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.

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

A reflective review on gay and bisexual men in China

2021 ◽  
pp. 204382062110545
Author(s):  
Eileen Y.H. Tsang
Keyword(s):  
Sex Workers ◽  
Gay And Bisexual Men ◽  
Sexual Practices ◽  
Treatment As Prevention ◽  
Bisexual Men ◽  
Male Sex Workers ◽  
Male Sex ◽  
And Bisexual ◽  
Exposure Prophylaxis ◽  
Living With Hiv

Pre-Exposure Prophylaxis (PrEP), Treatment as Prevention (TasP), and undetectability affect the experience of gay and bisexual men living with HIV. They also link ‘risk’ and ‘safety’ to raw sex and the use of recreational drugs as they relate to sexual practices among gay and bisexual men. From these insights, we can think about the complex connections between biomedical innovations in the field of HIV, sexual practices, subjectivity, pleasure, spaces, and technologies. This commentary offers a sociocultural perspective based on a study with 28 male sex workers (hereafter MSWs) on gay and bisexual men—mainly male sex workers— and their wives (Tongqi) in China.

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