Human papillomavirus vaccine uptake among young gay and bisexual men who have sex with men with a time-limited targeted vaccination programme through sexual health clinics in Melbourne in 2017

2018 ◽  
Vol 95 (3) ◽  
pp. 181-186 ◽  
Author(s):  
Launcelot McGrath ◽  
Christopher K Fairley ◽  
Eoin F Cleere ◽  
Catriona S Bradshaw ◽  
Marcus Y Chen ◽  
...  
Keyword(s):  
Sexual Health ◽  
Hpv Vaccine ◽  
Vaccine Coverage ◽  
Hpv Vaccination ◽  
Gay And Bisexual Men ◽  
Vaccine Uptake ◽  
Bisexual Men ◽  
And Bisexual ◽  
Sex With Men ◽  
Sexual Health Clinics

ObjectiveIn mid-2017, the Victorian Government funded a free time-limited human papillomavirus (HPV) vaccination catch-up programme for gay and bisexual men who have sex with men (MSM) aged up to 26 years through sexual health clinics or other immunisation centres. We aimed to examine the uptake of the HPV vaccine among young MSM attending the Melbourne Sexual Health Centre (MSHC).MethodsMSM aged ≤26 attending MSHC between 27 April 2017 and 31 December 2017 were included in the analysis. HPV vaccine uptake was calculated based on the first consultation of each patient during the period. Multivariable logistic regression was performed to examine the association between vaccine uptake and patient factors.ResultsThere were 2108 MSM aged ≤26 who attended MSHC over the study period, with 7.6% (n=161) reporting previous HPV vaccination. Of the 1947 eligible men, 1134 (58.2%, 95% CI 56.0% to 60.4%) were offered the vaccine by the clinicians, and 830 men received it on the day. The vaccine coverage among all eligible MSM was 42.6% (95% CI 40.4% to 44.9%; 830 of 1947) and among MSM who were offered the vaccine by the clinicians was 73.2% (95% CI 70.5% to 75.8%; 830 of 1134). Men with a history of genital warts (adjusted OR (aOR)=3.11, 95%CI 1.39 to 6.99) and those who had >4male partners in the last 12 months (aOR=1.38, 95% CI 1.04 to 1.85) were more likely to receive the HPV vaccine on the day. 304 men declined the vaccine; most men did not specify the reason (31.3%, n=95), while 27.3% (n=83) needed time to think.ConclusionAlthough vaccine uptake was 73.2% among those offered, the actual coverage of those eligible remained unsatisfactory (42.6%) in a sexual health clinic. This highlights a clinic-based targeted MSM programme may not reach sufficiently high vaccine coverage to provide MSM with the same vaccine benefits as heterosexuals.

scholarly journals P17.11 Public sexual health clinics increase access, hiv testing and re-testing among higher risk gay and bisexual men

2015 ◽  
Vol 91 (Suppl 2) ◽  
pp. A227.1-A227
Author(s):  
MS Jamil ◽  
D Callander ◽  
H Ali ◽  
G Prestage ◽  
V Knight ◽  
...  
Keyword(s):  
Sexual Health ◽  
Hiv Testing ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
Health Clinics ◽  
And Bisexual ◽  
Sexual Health Clinics

scholarly journals Sharing solutions for a reasoned and evidence-based response: chemsex/party and play among gay and bisexual men

Sexual Health ◽  
2018 ◽  
Vol 15 (2) ◽  
pp. 99 ◽  
Author(s):  
Adam Bourne ◽  
Jason Ong ◽  
Mark Pakianathan
Keyword(s):  
Sexual Health ◽  
Gay And Bisexual Men ◽  
Evidence Based ◽  
Bisexual Men ◽  
Special Issue ◽  
Quality Health Care ◽  
Healthcare Practice ◽  
Quality Health ◽  
And Bisexual ◽  
Sex With Men

This Special Issue of Sexual Health examines research and healthcare practice relating to sexualised drug use among gay, bisexual and other men who have sex with men (GBMSM), colloquially known as ‘chemsex’ or ‘party and play’ (PnP). It draws together evidence relating to the epidemiology, sociology and psychology of chemsex, as well as the policy, community and clinical interventions that are required to ensure men have access to high-quality health care that meets their needs and reduces harm. Findings and discussions within the Issue emphasise the need to sensitively, non-judgementally and meaningfully engage with gay men about their engagement in chemsex in order to help improve their sexual health and wider wellbeing.

