scholarly journals The Meaning of ‘Regular Partner’ in HIV Research Among Gay and Bisexual Men: Implications of an Australian Cross-Sectional Survey

2016 ◽  
Vol 20 (8) ◽  
pp. 1777-1784 ◽  
Author(s):  
Benjamin R. Bavinton ◽  
Duane Duncan ◽  
Jeffrey Grierson ◽  
Iryna B. Zablotska ◽  
Ian A. Down ◽  
...  
Keyword(s):  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
Regular Partner ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hiv Research ◽  
And Bisexual

Empirical treatment of asymptomatic contacts of gonorrhoea: patient views

Sexual Health ◽  
2020 ◽  
Vol 17 (5) ◽  
pp. 462
Author(s):  
Ruthy McIver ◽  
Sheina Low ◽  
Rick Varma ◽  
Tobias Vickers ◽  
Anna McNulty
Keyword(s):  
Gay And Bisexual Men ◽  
Antimicrobial Treatment ◽  
Empirical Treatment ◽  
Individual Treatment ◽  
Heterosexual Men ◽  
Bisexual Men ◽  
Cross Sectional Survey ◽  
Patient Acceptability ◽  
Cross Sectional ◽  
And Bisexual

Background The prevalence of Neisseria gonorrhoeae (gonorrhoea) in sexual contacts of gonorrhoea has not been established, but limited data suggest that the majority of contacts are not infected. Contacts of gonorrhoea who receive empirical treatment at the point of testing may receive unnecessary antimicrobial treatment for an infection that is known to have multidrug resistance. This study evaluated patient acceptability of non-empirical treatment.? Methods: We conducted an anonymous cross-sectional survey of patients attending sexual health centres in New South Wales, Australia, on the acceptability of empirical and non-empirical treatment models and patients’ concerns about antimicrobial resistance. Results: Most of the 823 survey participants were willing to wait for treatment until their results were reported; 77% and 53% would agree to wait for treatment if results were available in 2 and 7 days respectively. Participants were less likely to agree to non-empirical treatment if they lived in regional and remote areas compared with those in a major city (odds ratio (OR) 0.5; 95% confidence interval (CI) 0.35–0.73). Most participants (70%) were worried about infections becoming resistant to antibiotics, with heterosexual men and women being less likely than gay and bisexual men to be worried (heterosexual men: OR 0.64, 95% CI 0.44–0.94; women: OR 0.64 95%, CI 0.44–0.92). Conclusions: Non-empirical treatment was acceptable to most participants, but patient preference, ability to return for treatment and timeliness of results are factors that should inform individual treatment decisions.

Previous and future use of HIV self-testing: a survey of Australian gay and bisexual men

Sexual Health ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 55 ◽  
Author(s):  
Garrett Prestage ◽  
Iryna Zablotska ◽  
Ben Bavinton ◽  
Andrew Grulich ◽  
Phillip Keen ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Gay And Bisexual Men ◽  
Anal Intercourse ◽  
Unprotected Anal Intercourse ◽  
Bisexual Men ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Testing Procedures ◽  
Self Testing ◽  
And Bisexual

Background The awareness and previous and intended use of HIV self-testing (HST), and the associated factors, among Australian gay and bisexual men (GBM) was investigated. Methods: An online cross-sectional survey was conducted in Australia during 2012. Of 1410 respondents, 559 non-HIV-positive men answered questions about HST. Results: Men reported reasons for having avoided or delayed HIV testing, most of which could be broadly categorised as: the inconvenience of current testing procedures; concerns about privacy; and a belief that they had not done anything risky. Over one-third of men (39.7%) were aware that HST was available internationally, with 1.6% having accessed HST through online purchase. The majority of men in the study indicated that they would be ‘likely’ (36.5%) or ‘very likely’ (34.3%) to use HST if it was available in Australia. Also, 36.7% indicated they would test partners they met at sex-on-site venues, and 73.2% would test partners with whom they were already acquainted. Nearly half (47.6%) indicated that having the capacity to test themselves at home would likely increase their testing frequency. Men who had engaged in unprotected anal intercourse, who were not gay-identified, and who indicated inconvenience issues with using clinic-based HIV testing were more likely to indicate a willingness to use HST. Many men indicated they would be likely to offer HST to at least some of their sex partners. Conclusion: Many GBM who engage in HIV risk behaviours would appreciate HST, and may be encouraged to test more often, as it may alleviate their concerns about testing.

