Trends in HIV prevalence among homosexual and bisexual men in eastern Australian states

Sexual Health ◽  
2008 ◽  
Vol 5 (2) ◽  
pp. 103 ◽  
Author(s):  
Garrett Prestage ◽  
Fengyi Jin ◽  
Iryna Zablotska ◽  
John Imrie ◽  
John M. Kaldor ◽  
...  
Keyword(s):  
Hiv Prevalence ◽  
Homosexual Men ◽  
Bisexual Men ◽  
Cross Sectional ◽  
Eastern State ◽  
Gay Community ◽  
South Wales ◽  
Marked Decline ◽  
And Bisexual ◽  
Small Decline

Objectives: In Australia, HIV notification rates in homosexual men, previously much higher in New South Wales, have become similar across the eastern states. We examined whether trends in HIV prevalence in community-based samples of homosexual men were consistent with the trends in HIV notifications. Methods: We examined data on self-reported HIV status from annual cross-sectional, self-completed anonymous surveys of homosexual men conducted between 1998 and 2006 in Sydney, Melbourne and Brisbane. Men were recruited at gay community venues, clinics and large gay community events. We calculated age-specific and age-standardised HIV prevalence rates. Comparisons of HIV prevalence between the three cities and across time were carried out using age-specific rates, and using logistic regression, controlling for age. Results: Men recruited from clinics had a much higher prevalence of HIV (P < 0.001) and were excluded from further analyses. Among the 50 239 completed questionnaires obtained at non-clinic sites, there was a marked decline in aged-standardised HIV prevalence in Sydney (from 14.2 to 8.98%, P < 0.001), a small decline in Brisbane (from 8.51 to 6.94%, P = 0.012) and no change in Melbourne (from 8.35 to 8.06%, P = 0.848). There were significant declines in men aged less than 50 years in Sydney, and in men aged less than 30 years in Brisbane. In Melbourne there was no significant trend in HIV at any age. Conclusion: HIV prevalence among young homosexual men has declined in Sydney, and these data suggest that HIV incidence among homosexual men is now similar in the eastern state capitals of Australia.

Homosexual men in Australia: population, distributionand HIV prevalence

Sexual Health ◽  
2008 ◽  
Vol 5 (2) ◽  
pp. 97 ◽  
Author(s):  
Garrett Prestage ◽  
Jason Ferris ◽  
Jeffrey Grierson ◽  
Rachel Thorpe ◽  
Iryna Zablotska ◽  
...  
Keyword(s):  
New South ◽  
Population Based ◽  
Hiv Prevalence ◽  
Hiv And Aids ◽  
Estimation Methods ◽  
Homosexual Men ◽  
Bisexual Men ◽  
Gay Community ◽  
South Wales ◽  
And Bisexual

Objectives: To assess the size, distribution and changes in the population of homosexual and bisexual men in Australia, and the capacity of available measures to make this estimation. Methods: We used data from five sources: the Australian Study of Health and Relationships, the Gay Community Periodic Surveys, HIV Futures, the Health in Men cohort study, the Australian National HIV and AIDS Registries and the Australian Household Census. Results: We estimated that in 2001 there were ~74 000 homosexual and bisexual men in New South Wales (NSW), ~42 000 in Victoria and ~37 000 in Queensland. There was, however, some discrepancy between datasets in the estimates of the overall proportions and distribution of homosexual and bisexual men across states. We also estimated HIV prevalence rates among homosexual and bisexual men in 2001 at ~8% in NSW, 5% in Victoria and 4% in Queensland. There were insufficient data to estimate whether the state-specific populations of homosexual men were changing with time. Conclusion: 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.

Trends in HIV testing among homosexual and bisexual men in eastern Australian states

Sexual Health ◽  
2008 ◽  
Vol 5 (2) ◽  
pp. 119 ◽  
Author(s):  
Garrett Prestage ◽  
Fengyi Jin ◽  
Iryna B. Zablotska ◽  
John Imrie ◽  
Andrew E. Grulich ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Online Survey ◽  
Homosexual Men ◽  
Bisexual Men ◽  
Cross Sectional ◽  
Health And Wellbeing ◽  
Gay Community ◽  
Private Lives ◽  
Eastern Australia ◽  
And Bisexual