Unlinked anonymous HIV prevalence among New Zealand sexual health clinic attenders: 2005–2006

2008 ◽  
Vol 19 (11) ◽  
pp. 752-757 ◽  
Author(s):  
S M McAllister ◽  
N P Dickson ◽  
K Sharples ◽  
M R Reid ◽  
J M Morgan ◽  
...  
Keyword(s):  
New Zealand ◽  
Sexual Health ◽  
Health Clinic ◽  
Bisexual Men ◽  
Sexually Transmitted ◽  
Health Clinics ◽  
Undiagnosed Hiv ◽  
And Bisexual ◽  
Sex With Men ◽  
Sexual Health Clinics

This unlinked anonymous study aimed at determining the prevalence of HIV among sexual health clinic attenders having blood samples taken for syphilis and/or hepatitis B serology in six major New Zealand cities over a 12-month period in 2005–2006. Overall, seroprevalence was five per 1000 (47/9439). Among men who have sex with men (MSM), the overall prevalence and that of previously undiagnosed HIV were 44.1 and 20.1 per 1000, respectively. In heterosexual men, the overall prevalence was 1.2 per 1000 and in women 1.4 per 1000. HIV remains to be concentrated among homosexual and bisexual men. Comparison with a previous survey in 1996–1997 suggests an increase in the prevalence of undiagnosed HIV among MSM and also an increase in the number of MSM attending sexual health clinics. The low prevalence of HIV among heterosexuals suggests no extensive spread into the groups identified at risk of other sexually transmitted infections.

scholarly journals Rapid HIV Testing Is Highly Acceptable and Preferred among High-Risk Gay And Bisexual Men after Implementation in Sydney Sexual Health Clinics

PLoS ONE ◽  
2015 ◽  
Vol 10 (4) ◽  
pp. e0123814 ◽  
Author(s):  
Damian P. Conway ◽  
Rebecca Guy ◽  
Stephen C Davies ◽  
Deborah L. Couldwell ◽  
Anna McNulty ◽  
...  
Keyword(s):  
High Risk ◽  
Sexual Health ◽  
Hiv Testing ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
Rapid Hiv Testing ◽  
Health Clinics ◽  
And Bisexual ◽  
Sexual Health Clinics

Understanding the Targeting and Uptake of HIV Testing Among Gay and Bisexual Men Attending Sexual Health Clinics

2017 ◽  
Vol 22 (2) ◽  
pp. 513-521
Author(s):  
Muhammad S. Jamil ◽  
◽  
Hamish McManus ◽  
Denton Callander ◽  
Garrett Prestage ◽  
...  
Keyword(s):  
Sexual Health ◽  
Hiv Testing ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
Health Clinics ◽  
And Bisexual ◽  
Sexual Health Clinics

HPV vaccination of gay, bisexual and other men who have sex with men in sexual health and HIV clinics in England: vaccination uptake and attendances during the pilot phase

2019 ◽  
Vol 95 (8) ◽  
pp. 608-613 ◽  
Author(s):  
Marta Checchi ◽  
David Mesher ◽  
Mark McCall ◽  
Flavien Coukan ◽  
Cuong Chau ◽  
...  
Keyword(s):  
Sexual Health ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
Current Status ◽  
Pilot Phase ◽  
Vaccination Uptake ◽  
Attendance Patterns ◽  
Before And After ◽  
Sex With Men ◽  
Sexual Health Clinics

