{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T11:01:21Z","timestamp":1778670081362,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,3,2]],"date-time":"2015-03-02T00:00:00Z","timestamp":1425254400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:p>We carried out an analysis of a serobehavioural study of men who have sex with men &gt;19 years of age in Vancouver, Canada to examine HIV testing behaviour and use of risk reduction strategies by HIV risk category, as defined by routinely gathered clinical data. We restricted our analysis to those who self-identified as HIV-negative, completed a questionnaire, and provided a dried blood spot sample. Of 842 participants, 365 (43.3%) were categorised as lower-risk, 245 (29.1%) as medium-risk and 232 (27.6%) as higher-risk. The prevalence of undiagnosed HIV infection was low (lower 0.8%, medium 3.3%, higher 3.9%; p\u2009=\u20090.032). Participants differed by risk category in terms of having had an HIV test in the previous year (lower 46.5%, medium 54.6%, higher 67.0%; p\u2009&lt;\u20090.001) and in their use of serosorting (lower 23.3%, medium 48.3%, higher 43.1%; p\u2009&lt;\u20090.001) and only having sex with HIV-positive men if those men had low viral loads or were taking HIV medication (lower 5.1%, medium 4.8%, higher 10.9%; p\u2009=\u20090.021) as risk reduction strategies. These findings speak to the need to consider segmented health promotion services for men who have sex with men with differing risk profiles. Risk stratification could be used to determine who might benefit from tailored multiple health promotion interventions, including HIV pre-exposure prophylaxis.<\/jats:p>","DOI":"10.1177\/0956462415575424","type":"journal-article","created":{"date-parts":[[2015,3,3]],"date-time":"2015-03-03T20:12:35Z","timestamp":1425413555000},"page":"281-287","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["HIV testing behaviour and use of risk reduction strategies by HIV risk category among MSM in Vancouver"],"prefix":"10.1177","volume":"27","author":[{"given":"Paul","family":"Bogowicz","sequence":"first","affiliation":[{"name":"Institute of Health & Society, Newcastle University, Newcastle upon Tyne, UK"},{"name":"The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Moore","sequence":"additional","affiliation":[{"name":"British Columbia Centre for Excellence in HIV\/AIDS, Vancouver, BC, Canada"},{"name":"School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steve","family":"Kanters","sequence":"additional","affiliation":[{"name":"British Columbia Centre for Excellence in HIV\/AIDS, Vancouver, BC, Canada"},{"name":"School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Warren","family":"Michelow","sequence":"additional","affiliation":[{"name":"School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wayne","family":"Robert","sequence":"additional","affiliation":[{"name":"Health Initiative for Men, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Hogg","sequence":"additional","affiliation":[{"name":"British Columbia Centre for Excellence in HIV\/AIDS, Vancouver, BC, Canada"},{"name":"Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u00e9ka","family":"Gustafson","sequence":"additional","affiliation":[{"name":"Vancouver Coastal Health, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Gilbert","sequence":"additional","affiliation":[{"name":"School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada"},{"name":"British Columbia Centre for Disease Control, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the ManCount Study Team","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,3,2]]},"reference":[{"key":"bibr1-0956462415575424","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60821-6"},{"key":"bibr2-0956462415575424","unstructured":"BC Centre for Disease Control. HIV in British Columbia: annual surveillance report 2012, www.bccdc.ca\/NR\/rdonlyres\/1B9A6F49-97E3-4C66-BF00-2EE0E3B0D51E\/0\/CPS_HIV_Annual_Report_2012.pdf (2013, accessed 20 August 2013)."},{"key":"bibr3-0956462415575424","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2013-051368"},{"key":"bibr4-0956462415575424","unstructured":"Jablonski O, Le Talec JY. Seroadaptation instead of serosorting: a broader concept and a more precise process model. In:\n                      XVII International AIDS Conference\n                      , Mexico City, Mexico, 3\u20138 August 2008, abstract no. 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Human immunodeficiency virus HIV screening and testing guide, www.phac-aspc.gc.ca\/aids-sida\/guide\/hivstg-vihgdd-eng.php (2013, accessed 20 August 2013)."},{"key":"bibr15-0956462415575424","doi-asserted-by":"publisher","DOI":"10.1080\/09540120802270292"},{"key":"bibr16-0956462415575424","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0045718"},{"key":"bibr17-0956462415575424","first-page":"583627","volume":"2013","author":"Kennedy CE","year":"2013","journal-title":"J Sex Transm Dis"},{"key":"bibr18-0956462415575424","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3182401a2f"},{"key":"bibr19-0956462415575424","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1105243"},{"key":"bibr20-0956462415575424","first-page":"CD009153","volume":"4","author":"Anglemyer A","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr21-0956462415575424","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e328355713d"},{"key":"bibr22-0956462415575424","unstructured":"Rodger A, Bruun T, Cambiano V, et\u00a0al. 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