Factors associated with recent HIV testing among younger gay and bisexual men in New Zealand, 2006-2011

Background Men who have sex with men (MSM) are at risk of HIV and are an important population to monitor and ameliorate combination prevention efforts. Aim To estimate HIV prevalence and identify factors associated with frequent HIV testing (≥ 2 HIV tests in the last year) and pre-exposure prophylaxis (PrEP) use among MSM in London. Methods For this cross-sectional study, MSM recruited from 22 social venues provided oral-fluid samples for anonymous HIV antibody (Ab) testing and completed a questionnaire. Factors associated with frequent HIV testing and PrEP use were identified through logistic regression. Results Of 767 men recruited, 545 provided an eligible oral specimen. Among these, 38 MSM (7.0%) were anti-HIV positive including five (13.2%; 5/38) who reported their status as negative. Condomless anal sex within the previous 3 months was reported by 60.1% (412/685) men. Frequent HIV testing was associated with, in the past year, a reported sexually transmitted infection (adjusted odds ratio (AOR): 5.05; 95% confidence interval (CI): 2.66–9.58) or ≥ 2 casual condomless partners (AOR 2–4 partners: 3.65 (95% CI: 1.87–7.10); AOR 5–10 partners: 3.34 (95% CI: 1.32–8.49). Age ≥ 35 years was related to less frequent HIV testing (AOR 35–44 years: 0.34 (95% CI: 0.16–0.72); AOR ≥ 45 years: 0.29 (95% CI: 0.12–0.69). PrEP use in the past year was reported by 6.2% (46/744) of MSM and associated with ≥ 2 casual condomless sex partners (AOR: 2.86; 95% CI: 1.17–6.98) or chemsex (AOR: 2.31; 95% CI: 1.09–4.91). Conclusion This bio-behavioural study of MSM found high rates of behaviours associated with increased risk of HIV transmission. Combination prevention, including frequent HIV testing and use of PrEP, remains crucial in London.

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Feasibility of bundling HPV vaccination, rapid HIV testing, and personalized risk reduction counseling for young gay and bisexual men

PsycEXTRA Dataset ◽

10.1037/e546872013-093 ◽

2013 ◽

Author(s):

H. Elsa Larson ◽

Jacob J. van den Berg ◽

Gail Yates ◽

Michelle A. Lally

Keyword(s):

Hiv Testing ◽

Risk Reduction ◽

Hpv Vaccination ◽

Gay And Bisexual Men ◽

Bisexual Men ◽

Rapid Hiv Testing ◽

Risk Reduction Counseling ◽

And Bisexual ◽

Personalized Risk

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

Sexually Transmitted Infections ◽

10.1136/sextrans-2015-052270.589 ◽

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

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Multi-Dimensional Factors Associated with Illegal Substance Use Among Gay and Bisexual Men in Taiwan

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16224476 ◽

2019 ◽

Vol 16 (22) ◽

pp. 4476 ◽

Cited By ~ 5

Author(s):

Dian-Jeng Li ◽

Shiou-Lan Chen ◽

Cheng-Fang Yen

Keyword(s):

Substance Use ◽

Logistic Regression ◽

Early Adulthood ◽

Gay And Bisexual Men ◽

Stepwise Logistic Regression ◽

Childhood And Adolescence ◽

Bisexual Men ◽

Cross Sectional ◽

Factors Associated ◽

And Bisexual

Illegal substance use in sexual minorities is an important health issue worldwide. The present cross-sectional study aimed to investigate the multi-dimensional factors associated with illegal substance use among gay and bisexual men in Taiwan. This questionnaire-survey study recruited 500 gay or bisexual men aged between 20 and 25 years. Their experiences of using eight kinds of illegal substances in the preceding month were collected. Their previous experiences of homophobic bullying, satisfaction with academic performance, truancy, perceived family and peer support in childhood and adolescence, and social-demographic characteristics, were also collected. Potential factors associated with illegal substance use were identified using univariate logistic regression, and further selected into a forward stepwise logistic regression model to identify the factors most significantly related to illegal substance use. A total of 22 (4.4%) participants reported illegal substance use in the preceding month, and mean age was 22.9 ± 1.6. Forward stepwise logistic regression revealed that being victims of homophobic cyberbullying in childhood and adolescence (odds ratio (OR) = 1.26; p = 0.011), disclosure of sexual orientation at junior high school (OR = 4.67; p = 0.001), and missing classes or truancy in senior high school (OR = 2.52; p = 0.041) were significantly associated with illegal substance use in early adulthood. Multi-dimensional factors in childhood and adolescence that were significantly associated with illegal substance use in early adulthood among gay and bisexual men were identified. Besides traditional bullying, the effect of cyberbullying and school performance on illegal substance use should not be ignored. This study is limited to the cross-sectional design and possible recall bias. Mental health professionals must routinely assess these significant factors to prevent and intervene in illegal substance use among gay and bisexual men.

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