BackgroundHuman papillomavirus (HPV) vaccination for gay, bisexual and other men who have sex with men (GBMSM) aged up to 45 years attending sexual health clinics (SHC) and HIV clinics began in England as a pilot in June 2016, with national roll-out from April 2018. The recommended course is three doses of the quadrivalent HPV vaccine over one to 2 years. We present the methodology and results of monitoring vaccination uptake (initiation and completion), and attendance patterns, during the pilot phase.MethodsTotal numbers of eligible GBMSM receiving HPV vaccine doses were extracted from routine datasets from pilot start to end of March 2018. Numbers of attendances since January 2009 were extracted and tested for trends before and after introduction of HPV vaccination.ResultsOverall, first dose uptake was 49.1 % (23 619/48 095), with clinics with highest data completeness achieving close to 90% uptake during the pilot period. Refusals were very low (3.5%). There was no evidence of increases in the number of GBMSM attendances at pilot SHC.ConclusionsHPV vaccination has not caused important deviations to expected attendance patterns of GBMSM at SHC throughout the pilot phase. Overall, recorded initiation has been encouraging given known issues with data recording, as is current status of second and third dose completion. Attendances, vaccination initiation and completion will continue to be monitored alongside surveillance of anogenital warts diagnoses and of rectal HPV prevalence.

scholarly journals Developing a co-produced, systems-informed, sexually transmitted infection contact tracing intervention for gay and bisexual men who have sex with men and their one-off sexual partners

2021 ◽  
Author(s):  
Paul Flowers ◽  
Sarah Lasoye ◽  
Jean McQueen ◽  
Melvina Woode Owusu ◽  
Merle Symonds ◽  
...  
Keyword(s):  
Health Care ◽  
Social Media ◽  
Sexual Health ◽  
Health Care Professionals ◽  
Gay And Bisexual Men ◽  
Contact Tracing ◽  
Bisexual Men ◽  
Sexually Transmitted ◽  
And Bisexual ◽  
Sex With Men

Objective: Gay and bisexual men who have sex with men (GBMSM) bear a disproportionate burden of sexually transmitted infections (STIs). Most STIs are asymptomatic and people infected wont know to seek care unless they are told about their exposure. Contact tracing, is the process of identifying and contacting sex partners of people with STIs for testing and treatment. Contact tracing is sometimes particularly challenging amongst GBMSM because of the kinds of sexual relationships which GBMSM enjoy. These include one-off partners who are particularly important for transmission dynamics as they contribute disproportionately to onwards transmission. The effectiveness of contact tracing interventions within sexual health are patterned by sexual-partner type. Contact tracing and management for one-off partners is an on-going public health challenge. Low motivation amongst index patients, high resource burden on health care professionals and problems with contactability are key barriers to contact tracing. Using insights from complex adaptive systems thinking and behavioural science, we sought to develop an intervention which addressed both the upstream and down-stream determinants of contact tracing and change the system in which many inter-dependent contact tracing behaviours are embedded. Setting UK community-recruited GBMSM, stakeholders, sexual hcp, dating app providers Method Using the MRC complex intervention framework and insights from the INDEX study, a three-phase intervention development process was adopted to specify intervention content. Phase one consisted of an inter-professional and community-member stakeholder event (n=45) where small mixed groups engaged in exploratory systems-mapping and the identification of hot spots for future intervention. Phase two used a series of focus groups with GBMSM (n=28) and interviews with representatives from key dating app providers (DAPs) (n=3) to further develop intervention ideas using the theoretical domains framework, the behaviour change wheel and the behaviour change technique taxonomy. In Phase 3 we again worked with key stakeholders expert health care professionals (HCPs) (n=5) and key workers from community-based organisations (CBOs) (n=6) to hone the intervention ideas and develop programme theory using the APEASE criteria. Results The co-produced intervention levers change simultaneously across the system within which contact tracing is embedded. Multiple change-agents (i.e., GBMSM, CBOs, HCPs) work together, sharing an overall vision to improve sexual health through contact tracing. Each make relatively modest changes that over time, synergistically combine to produce a range of multiple positively-reinforcing feedback loops to engender sustainable change around contact tracing. Agreed intervention elements included: a co-ordinated, co-produced mass and social media intervention to tip cultural norms and beliefs of GBMSM towards enabling more contact tracing and to challenge enduring STI- and sex-related stigmas; complementary CBO-co-ordinated, peer-led work to also focus on reducing STI stigma and enabling more contact tracing between one-off partners; priming GBMSM at the point of STI diagnosis to prepare for contact tracing interactions and reduce HCP and sexual health-service burden; changes to SHS environments and HCP-led interactions to systematically endorse contact tracing; changing national audits and monitoring systems to directly address one-off partner targets; delivering bespoke training to HCPs and CBO staff on one-off partners and the social and cultural context of GBMSM; DAPs active involvement in mass and social media promoting appropriate contact tracing messaging. Conclusion Our combination of multiple data sources, theoretical perspectives and diverse stakeholders have enabled us to develop an expansive, complex intervention that is firmly based in the priorities of those it will affect, and which has a solid theoretical foundation. Future work will assess if and how it will be possible to evaluate it. The resulting intervention is profoundly different than other ways of enhancing contact tracing, as it simultaneously addresses multiple, multi-levelled, upstream and social determinants of contact tracing.

