Factors associated with recent previous HIV testing among a sample of recently HIV-diagnosed gay men in Australia: a cross-sectional study

Down, Ian; Ellard, Jeanne; Triffitt, Kathy; Brown, Graham; Prestage, Garrett

doi:10.1136/sextrans-2014-051752

Cited by 14 publications

(9 citation statements)

References 24 publications

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“…[39,40] Similarly, incentivized community programs allow an opportunity to create social engagement among MSM and transgender women supporting earlier and more frequent HIV testing. [12] …”

Section: Discussionmentioning

confidence: 99%

“…[9,10] Recent reports show that about 59% to 67% of MSM in the United States get tested at least annually with 37% to 44% testing even more frequently. [11,12] In contrast, the United Nations General Assembly Special Session (UNGASS) Declaration of Commitment in 2005 made recommendations for semiannual testing and counseling for MSM. [1] The Peruvian National Ministry of Health (MoH) program's guideline on periodic medical check-ups recommends quarterly visits for MSM and transgender women, with opt-in HIV testing and counseling, but few MSM and transgender women test more than once yearly.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with previously undiagnosed human immunodeficiency virus infection in a population of men who have sex with men and male-to-female transgender women in Lima, Peru

et al. 2016

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The aim of the study was to identify factors associated with undiagnosed human immunodeficiency virus (HIV) infection among men who have sex with men (MSM) and male-to-female transgender women in Lima, Peru.We analyzed characteristics of 378 MSM and transgender women recruited from 2 sexually transmitted infection (STI) clinics in Lima, Peru. Descriptive analyses compared: (A) HIV-uninfected, (B) previously undiagnosed HIV-infected, and (C) previously diagnosed HIV-infected participants. Multivariable logistic regression models identified: (1) correlates of previously undiagnosed HIV-infection among participants thought to be HIV-uninfected (B vs A); and (2) correlates of previously undiagnosed HIV-infection among HIV-infected participants (B vs C). Subanalysis identified correlates of frequent HIV testing among participants thought to be HIV-uninfected.Among participants, 31.0% were HIV-infected; of those, 35.0% were previously undiagnosed. Among participants thought to be HIV-uninfected (model 1), recent condomless receptive anal intercourse and last HIV test being over 1-year ago (compared to within the last 6-months) were associated with increased odds of being previously undiagnosed HIV-infected (adjusted odds ratio [aOR] = 2.43, 95% confidence interval [95%CI] = 1.10–5.36; aOR = 2.87, 95%CI = 1.10–7.53, respectively). Among HIV-infected participants (model 2), recent condomless receptive anal intercourse was again associated with previously undiagnosed HIV-infection (aOR = 2.54, 95%CI = 1.04–6.23). Achieving post-secondary education and prior syphilis infection were associated with lower odds of having previously undiagnosed HIV-infection (aOR = 0.35, 95%CI = 0.15–0.81; aOR = 0.32, 95%CI = 0.14–0.75, respectively).Reporting semiannual testing was associated with higher educational attainment, identifying as a transgender woman, or reporting a history of syphilis (aOR = 1.94, 95%CI = 1.11–3.37; aOR = 2.40, 95%CI = 1.23–4.70; aOR = 2.76, 95%CI = 1.62–4.71, respectively). Lower odds of semiannual testing were associated with recent condomless insertive anal intercourse or reporting a moderate or high self-perceived risk of acquiring HIV (aOR = 0.56, 95%CI = 0.33–0.96; aOR = 0.32, 95%CI = 0.18–0.59 and aOR = 0.43, 95%CI = 0.21–0.86, respectively).In our study, undiagnosed HIV-infection was associated with recent condomless receptive anal intercourse, infrequent HIV testing, lower education, and absence of prior syphilis diagnosis. Infrequent HIV testing was associated with lower education, not identifying as transgender, recent condomless insertive anal intercourse, absence of prior syphilis diagnosis, and higher self-perceived risk of HIV. Further efforts to decrease HIV transmission and increase HIV-serostatus awareness should be directed towards effectively promoting condom use and frequent HIV testing, integrated with STI management.

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“…[39,40] Similarly, incentivized community programs allow an opportunity to create social engagement among MSM and transgender women supporting earlier and more frequent HIV testing. [12] …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors associated with previously undiagnosed human immunodeficiency virus infection in a population of men who have sex with men and male-to-female transgender women in Lima, Peru

et al. 2016

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“…Data collection began in 2008 and is ongoing. The study methods have been described in more detail elsewhere 23. Between 2008 and 2013, 506 recently HIV-diagnosed GBM were enrolled into the study.…”

Section: Methodsmentioning

confidence: 99%

High-risk sexual behaviours among gay and bisexual men: comparing event-level casual sex encounters among seroconverters and non-seroconverters

Down¹,

Ellard²,

Triffitt³

et al. 2017

Sex Transm Infect

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While both groups of men engaged in CLAIC, how they engaged in CLAIC differed, and the context in which they did so was different. A generic measure of CLAIC conceals the critical elements of HIV risk, particularly the role of receptive CLAIC, among GBM that distinguish those who seroconverted and those who did not. Detailed information about the context and nature of the practise of CLAIC is required for a more complete understanding of HIV risk among GBM.

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“…Data collection commenced in 2008 and is ongoing. The study methods have been described in more detail elsewhere …”

Section: Methodsmentioning

confidence: 99%

Not so different? Comparison of risk profile of gay men who acquired HIV while travelling with those who acquired HIV in Australia

Brown

Prestage

Down

et al. 2017

Health Prom J of Aust

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Our findings challenge the idea that there are necessarily differences in behaviour and assumptions for HIV transmission in Australia and overseas. However, the men travelling may be in communities where HIV status is less commonly disclosed, and where HIV prevalence is higher. SO WHAT?: A deeper understanding of contextual factors may be required for HIV prevention and health promotion strategies targeting gay men travelling to locations with different cultural, HIV prevalence, and HIV testing considerations. This would also identify opportunities for new tools such as Pre-Exposure Prophylaxis and self-testing.

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Factors associated with recent previous HIV testing among a sample of recently HIV-diagnosed gay men in Australia: a cross-sectional study

Abstract: Gay community plays a key role in the response to HIV in Australia. Building a sense of community through programmes that support social engagement between gay men may support earlier and more frequent testing.

Cited by 14 publications

References 24 publications

Factors associated with previously undiagnosed human immunodeficiency virus infection in a population of men who have sex with men and male-to-female transgender women in Lima, Peru

Factors associated with previously undiagnosed human immunodeficiency virus infection in a population of men who have sex with men and male-to-female transgender women in Lima, Peru

High-risk sexual behaviours among gay and bisexual men: comparing event-level casual sex encounters among seroconverters and non-seroconverters

Not so different? Comparison of risk profile of gay men who acquired HIV while travelling with those who acquired HIV in Australia

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