HIV risk among Australian men travelling overseas: networks and context matter

Brown, Graham; Ellard, Jeanne; Mooney-Somers, Julie; Hildebrand, Janina; Langdon, Trish

doi:10.1080/13691058.2012.678015

Cited by 18 publications

(68 citation statements)

References 16 publications

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“…This formed the basis for the development and refinement of the description of experiences types. Analyses presented here go beyond early published results [20] which focused only on context and networks of the sample as a whole. This analysis presents nuances in the men's experiences and perspectives.…”

Section: Discussionmentioning

confidence: 98%

“…See Table 2 for a detailed overview of the characteristics of participants. Initial analysis found the role of social norms and networks to be significant [20] across the sample. Entry into local culture was facilitated by highly influential social networks comprising other foreign travellers and expatriates, guiding new travellers on how to manage the local scene, including where to meet sex partners and find good bars and clubs.…”

Section: Demographicsmentioning

confidence: 99%

“…Entry into local culture was facilitated by highly influential social networks comprising other foreign travellers and expatriates, guiding new travellers on how to manage the local scene, including where to meet sex partners and find good bars and clubs. Most participants' understanding of context and culture developed through interactions with other foreigners rather than with locals [20].…”

Section: Demographicsmentioning

confidence: 99%

“…The schedule domains can be seen in Table 1. A full description of the broader question areas is described elsewhere [20]. The schedule was adapted to respond to emerging themes during data collection and analysis.…”

Section: Data Collectionmentioning

confidence: 99%

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‘Living a life less ordinary’: exploring the experiences of Australian men who have acquired HIV overseas

et al. 2014

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Background Increasing international mobility has led to a growth of cross-border HIV transmission around the world. In Australia, increasing rates of HIV infections acquired overseas have been reported, particularly among men. This qualitative study explored experiences and risk perceptions of 14 Australian men who acquired HIV while living or travelling overseas from the year 2000. Methods: Symbolic interaction provided the study’s theoretical perspective and analytical framework. Australian men living with HIV who were aged 18 years and older, believed they had acquired their infection while working or travelling overseas during or after the year 2000, and were diagnosed from 2003 onwards were eligible to participate. A semistructured interview schedule was developed and tested for content validity with the study reference group. Analysis was conducted using an adapted form of grounded theory to form the basis for the development of the experiences domains. Results: Analysis produced four domains of experience: (1) a fantasy realised, (2) escaping and finding a new self or life, (3) living a life less ordinary and (4) living local but still an outsider. The description of the four experience domains highlights how risk generally, particularly sexual risk, did or did not feature in these men’s understanding of their experiences. Conclusion: Perceptions and experiences of long-term travel played a decisive role for men who acquired HIV when travelling overseas. Appealing to desired experiences such as connection to local culture or sustaining a new or adventurous life may provide important implications for guiding health promotion programs and policy.

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Section: Discussionmentioning

confidence: 98%

Section: Demographicsmentioning

confidence: 99%

Section: Demographicsmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

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‘Living a life less ordinary’: exploring the experiences of Australian men who have acquired HIV overseas

et al. 2014

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“…Tourism constitutes one of the world's largest industries, and travellers can transfer and acquire STIs (sexually transmitted infections) and HIV/AIDS, mainly due to (in)voluntary sexual behaviour [1][2][3][4][5][6]. Tourists are more likely to engage in risky sexual behaviours whilst travelling than in their own community, [4,7] making it an important area for health promotion [8].…”

Section: Introductionmentioning

confidence: 99%

Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge And Sexual Behaviour

Simkhada

Teijlingen

Regmi

et al. 2015

J. Manmohan Memorial Inst. Health. Sci.

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Tourism, a global industry, brings with it a number of public health problems, one of which is the spread of sexually transmitted infections transmitted between travellers and hosts. Previous studies have largely focused on sex workers and sex tourists. This study assesses sexual behaviour, knowledge and condom use among male trekking guides in Nepal. A self-administered questionnaire survey (n=324) was conducted using snowball sampling amongst men working as mountain trekking guides in Nepal. Most respondents (59%) had initiated sex before the age of 18. Most (84 %) reported sexual relations with a woman other than their partner, 46% reported foreign partners, 43% had Nepalese partners, and 28% had concurrent foreign and Nepalese partners. Most (70 %) reported ever having sex with a foreign woman and two-thirds had had sexual intercourse with foreign women in the previous 12 months. Participants' age, education status, age of first sex, smoking and drinking habits and English proficiency were significant predictors of having sex with foreign women.About 60% reported condom use during their most recent occasion of extra-martial sex. A similar proportion had used a condom during last sexual intercourse with a foreign woman. The likelihood of condom use was associated with a guide's age, educational level, ethnicity, age of first sex and work experience. Most trekking guides reported sexual relations with foreign women as well as irregular use of condoms. Although sexual health knowledge about among trekking guides is high, some misconceptions still result in unsafe sex. Hence there is an urgent need to revise the existing training for trekking guides and implement appropriate health promotion programmes.

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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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HIV risk among Australian men travelling overseas: networks and context matter

Cited by 18 publications

References 16 publications

‘Living a life less ordinary’: exploring the experiences of Australian men who have acquired HIV overseas

‘Living a life less ordinary’: exploring the experiences of Australian men who have acquired HIV overseas

Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge And Sexual Behaviour

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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