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Human immunodeficiency virus (HIV) testing is an important global prevention strategy but underutilized by local men who have sex with men (MSM). This study investigated the prevalence of behavioral intention to take up HIV testing (specific or any type), in the next six months among MSM who had not been tested for HIV in the last three years (never-testers) in Hong Kong. The data was based on 141 never-testers of 430 MSM who completed the anonymous baseline telephone survey of an ongoing randomized controlled trial from January 2015 to August 2015. Only 17.7% of them showed strong intention to take up any type of HIV testing in the next six months. Adjusted analysis showed that perceived benefit of HIV testing (adjusted odds ratio [AOR]: 1.29, 95% confidence interval [CI]: 1.01, 1.66), perceived psychological barriers of HIV testing (AOR: 0.85, 95%CI: 0.73, 1.00), and perceived self-efficacy in taking up HIV testing (AOR: 1.28, 95%CI: 1.07, 1.52) were significantly associated with behavioral intention to take up any HIV testing. Perceived cue to action from non-governmental organization staff was positively associated with a marginalp-value of 0.077 (AOR: 2.37, 95%CI: 0.97, 5.77). It is warranted to strengthen perceived benefit, remove psychological barriers, and increase perceived self-efficacy related to HIV testing. Innovative and effective health promotions are greatly needed to increase HIV testing coverage among never-testers. [ABSTRACT FROM PUBLISHER]

A randomized controlled study evaluated an Internet-based HIV behavioral intervention for men who have sex with men (MSM). Hong Kong Chinese men aged ≥18 having engaged in oral or anal MSM behaviors in the last six months were randomly allocated into the intervention (n=140) and the control groups (n=140). Participants were interviewed anonymously at the baseline and after six months. Interventions included periodic HIV information dissemination, monitoring of risk behaviors and interactive feedback, online peer counseling and provision of a hotline. The control group only received some educational materials. Efficacy of the intervention was not supported as no statistically significant between-group differences in background characteristics, HIV risk behaviors and perceptions were observed both at the baseline and after the 6-month period. Effectiveness of online interventions should not be taken for granted and evidence-based approach is warranted. [ABSTRACT FROM AUTHOR]