{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T03:37:32Z","timestamp":1767065852105,"version":"3.37.3"},"reference-count":10,"publisher":"BMJ","issue":"4","funder":[{"name":"UNC-South China STD Research Training Center","award":["FIC 1D43TW009532-01"],"award-info":[{"award-number":["FIC 1D43TW009532-01"]}]},{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["1R01AI114310-015P30AI050410P30 AI027763"],"award-info":[{"award-number":["1R01AI114310-015P30AI050410P30 AI027763"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1104781"],"award-info":[{"award-number":["APP1104781"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"name":"UJMT Fogarty Fellowship","award":["FIC R25TW0093"],"award-info":[{"award-number":["FIC R25TW0093"]}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R00MH093201"],"award-info":[{"award-number":["R00MH093201"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2018,7,24]]},"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The WHO recommends dual testing for HIV and syphilis among key populations, including men who have sex with men (MSM). We assessed the proportion of men who had dual tested and reasons for not dual testing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In 2017, an online survey of MSM was conducted in eight cities from two provinces in China. Data on sociodemographics and sexual behaviours were collected. Descriptive analysis was used to examine the experience of dual testing. Multivariable logistic regression identified characteristics associated with men who had dual tested.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 802 men who had ever tested for HIV, 297 dual tested (37%, 95% CI 34 to 40). Men dual tested in a variety of settings: public hospital (35%), voluntary counselling and testing sites (28%), self-testing at home (18%), community-based organisation (8%), community health centre (7%), other (3%) or private hospital (1%). Greater odds for dual testing was found in men who had disclosed their sexuality to a healthcare provider (adjusted OR (AOR) 1.81, 95% CI 1.27 to 2.59, p=0.001), and who had substantial (AOR 2.71, 95% CI 1.67 to 4.41, p&lt;0.001) or moderate community engagement in sexual health (AOR 2.30, 95% CI 1.49 to 3.57, p&lt;0.001), compared with those with no community engagement. The most common reasons for not dual testing were no knowledge that they could be dual tested (34%), did not ask the doctor to be dual tested (25%) and did not believe they were at risk for syphilis (19%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Chinese MSM are dual testing through a variety of test sites, including home self-testing. However, the overall dual testing rate remains low despite recent efforts to integrate HIV and syphilis testing.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2018-053527","type":"journal-article","created":{"date-parts":[[2018,8,20]],"date-time":"2018-08-20T16:15:19Z","timestamp":1534781719000},"page":"251-253","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Bridging the HIV-syphilis testing gap: dual testing among men who have sex with men living in China"],"prefix":"10.1136","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5784-7403","authenticated-orcid":false,"given":"Jason J","family":"Ong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meizhen","family":"Liao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongyun","family":"Fu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen W","family":"Pan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weiming","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chongyi","family":"Wei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wu","family":"Dan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bin","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ligang","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph D","family":"Tucker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,8,20]]},"reference":[{"key":"2024092304500962000_95.4.251.1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0089959","article-title":"Disparities and risks of sexually transmissible infections among men who have sex with men in China: a meta-analysis and data synthesis","volume":"9","author":"Chow","year":"2014","journal-title":"PLoS One"},{"key":"2024092304500962000_95.4.251.2","unstructured":"World Health Organization. 2016. http:\/\/apps.who.int\/iris\/bitstream\/10665\/246296\/1\/WHO-RHR-16.09-eng.pdf?ua=1"},{"key":"2024092304500962000_95.4.251.3","unstructured":"2013.Dual Elimination of HIV and syphilishttp:\/\/www.dualelimination.org\/dual-tests"},{"key":"2024092304500962000_95.4.251.4","unstructured":"2010.Ministry of Health of the People\u2019s Republic of Chinahttp:\/\/www.chinacdc.cn\/n272442\/n272530\/n272577\/n4020087\/38003.html"},{"key":"2024092304500962000_95.4.251.5","unstructured":"Ong JJ , HY F , Pan S . Missed opportunities for HIV and syphilis testing among men who have sex with men in China: a cross-sectional study. Sexually Transmitted Disease."},{"key":"2024092304500962000_95.4.251.6","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0124161","article-title":"HIV and syphilis testing preferences among men who have sex with men in South China: a qualitative analysis to inform sexual health services","volume":"10","author":"Bien","year":"2015","journal-title":"PLoS One"},{"key":"2024092304500962000_95.4.251.7","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2017-016609","article-title":"Usage of purchased self-tests for HIV and sexually transmitted infections in Amsterdam, the Netherlands: results of population-based and serial cross-sectional studies among the general population and sexual risk groups","volume":"7","author":"Bil","year":"2017","journal-title":"BMJ Open"},{"key":"2024092304500962000_95.4.251.8","doi-asserted-by":"crossref","DOI":"10.1186\/s12879-016-1574-3","article-title":"Dual rapid lateral flow immunoassay fingerstick wholeblood testing for syphilis and HIV infections is acceptable and accurate, Port-au-Prince, Haiti","volume":"16","author":"Bristow","year":"2016","journal-title":"BMC Infect Dis"},{"key":"2024092304500962000_95.4.251.9","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e31821d3694"},{"key":"2024092304500962000_95.4.251.10","doi-asserted-by":"crossref","first-page":"21372","DOI":"10.7448\/IAS.20.01\/21372","article-title":"Community engagement in sexual health and uptake of HIV testing and syphilis testing among MSM in China: a cross-sectional online survey","volume":"20","author":"Zhang","year":"2017","journal-title":"J Int AIDS Soc"}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2018-053527","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T11:50:34Z","timestamp":1727092234000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2018-053527"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,20]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019,5,16]]},"published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1136\/sextrans-2018-053527"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2018-053527","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"type":"print","value":"1368-4973"},{"type":"electronic","value":"1472-3263"}],"subject":[],"published":{"date-parts":[[2018,8,20]]}}}