Location-based HIV behavioural surveillance among MSM in Auckland, New Zealand 2002–2011: condom use stable and more HIV testing

Saxton, Peter; Dickson, Nigel; Hughes, Anthony J.

doi:10.1136/sextrans-2013-051160

Cited by 20 publications

(20 citation statements)

References 25 publications

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“…A significant proportion of adults residing in the ADHB catchment area do not access their GP regularly, or do not have a GP, so their interaction with an ADHB service may be the only health interaction opportunity to offer HIV screening. Certain community organisations in Auckland offer rapid HIV tests, and the frequency of HIV testing among MSM in Auckland appears to be increasing . Although this might reduce the yield of universal HIV screening in a hospital setting, in our study there remained a large proportion of patients who had never previously been tested.…”

Section: Discussionmentioning

confidence: 75%

Missed opportunities for earlier diagnosis of human immunodeficiency virus infection among adults presenting to Auckland District Health Board hospital services

Hopkins

Reid

Gilmour

et al. 2019

Internal Medicine Journal

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Section: Discussionmentioning

confidence: 75%

Missed opportunities for earlier diagnosis of human immunodeficiency virus infection among adults presenting to Auckland District Health Board hospital services

Hopkins

Reid

Gilmour

et al. 2019

Internal Medicine Journal

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“…However, in the UK, HIV incidence is not decreasing and high proportions of newly diagnosed men have not previously tested . Increases in the uptake of HIV testing in high‐income countries have been widely reported , but we have demonstrated a stabilization in recent HIV testing among MSM in Scotland, which suggests that the current opt‐out testing approach (whereby all patients are offered a test regardless of symptoms or risk factors) has reached its limit in maximizing routine uptake . Innovative methods of increasing the uptake of testing are required .…”

Section: Introductionmentioning

confidence: 78%

Frequency of HIV testing among gay and bisexual men in the UK: implications for HIV prevention

et al. 2016

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ObjectivesThe aim of the study was to explore HIV testing frequency among UK men who have sex with men (MSM) in order to direct intervention development.MethodsCross‐sectional surveys were completed by 2409 MSM in Edinburgh, Glasgow and London in 2011 and a Scotland‐wide online survey was carried out in 2012/13. The frequency of HIV testing in the last 2 years was measured.ResultsOverall, 21.2% of respondents reported at least four HIV tests and 33.7% reported two or three tests in the last 2 years, so we estimate that 54.9% test annually. Men reporting at least four HIV tests were younger and less likely to be surveyed in London. They were more likely to report higher numbers of sexual and anal intercourse partners, but not “higher risk” unprotected anal intercourse (UAI) with at least two partners, casual partners and/or unknown/discordant status partners in the previous 12 months. Only 26.7% (238 of 893) of men reporting higher risk UAI reported at least four tests. Among all testers (n = 2009), 56.7% tested as part of a regular sexual health check and 35.5% tested following a risk event. Differences were observed between surveys, and those testing in response to a risk event were more likely to report higher risk UAI.ConclusionsGuidelines recommend that all MSM test annually and those at “higher risk” test more frequently, but our findings suggest neither recommendation is being met. Additional efforts are required to increase testing frequency and harness the opportunities provided by biomedical HIV prevention. Regional, demographic and behavioural differences and variations in the risk profiles of testers suggest that it is unlikely that a “one size fits all” approach to increasing the frequency of testing will be successful.

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“…Among the 37 included studies that provided behavioral trend data between 1990 to 2013, 13 were conducted in the United States (21–33), nine in continental Europe (34–42), seven in Australia (43–49), five in the United Kingdom (50–54), two in New Zealand (55, 56), and one in Canada (57). Twenty-nine studies examined condomless anal sex (Table I), 16 examined condomless anal sex with a discordant or unknown HIV-status partner (Table II), and 16 examined number of partners (Table III).…”

Section: Resultsmentioning

confidence: 99%

“…Sixteen studies examined trends in numbers of partners between 1992 and 2013 (30–33, 36, 39, 41, 45–49, 51, 53, 55, 56). Since the included studies had a wide range of cut-points from 2 or more partners to greater than 20 partners, we divided the studies into two groups: 2+ to 6+ partners (9 findings, Figure 5A) and 10+ to 21+ partners (10 findings, Figure 5B).…”

Section: Resultsmentioning

confidence: 99%

Trends in Sexual Behavior Among Men Who have Sex with Men (MSM) in High-Income Countries, 1990–2013: A Systematic Review

Hess

Crepaz²,

Rose³

et al. 2017

AIDS Behav

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HIV diagnoses among men who have sex with men (MSM) have been increasing in several high-income countries. A better understanding of the sexual behavior trends among MSM can be useful for informing HIV prevention. We conducted a systematic review of studies that examined behavioral trends (1990–2013) in any condomless anal sex, condomless anal sex with an HIV-discordant partner, and number of partners. Studies included come from the United States, Europe, and Australia. We found increasing trends in condomless anal sex and condomless anal sex with an HIV-discordant partner, and a decreasing trend in number of partners. The increase in condomless anal sex may help to explain the increase in HIV infections. More explanatory research is needed to provide insight into factors that contribute to these behavior trends. Continuous monitoring of HIV, risk behaviors, and use of prevention and treatment is needed to evaluate prevention efforts and monitor HIV transmission risk.

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Location-based HIV behavioural surveillance among MSM in Auckland, New Zealand 2002–2011: condom use stable and more HIV testing

Cited by 20 publications

References 25 publications

Missed opportunities for earlier diagnosis of human immunodeficiency virus infection among adults presenting to Auckland District Health Board hospital services

Missed opportunities for earlier diagnosis of human immunodeficiency virus infection among adults presenting to Auckland District Health Board hospital services

Frequency of HIV testing among gay and bisexual men in the UK: implications for HIV prevention

Trends in Sexual Behavior Among Men Who have Sex with Men (MSM) in High-Income Countries, 1990–2013: A Systematic Review

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