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The instrument remained active and accessible online for a period of two months (August 10 to October 10, 2011) to ensure sample size achievement.Those who clicked the recruitment banner were routed to a secure study website.This paper seeks to identify the frequencies and key determinants of never testing for HIV, and therefore aims to fill the knowledge gap that exists regarding the prevalence and predictors of this HIV-related high-risk behaviour among MSM.] as of June 2009, 21.5 million Vietnamese were using the Internet, approximately one-fourth of the total population.Although Internet users are concentrated in urban areas, one study found that 30% of rural MSM have sought a sexual partner via the Internet [].

Variability in geographic distribution and concentration of HIV cases show a concentrated epidemic in large cities and densely populated provinces.Men who have sex with men in Viet Nam have been under-studied as a high-risk group for HIV infection, and this population’s percentage and determinants of HIV testing have not been comprehensively investigated.A national Internet-based survey of self-reported sexual and health seeking behaviours was conducted between August and October 2011 with 2077 Vietnamese men who had sex with men in the last twelve months to identify the frequency of ‘never testing for HIV’ among Internet-using MSM living in Viet Nam, as well as the factors associated with this HIV-related high-rish behavior.Given the dangerously high prevalence of this high-risk behaviour, our findings underscore the urgent need for segmented and targeted HIV prevention, care and treatment strategies, focusing on drastically reducing the number of men who have sex with men never testing for HIV in Viet Nam.The HIV epidemic in Viet Nam is a concentrated one, with the highest prevalence found among key populations at higher risk of infection; these include injecting drug users (IDU), female sex workers (FSW), and men who have sex with men (MSM) [] MSM populations are larger than those of other key populations in Viet Nam, and are primarily concentrated in urban areas such as the Mekong River Delta (73,727), Ho Chi Minh City (64,247), the Red River Delta (60,698), and Ha Noi (35,436) [].

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