Awareness and knowledge of HIV pre-exposure prophylaxis among Australian gay and bisexual men: results of a national, online survey

Sexual Health ◽  
2016 ◽  
Vol 13 (4) ◽  
pp. 359 ◽  
Author(s):  
Martin Holt ◽  
Toby Lea ◽  
Susan Kippax ◽  
Johann Kolstee ◽  
Jeanne Ellard ◽  
...  
Keyword(s):  
Online Survey ◽  
Gay And Bisexual Men ◽  
Capital City ◽  
Hiv Positive ◽  
Post Exposure Prophylaxis ◽  
Bisexual Men ◽  
Post Exposure ◽  
And Bisexual ◽  
Exposure Prophylaxis ◽  
University Degree

Background Expanded access to HIV pre-exposure prophylaxis (PrEP) is being actively debated in Australia. Awareness and knowledge of this HIV-prevention method have not been assessed in detail in the primary affected population, gay and bisexual men. Methods: Awareness and knowledge of PrEP were assessed among Australian gay and bisexual men, who were asked to complete a national, anonymous, online survey in 2015. Associations with PrEP awareness were identified with multivariate logistic regression and associations with PrEP knowledge were identified using multivariate linear regression. Results: Among 1251 participants, 954 (77%) were aware of PrEP. The most common sources of information were gay community media, Australian websites and friends. Awareness of PrEP was independently associated with older age, living in a capital city, having a university degree, being tested for HIV, being HIV-positive, having condomless anal intercourse with regular male partners, and ever having taken post-exposure prophylaxis. Men in monogamous relationships were less likely to be aware of PrEP. Among men who were aware of PrEP, the mean PrEP knowledge score was 6.8 out of 13. Relatively few participants knew that taking PrEP involved regular clinical monitoring and that in Australia PrEP was only recommended for people at risk of HIV. Better knowledge was independently associated with living in a capital city, having a university degree, being in full-time employment, being HIV-positive, and ever having taken post-exposure prophylaxis or PrEP. Conclusions: To assist in appropriate PrEP uptake, we recommend educating gay and bisexual men about current Australian prescribing guidelines and how PrEP is accessed in Australia.

A reality check: the cost of making post-exposure prophylaxis available to gay and bisexual men at high sexual risk

AIDS ◽  
2000 ◽  
Vol 14 (3) ◽  
pp. 325-326 ◽  
Author(s):  
Sophie Low-Beer ◽  
Amy E. Weber ◽  
Kim Bartholomew ◽  
Monica Landolt ◽  
Doug Oram ◽  
...  
Keyword(s):  
Sexual Risk ◽  
Gay And Bisexual Men ◽  
Post Exposure Prophylaxis ◽  
Bisexual Men ◽  
Post Exposure ◽  
Reality Check ◽  
And Bisexual ◽  
Exposure Prophylaxis ◽  
The Cost

Trends in Belief That HIV Treatment Prevents Transmission Among Gay and Bisexual Men in Australia: Results of National Online Surveys 2013–2019

2021 ◽  
Vol 33 (1) ◽  
pp. 62-72
Author(s):  
Martin Holt ◽  
James MacGibbon ◽  
Brandon Bear ◽  
Toby Lea ◽  
Johann Kolstee ◽  
...  
Keyword(s):  
Gay And Bisexual Men ◽  
Hiv Treatment ◽  
University Education ◽  
Hiv Positive ◽  
Treatment As Prevention ◽  
Post Exposure Prophylaxis ◽  
Bisexual Men ◽  
Transmitted Infection ◽  
And Bisexual ◽  
Exposure Prophylaxis

We have tracked belief in the effectiveness of HIV treatment as prevention (TasP) among Australian gay and bisexual men (GBM) since 2013. National, online cross-sectional surveys of GBM were conducted every 2 years during 2013–2019. Trends and associations were analyzed using multivariate logistic regression. Data from 4,903 survey responses were included. Belief that HIV treatment prevents transmission increased from 2.6% in 2013 to 34.6% in 2019. Belief in the effectiveness of TasP was consistently higher among HIV-positive participants than other participants. In 2019, higher levels of belief in TasP were independently associated with university education, being HIV-positive, using pre-exposure prophylaxis, knowing more HIV-positive people, being recently diagnosed with a sexually transmitted infection (STI) and use of post-exposure prophylaxis. Belief that HIV treatment prevents transmission has increased substantially among Australian GBM, but remains concentrated among HIV-positive GBM, those who know HIV-positive people, and GBM who use antiretroviral-based prevention.

