HIV risk perception and self-reported risk behaviors among men who have sex with men using social media in Beijing, China and its implications on HIV testing

Inaccurate HIV risk perception is common among men who have sex with men (MSM). Accurate self-perceived risk and HIV testing are closely related and are essential in promoting HIV treatment cascade succeed. This cross-sectional study aims to 1) explore HIV risk perception and its associated sexual behaviors, 2) identify associated factors with HIV testing among Chinese MSM. Participants were recruited to an anonymous online survey in 2019 via an MSM social application. The questionnaire included sexual behaviors, HIV testing history, and the use of HIV prevention services. Logistic regression was used to explore the factors associated with higher risk perceptions and HIV testing in the past 12 months. Total 431 MSM were recruited, 73.3% had been tested for HIV in the past year and 47.80% of MSM self-reported in the high-risk group. MSM who perceived a higher risk (AOR=3.42, 95% CI:2.06-5.68), had multiple sexual partners (AOR=2.60, 95% CI:1.40-4.83), knew sex partner’s HIV status (AOR=7.96, 95% CI:4.33-14.65), and have STI diagnosis (AOR=2.76, 95% CI:1.10-6.95), were more likely to have been tested. Risk perception and sexual behavior were associated with HIV testing. Culturally adapted, theory-driven education programs are expected to utilize in improving MSM’s risk perception accuracy and HIV testing.