National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Blood Borne and Sexually Transmitted Infections UCL in partnership with Public Health England (PHE) and in collaboration with the London School of Hygiene &amp; Tropical Medicine London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Hughes","sequence":"additional","affiliation":[{"name":"HIV &amp; STI Department Centre for Infectious Disease Surveillance and Control (CIDSC) Public Health England London UK"},{"name":"The National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Blood Borne and Sexually Transmitted Infections UCL in partnership with Public Health England (PHE) and in collaboration with the London School of Hygiene &amp; 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