Perceptions and deflections: associations between attitudes towards people with hepatitis C and testing for hepatitis C among Australian gay and bisexual men

Sexual Health ◽  
2013 ◽  
Vol 10 (3) ◽  
pp. 268 ◽  
Author(s):  
Loren Brener ◽  
Jeanne Ellard ◽  
Dean Murphy ◽  
Denton Callander
Keyword(s):  
Hepatitis C ◽  
Online Survey ◽  
Sexual Transmission ◽  
Gay And Bisexual Men ◽  
Sexual Practices ◽  
Hiv Positive ◽  
Bisexual Men ◽  
Health Seeking ◽  
And Bisexual ◽  
Hcv Testing

Background Research indicates that the incidence of hepatitis C (HCV) among HIV-positive men who have sex with men (MSM) is increasing. Although injecting drug use remains the predominant means of transmission of HCV in the developed world, there is evidence of sexual transmission of HCV among MSM. Stigma associated with HCV has been shown to negatively impact HCV testing and health-seeking behaviour. There is little research that addresses attitudes towards HCV testing among this population. Methods: The current exploratory study focussed on HCV knowledge, HCV testing, sexual practices, perceptions of HCV risk and attitudes towards people with HCV among Australian MSM. The sample consisted of 590 men who completed an online survey. Results: The findings suggest that attitudinal factors related to HCV were associated with HCV testing behaviour. The more negatively respondents felt about people with HCV, the less likely they were to have ever had an HCV test. Behavioural risk factors related to sexual practices (i.e. is condom use and sexual risk activities) were not associated with HCV testing. Testing for HCV was associated with HIV-positive status, more knowledge about HCV and a greater likelihood of ever having injected drugs. Conclusions: The attitudes of MSM towards those who inject drugs are negative, mirroring that of society more generally. Furthermore, these attitudes, coupled with a lack of knowledge of the risk of sexual transmission of HCV among gay men, especially those who are HIV-positive, may act to prevent routine HCV testing among some MSM at potential risk of acquiring HCV.

scholarly journals Condomless Group Sex Is Associated With HIV Pre-Exposure Prophylaxis Knowledge and Interest Uptake: A Cross-Sectional Study of Gay and Bisexual Men in Paris, France

2019 ◽  
Vol 31 (2) ◽  
pp. 127-135 ◽  
Author(s):  
Denton Callander ◽  
Su Hyun Park ◽  
Yazan A. Al-Ajlouni ◽  
John A. Schneider ◽  
Maria R. Khan ◽  
...  
Keyword(s):  
Online Survey ◽  
Gay And Bisexual Men ◽  
Cross Sectional Study ◽  
Recent Experience ◽  
Bisexual Men ◽  
Cross Sectional ◽  
Once Daily ◽  
And Bisexual ◽  
Group Sex ◽  
Exposure Prophylaxis

As a prevention strategy, HIV pre-exposure prophylaxis (PrEP) may benefit men who participate in group sex, but little is known about PrEP among this group internationally and virtually nothing is known of the European context. This study used an online survey of gay men living in Paris, France to assess associations between group sex and awareness of, use and interest in PrEP in its once-daily, episodic, injectable, and microbicidal forms. Men reporting recent (within 3 months) condomless group sex were much more likely to report once-daily PrEP use than men with no group sex experience (41.5% vs 7.7%, p < .001). Uptake was similarly low among men who had group sex with condoms (8.0%) and those with less-recent experience (6.43%). Overall, willingness to use PrEP—including its non-daily forms—was high among men reporting group sex, suggesting opportunities for outreach and implementation.

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