scholarly journals How partnership type and HIV seroconcordance affect HIV transmission risk in regular sexual partnerships: a cross-sectional survey of Australian gay and bisexual men

Sexual Health ◽  
2017 ◽  
Vol 14 (6) ◽  
pp. 523 ◽  
Author(s):  
Benjamin R. Bavinton ◽  
Andrew E. Grulich ◽  
Duane Duncan ◽  
Iryna B. Zablotska ◽  
Garrett P. Prestage
Keyword(s):  
Hiv Transmission ◽  
Gay And Bisexual Men ◽  
Transmission Risk ◽  
Bisexual Men ◽  
Committed Relationships ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sexual Partnerships ◽  
And Bisexual ◽  
Hiv Transmission Risk

Background Regular sexual partnerships among gay and bisexual men (GBM) who practice condomless anal intercourse (CLAI) have not been well characterised in terms of partnership type, HIV seroconcordance and risk of HIV transmission. Primarily sexual regular partnerships, although commonly reported by gay men, have largely been ignored in research and HIV prevention. Among regular partners reporting CLAI with each other, we determined factors differentiating romantic or committed relationships from partnerships organised primarily around sex (‘fuckbuddies’) and estimated the proportion of CLAI presenting risk for HIV transmission. Methods: An online, cross-sectional survey of Australian GBM was conducted. Univariate and multivariate generalised estimating equations were used to determine statistical associations. Results: Men reported on 2250 regular sexual partnerships. Over half the partnerships were romantic or committed relationships. Over half the partnerships were HIV-negative seroconcordant (54.9%), 3.1% were HIV-positive seroconcordant, 5.2% were serodiscordant and 36.8% were of unknown seroconcordance. Potential risks presented by CLAI were sometimes mitigated by protective factors, such as having a clear spoken agreement about sex with outside partners, having fewer outside partners, openly discussing HIV risk and having an agreement to reduce risk from outside partners. These protective factors were more often found in romantic or committed relationships than among primarily sexual partnerships, and were less often found in partnerships of unknown seroconcordance. Conclusion: CLAI is more common among regular sexual partnerships considered to be of a romantic, committed nature. However, factors associated with such romantic or committed partnerships can also protect against HIV transmission risk. Unknown seroconcordance, particularly lack of communication about HIV status among primarily sexual partnerships, is a key risk factor that needs to be addressed by HIV education.

Reasons why gay and other bisexually active men attend different community testing services in Sydney; a cross-sectional survey

Sexual Health ◽  
2015 ◽  
Vol 12 (5) ◽  
pp. 465 ◽  
Author(s):  
Vickie Knight ◽  
Timmy Lockwood ◽  
Terry Walkinshaw ◽  
Philip Keen ◽  
Rebecca Guy ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Scale Up ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hiv Testing Services ◽  
And Bisexual ◽  
New Community ◽  
Community Site

In 2013, two new community HIV testing services were implemented in Sydney, Australia, to increase testing options for gay men. Participants were asked to complete an 8-item questionnaire to select one primary and up to three secondary reasons for attending the testing service. Over one-third of gay and bisexual men (GBM) selected getting their HIV result at the same visit as the main reason they attended at both testing services (38% and 34%, respectively; P = 0.5). GBM at the Shopfront were more likely to say that the convenient location was the main reason they attended, compared with men at the Community site (15% vs 7%, P < 0.01). These findings can inform future scale-up of HIV testing in Sydney and other places.

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