Homosexual men in Australia: population, distributionand HIV prevalence

Prestage, Garrett; Ferris, Jason; Grierson, Jeffrey; Thorpe, Rachel; Zablotska, Iryna; Imrie, John; Smith, Anthony M. A.; Grulich, Andrew E.

doi:10.1071/sh07080

Cited by 78 publications

(56 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The survey sample was a crosssectional, opportunity sample recruited online. It is difficult to assess the representativeness of the sample as there are no reliable population estimates of gay and bisexual men in Australia [31]. However, the profile of the sample we recruited was similar to that in previous national studies of MSM that used both online and offline recruitment methods [8,19].…”

Section: Discussionmentioning

confidence: 93%

HIV Testing, Gay Community Involvement and Internet USE: Social and Behavioural Correlates of HIV Testing Among Australian Men Who have Sex with Men

et al. 2011

View full text Add to dashboard Cite

A significant minority of Australian men who have sex with men (MSM) have never been tested for HIV and many men do not test as often as recommended. Using data from 1770 HIV-negative and untested MSM collected in a national, online survey, we compared men who had never tested for HIV with those who had tested over 12 months ago and men who had tested over 12 months ago with those that had tested in the past year. Two multivariate logistic regression models were constructed. Compared with men tested over 12 months ago, untested men were younger, less educated, less likely to have unprotected anal intercourse with a regular male partner, less likely to have sought advice from a doctor, nurse or community organisation, more likely to expect HIV-negative disclosure, had fewer gay friends and spent more time using social networking websites. Compared with men who had tested over 12 months ago, men who had tested within the last year were younger, more likely to expect HIV-negative disclosure and disclose to casual partners, more likely to have sought advice from a doctor or nurse, had attended gay pools, gyms or beaches and had more gay friends and more male sex partners. Our findings suggest that the Internet and sex education in schools are important ways to promote HIV testing to untested MSM. Testing reinforcement messages delivered through gay community outreach and primary care will reach previously tested MSM.

show abstract

Section: Discussionmentioning

confidence: 93%

HIV Testing, Gay Community Involvement and Internet USE: Social and Behavioural Correlates of HIV Testing Among Australian Men Who have Sex with Men

et al. 2011

View full text Add to dashboard Cite

show abstract

“…We cannot be conclusive about the representativeness of the sample, particularly given that the population parameters of gay men in Australia remain unknown due to a lack of census data [48]. That said, almost all Australian men aged 18-39 years have Internet access at home [49].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Correlates of Sexual Partner Concurrency Among Australian Gay Men Aged 18–39 Years

Lyons

Hosking

2013

AIDS Behav

View full text Add to dashboard Cite

Mathematical models predict higher rates of HIV and sexually transmitted infections (STIs) in populations with higher rates of concurrent sexual partnerships. Although gay men and other men who have sex with men (MSM) have disproportionately high rates of HIV/STIs, little is known about the prevalence and correlates of sexual concurrency in these populations. This paper reports findings from a national community-based survey of 1,034Australian gay-identified men aged 18-39 years, who gave detailed information about their sexual partners over the past 12 months. In all, 237 (23%) reported two or more concurrent sexual partners. For their most recent period of concurrency, 44% reported three or more partners and 66% reported unprotected sex with one or more of their partners. A multivariate logistic regression found sexual concurrency was significantly more likely among men on higher incomes (P=0.02), who first had anal sex at a relatively young age (P=0.03), and who reported a large number of partners in the past 12 months (P<0.001). Age, education, HIV status, and other sociodemographic and sexual behavior variables were not significant correlates. However, men who reported sexual concurrency were significantly more likely to have been diagnosed with an STI in the past 12 months (P=0.04). Findings from this study suggest sexual concurrency is common among younger Australian gay men. With many of these men not always using condoms, health agencies should consider the potential impact of concurrency on HIV/STI epidemics among gay men and other MSM. KeywordsSexual concurrency; concurrent sexual partnerships; gay men; men who have sex with men;HIV; sexually transmitted infections 3

show abstract

“…There has been considerable movement of HIV-infected individuals within Australia. 22 Hence comparisons based on estimates of numbers of HIV-infected persons diagnosed in individual states can be very inaccurate.…”

Section: Discussionmentioning

confidence: 99%

“…7 Numbers of deaths following AIDS among homosexual men, also listed under the above exposure categories, were obtained from the NHAR. The number of MSM living with HIV was then estimated from the diagnoses progressing with age, minus individuals in each group dying following AIDS, and also subject to natural annual mortality rates for males in the general community in each age group (m [15][16][17][18][19] , m [20][21][22][23][24] . .…”

Section: Methodsmentioning

confidence: 99%

Increasing HIV diagnoses in Australia among men who have sex with men correlated with the growing number not taking antiretroviral therapy

et al. 2011

Self Cite

View full text Add to dashboard Cite

Abstract. Background: Australia has experienced rising notifications of HIV diagnoses despite widely available combination antiretroviral therapy (CART). New HIV diagnoses have also been younger than the average age of those living with HIV. We investigated the degree to which several risk factors could explain this rise in notifications and the younger age profile. Methods: Numbers and ages of men who have sex with men (MSM) living with HIV in Australia from 1983 to 2007 were calculated from notifications of HIV diagnoses and deaths. We compared the trend over time as well as the average ages of MSM newly diagnosed with HIV infection from 1998 to 2007 with those for: notifications of gonorrhoea and syphilis, total MSM living with HIV infection, and the component not on CART. Results: The percentage of younger MSM not taking CART has increased since 1998 (aged <30 years P < 0.001; 30-39 years P = 0.004). The trend of new HIV diagnoses was most significantly correlated with the total number of MSM living with HIV infection and the sector not taking CART (P < 0.0001). Based on similarity of average ages, MSM living with HIV infection and not taking CART was the best predictor of the increasing trend in new HIV diagnoses (99.9999% probability, Akaike information criterion). Conclusions: Our analyses suggest MSM living with HIV infection and not taking CART could be the source of the increase in HIV infections. Consequently, greater CART enrolment should decrease HIV incidence, especially in younger MSM.

show abstract

Homosexual men in Australia: population, distributionand HIV prevalence

Abstract: There are ~75% more homosexual and bisexual men in NSW than in Victoria and about twice as many as in Queensland. There are about two-thirds as many HIV-positive men in NSW as in Victoria and Queensland combined. Improved collection of population-based data on homosexuality are required.

Cited by 78 publications

References 5 publications

HIV Testing, Gay Community Involvement and Internet USE: Social and Behavioural Correlates of HIV Testing Among Australian Men Who have Sex with Men

HIV Testing, Gay Community Involvement and Internet USE: Social and Behavioural Correlates of HIV Testing Among Australian Men Who have Sex with Men

Prevalence and Correlates of Sexual Partner Concurrency Among Australian Gay Men Aged 18–39 Years

Increasing HIV diagnoses in Australia among men who have sex with men correlated with the growing number not taking antiretroviral therapy

Contact Info

Product

Resources

About