Does the recent increase in HIV diagnoses among men who have sex with men in the UK reflect a rise in HIV incidence or increased uptake of HIV testing?

Dougan, Sarah; Elford, Jonathan; Chadborn, Tim; Brown, Alison E; Roy, Kirsty; Murphy, Gary; Gill, O N

doi:10.1136/sti.2006.021428

Cited by 36 publications

(24 citation statements)

References 15 publications

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“…Our database linkage indicated testing as a whole to have increased over the study period (online supplement figure S1), which is corroborated by research showing increased HIV testing in MSM GUM clinic attendees in Scotland, with a 60% increase in the number of people tested (451–1157) observed between the periods 1997 and 2004 14. However, the likelihood of subsequent testing among MSM increased only moderately across time, from 19.1% in 1990–1994 to 24.1% in 2000–2004 (online supplement figure S2), which suggests that the stable incidence in MSM is not due to a rise in test uptake.…”

Section: Discussionsupporting

confidence: 80%

Trends in the incidence of HIV in Scotland, 1988–2009

et al. 2011

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Section: Discussionsupporting

confidence: 80%

Trends in the incidence of HIV in Scotland, 1988–2009

et al. 2011

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“…Changes in HIV testing may influence trends in HIV diagnoses [8]. In Belgium however, the increase in HIV diagnoses does not reflect an increase in HIV testing since the number of tests performed nationwide has remained remarkably stable over time.…”

Section: Discussionmentioning

confidence: 99%

HIV infections and STI co-infections in men who have sex with men in Belgium: sustained increase in HIV diagnoses

Sasse

Defraye

2009

Eurosurveillance

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w w w. e u ro s u rve i ll an c e . o rg 1 S u r v e i ll a n c e a n d o u t b r e a k r e p o r t s H I V I n f e c t I o n s a n d s t I c o -I n f e c t I o n s I n m e n w H o H aV e s e x w I t H m e n I n B e l g I u m : s u s ta I n e d I n c r e a s e I n H I V d I a g n o s e s Belgium is currently experiencing an upward trend in the number of new HIV diagnoses characterised by a continuous increase in the number of cases among men who have sex with men (MSM). Based on surveillance data, in the past decade the yearly number of newly diagnosed HIV cases in MSM increased more than threefold, from 101 cases diagnosed in 1999 to 332 cases in 2008. During this period, the majority of new HIV infections in MSM were diagnosed among Belgians citizens (72%), followed by other European nationalities (13%). The increase in HIV diagnoses does not reflect an increase in HIV testing since the number of tests performed nationwide remained remarkably stable over time. The steady increase in the number of newly diagnosed HIV cases among MSM, and the high proportion of MSM among HIV-positive patients co-infected with other sexually transmitted infections (STI) (95.6% in 2008) indicate increases in unsafe sex practices in this group. Development of behavioural surveillance and more qualitative research on reasons for unsafe sex are needed in order to develop more effective prevention strategies.

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“…It has also documented higher incidences of poor mental health, self-harm, 'self-destructive behaviours', depression and/or attempted suicide among young LGB people compared with their heterosexual counterparts (Fish 2007;McDermott, Roen and Scourfield 2008). They are more likely to suffer poorer physical health arising from higher incidences of alcohol, drug and/or tobacco use (Fish 2007;McDermott, Roen and Scourfield 2008), 4 and may have poor experiences and/or a lack of access to appropriate health care or advice (Buston 2004 (Dougan et al 2007), it might also be linked to an increase in so-called 'risky' sexual practices (Hart and Williamson 2005;Hickson et al 2007). Though there are not equivalent figures for sex between women, it would seem that sexual ill-health, as measured by STI rates, is a significant backdrop to this paper.…”

Section: Uk Policy and Research Contextmentioning

confidence: 99%

Sex and relationships education, sexual health, and lesbian, gay and bisexual sexual cultures: views from young people

Formby

2011

Sex Education

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Does the recent increase in HIV diagnoses among men who have sex with men in the UK reflect a rise in HIV incidence or increased uptake of HIV testing?

Cited by 36 publications

References 15 publications

Trends in the incidence of HIV in Scotland, 1988–2009

Trends in the incidence of HIV in Scotland, 1988–2009

HIV infections and STI co-infections in men who have sex with men in Belgium: sustained increase in HIV diagnoses

Sex and relationships education, sexual health, and lesbian, gay and bisexual sexual cultures: views from young people

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