scholarly journals Gonorrhoea gone wild: rising incidence of gonorrhoea and associated risk factors among gay and bisexual men attending Australian sexual health clinics

Sexual Health ◽  
2019 ◽  
Vol 16 (5) ◽  
pp. 457 ◽  
Author(s):  
Denton Callander ◽  
Rebecca Guy ◽  
Christopher K. Fairley ◽  
Hamish McManus ◽  
Garrett Prestage ◽  
...  
Keyword(s):  
Sexual Health ◽  
Cox Regression ◽  
Cohort Analysis ◽  
Temporal Trends ◽  
Gay And Bisexual Men ◽  
Anatomical Site ◽  
Bisexual Men ◽  
Health Clinics ◽  
And Bisexual ◽  
Sexual Health Clinics

Background Gonorrhoea notifications continue to rise among gay and bisexual men in Australia and around the world. More information is needed on infection trends, accounting for testing and complimented by demographics and risk practices. Methods: A retrospective cohort analysis was undertaken using repeat gonorrhoea testing data among gay and bisexual men from 2010 to 2017, which was extracted from a network of 47 sexual health clinics across Australia. Poisson and Cox regression analyses were used to determine temporal trends in gonorrhoea incidence rates, as well as associated demographic and behavioural factors. Results: The present analysis included 46904 gay and bisexual men. Gonorrhoea incidence at any anatomical site increased from 14.1/100 person years (PY) in 2010 to 24.6/100 PY in 2017 (P<0.001), with the greatest increase in infections of the pharynx (5.6-15.9/100 PY, P<0.001) and rectum (6.6–14.8/100 PY, P<0.001). After adjusting for symptomatic and contact-driven presentations, the strongest predictors of infection were having more than 20 sexual partners in a year (hazard ratio (HR)=1.9, 95% confidence interval (CI): 1.7–2.2), using injecting drugs (HR=1.7, 95%CI: 1.4–2.0), being HIV positive (HR=1.4, 95%CI: 1.2–1.6) and being aged less than 30 years old (HR=1.4, 95%CI: 1.2–1.6). Conclusions: Gonorrhoea has increased dramatically among gay and bisexual men in Australia. Enhanced prevention efforts, as well as more detailed, network-driven research are required to combat gonorrhoea among young men, those with HIV and those who use injecting drugs.

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