The converging and diverging characteristics of HIV-positive and HIV-negative gay men in the Australian Gay Community Periodic Surveys, 2000–2009

AIDS Care ◽  
2012 ◽  
Vol 25 (1) ◽  
pp. 28-37 ◽  
Author(s):  
Martin Holt ◽  
Evelyn Lee ◽  
Garrett P. Prestage ◽  
Iryna Zablotska ◽  
John de Wit ◽  
...  
Keyword(s):  
Gay Men ◽  
Hiv Positive ◽  
Gay Community ◽  
Hiv Negative

Improvements in sexual health testing among gay men in Sydney, Australia, 2003–2007

2008 ◽  
Vol 19 (11) ◽  
pp. 758-760 ◽  
Author(s):  
I B Zablotska ◽  
J Imrie ◽  
C Bourne ◽  
A E Grulich ◽  
A Frankland ◽  
...  
Keyword(s):  
Gay Men ◽  
Prevalence Ratio ◽  
Anal Intercourse ◽  
Unprotected Anal Intercourse ◽  
Hiv Positive ◽  
Transmitted Infection ◽  
Gay Community ◽  
Sti Testing ◽  
Risk Practices ◽  
Hiv Negative

In order to be effective, sexually transmitted infection (STI) testing should be comprehensive based on the clients' sexuality and risk practices. Using data from the Sydney Gay Community Periodic Survey, we explored trends in and factors associated with STI testing among gay men during 2003–2007. Among men who were not HIV-positive, 68% were tested for HIV in 2007. HIV testing was more common than STI testing and remained stable during 2003–2007. Use of swabs and urine samples increased significantly ( P-trend < 0.001 for each). However, until 2007, 33% of men were not tested. Sexual behaviours (higher number of partners, having casual partners and engaging in unprotected anal intercourse with them) were associated with STI testing. HIV-negative men were tested for STI less often than HIV-positive men (prevalence ratio = 0.56; 95% CI: 0.47–0.68). STI testing among HIV-negative men has improved significantly but remains inadequate for STI control and HIV prevention. It should not be assumed that appropriate and comprehensive STI screening is always provided to clients.

28. RISK TAKING AND SAFER SEX PRACTICES IN CASUAL RELATIONSHIPS BETWEEN MEN

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 295
Author(s):  
I. Zablotska ◽  
A. Frankland ◽  
G. Prestage ◽  
A. Grulich ◽  
J. Imrie
Keyword(s):  
Gay Men ◽  
Hiv Transmission ◽  
Casual Sex ◽  
Hiv Positive ◽  
Strategic Positioning ◽  
Gay Community ◽  
Hiv Serostatus ◽  
Over Time ◽  
Hiv Negative ◽  
Hiv Positive Men

Introduction: Universal condom use in casual sex is unlikely. We explored whether gay men lower the risk of HIV transmission during unprotected anal intercourse with casual partners (UAIC) by disclosing HIV serostatus and engaging in lower risk practices such as strategic positioning and/or withdrawal. Methods: We used data from the annual cross-sectional Sydney Gay Community Periodic Survey. A short self-administered questionnaire collects information about HIV serostatus of the respondents, sexual practices with other men and other HIV-relevant behaviours. We present the prevalence of and time trends in disclosure of serostatus and the use of strategic positioning and withdrawal with casual partners. Results: In 2006, 2568 men reported having had a casual partner in the 6 months before the survey. Disclosure was higher among men engaging in UAIC (68.4%) compared to those who always used condoms (49.7%). This relationship was more apparent amongst HIV-positive than negative men, of whom 83.5% and 63.9%, respectively, reported any disclosure. Over time, HIV-positive and negative men have increasingly reported disclosing to 'all' of their casual partners (p�<�0.01). HIV-positive men were less likely to report insertive-only positioning during UAIC (8.9%) compared to HIV-negative men (39.2%), with no changes emerging since over time. Significant increases were also noted in the proportion of HIV-positive men reporting withdrawal during insertive-UAIC (p�<�0.001) and HIV-negative men reporting withdrawal during receptive-UAIC (p�<�0.001). Conclusion: In the context of UAIC, gay men appear to be employing a range of risk-reduction strategies. Increasing levels of disclosure and/or practices such as strategic positioning and withdrawal demonstrate the complexity of gay men's construction of, and engagement with, risk associated with HIV transmission. A more thorough understanding of these practices is essential for ongoing education and prevention.

Methamphetamine use in a nationwide online sample of older Australian HIV-positive and HIV-negative gay men

2013 ◽  
Vol 32 (6) ◽  
pp. 603-610 ◽  
Author(s):  
Anthony Lyons ◽  
Marian Pitts ◽  
Jeffrey Grierson
Keyword(s):  
Gay Men ◽  
Hiv Positive ◽  
Methamphetamine Use ◽  
Hiv Negative

‘It's like the treasure’: beliefs associated with semen among young HIV‐positive and HIV‐negative gay men

2008 ◽  
Vol 10 (7) ◽  
pp. 667-679 ◽  
Author(s):  
Arn J. Schilder ◽  
Treena R. Orchard ◽  
Christopher S. Buchner ◽  
Mary Lou Miller ◽  
Kim A. Fernandes ◽  
...  
Keyword(s):  
Gay Men ◽  
Hiv Positive ◽  
Hiv Negative

scholarly journals Primary and secondary supportive partnerships among HIV-positive and HIV-negative middle-aged and older gay men

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0245863
Author(s):  
Matthew Statz ◽  
Deanna Ware ◽  
Nicholas Perry ◽  
David Huebner ◽  
Christopher Cox ◽  
...  
Keyword(s):  
Gay Men ◽  
Healthy Aging ◽  
Hiv Positive ◽  
Hiv Status ◽  
Significant Difference ◽  
Partnership Status ◽  
Race Ethnicity ◽  
Sex With Men ◽  
Older Gay Men ◽  
Hiv Negative

This study describes the primary and secondary partnerships of aging gay men participating in the Understanding Patterns of Healthy Aging Among Men Who Have Sex with Men substudy of the Multicenter AIDS Cohort Study and examines differences in the prevalence of these relationship structures by HIV status while adjusting for age, education, and race/ethnicity. Relationships were compared within the following structural categories: “only a primary partnership”, “only a secondary partnership”, “both a primary and secondary relationship”, or “neither a primary nor secondary relationship”. There were 1,054 participants (51.9% HIV negative/48.1% HIV positive) included in the study. Participants had a median age of 62.0 years (interquartile range: 56.0–67.0) and most reported being non-Hispanic white (74.6%) and college educated (88.0%). Of the 1,004 participants with available partnership status data, 384 (38.2%) reported no primary or secondary partnerships, 108 (10.8%) reported secondary-only partnership, 385 (38.3%) reported primary-only partnership, and 127 (12.6%) reported both primary and secondary partnerships. Of participants who reported primary partnerships only, the prevalence rates (PRs) were lower among those 62 years and older, HIV positive, black non-Hispanic and Hispanics. Of participants who reported only having a secondary partnership, the PRs were higher among those 62 years and older and HIV positive. Of participants who did not report having either a primary or secondary partnership, the PRs were higher among those 62 years and older, HIV positive, and black non-Hispanic compared with their respective referent groups. There was no significant difference in PRs of having both primary and secondary partnerships by age category, HIV status, race/ethnicity, and education. This study aimed to fill a knowledge gap in the literature regarding both primary and secondary supportive partnerships among aging HIV-positive and HIV-negative gay men.

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