Objectives: We examined whether trends in HIV testing in community-based samples of homosexual men may account for the convergence in HIV notification rates in homosexual men across the eastern states of Australia. Methods: We examined data on self-reported HIV testing from annual cross-sectional, self-completed anonymous surveys of homosexual men conducted between 1998 and 2006 in Sydney, Melbourne and Brisbane. Men were recruited at gay community venues and events. Comparisons of HIV testing between the three cities and across time were carried out. We also compared reported rates of HIV testing across states in Private Lives, the 2005 online survey of health and wellbeing among non-heterosexual people. Results: Men recruited from clinics had a much higher prevalence of HIV testing and were excluded from further analyses. Among the 48 263 completed questionnaires obtained in non-clinic sites, there was a marked decline in the proportion of men who had never been tested for HIV in Sydney (from 8.1 to 5.1%, P trend < 0.001) and Brisbane (from 11.8 to 7.9%, P trend = 0.002) but no change in Melbourne. This proportion of men who had never been tested was lower in Sydney than in either Melbourne or Brisbane (P < 0.001). There were increases in the proportion of non-HIV-positive men who had been tested for HIV in the previous year across all three cities, although the proportion in Melbourne was lower than in the other two cities. Conclusion: These data suggest that changes in HIV testing rates among homosexual men are insufficient to account for the recent differences in trends in HIV notifications in eastern Australia.

Estimating population distribution and HIV prevalence among homosexual and bisexual men

Sexual Health ◽  
2006 ◽  
Vol 3 (1) ◽  
pp. 37 ◽  
Author(s):  
Daniel Madeddu ◽  
Andrew Grulich ◽  
Juliet Richters ◽  
Jason Ferris ◽  
Jeffrey Grierson ◽  
...  
Keyword(s):  
Population Distribution ◽  
Hiv Prevalence ◽  
Bisexual Men ◽  
Australian Study ◽  
Same Sex ◽  
Male Population ◽  
Sex Attraction ◽  
Gay Community ◽  
Gay Communities ◽  
And Bisexual

Objectives: To estimate the extent of the homosexual and bisexual male population in inner Sydney and HIV prevalence within this population. Methods: Data from the 2000/2001 Sydney Gay Community Periodic Survey (SGCPS) and the Australian Study of Health and Relationships were used. Results: A re-analysis of responses from men in some inner east and inner west postcode areas of Sydney indicated that: the proportion of men who identified as homosexual or bisexual ranged from 4.4% to 48.1%; from 9.8% to 51.5% of men reported same-sex experiences during their lifetime; and 12.9% to 52.8% of men had ever experienced feelings of same-sex attraction. HIV prevalence among respondents to the SGCPS in these same areas varied from 9.1% to 21.3%. Conclusion: These findings indicate elevated proportions of men with same-sex identity, experience or attraction living in these inner Sydney locations compared with other geographic areas and illustrate how gay communities cluster.

scholarly journals Exploring the role of sex-seeking apps and websites in the social and sexual lives of gay, bisexual and other men who have sex with men: a cross-sectional study

Sexual Health ◽  
2017 ◽  
Vol 14 (3) ◽  
pp. 229 ◽  
Author(s):  
Kiffer G. Card ◽  
Nathan J. Lachowsky ◽  
Zishan Cui ◽  
Susan Shurgold ◽  
Maya Gislason ◽  
...  
Keyword(s):  
Sensation Seeking ◽  
Gay And Bisexual Men ◽  
Cross Sectional Study ◽  
Bisexual Men ◽  
Cross Sectional ◽  
Social Interventions ◽  
Gay Community ◽  
Social Time ◽  
And Bisexual ◽  
Sex With Men

Background The objective of this study was to explore the relationship between online sex-seeking, community/social attachment and sexual behaviour. Methods: Respondent-driven sampling was used to recruit 774 sexually active gay and bisexual men in Vancouver, Canada, aged ≥16 years. Multivariable logistic regression compared men who had used online sex-seeking apps/websites in the past 6 months (n = 586) with those who did not (n = 188). Results: Multivariable results showed that online sex seekers were more likely to be younger [adjusted odds ratio (aOR) = 0.95, 95% CI: (0.93–0.96)], college educated [aOR = 1.60, 95% CI: (1.07, 2.40)], have more Facebook friends [aOR = 1.07, 95% CI: (1.01, 1.13)], spend more social time with other gay men [aOR = 1.99, 95% CI: (1.33–2.97)], and were less likely to identify emotionally with the gay community [aOR = 0.93, 95% CI: (0.86–1.00)]. Further, they had displayed high sensation-seeking behaviour [aOR = 1.08, 95% CI: (1.03–1.13)], were more likely to engage in serodiscordant/unknown condomless anal sex [aOR = 2.34, 95% CI: (1.50–3.66)], use strategic positioning [aOR = 1.72, 95% CI: (1.08–2.74)], ask their partner’s HIV-status prior to sex [aOR = 2.06, 95% CI: (1.27–3.37)], and have ever been tested for HIV [aOR = 4.11, 95% CI: (2.04–8.29)]. Conclusion: These findings highlight the online and offline social behaviour exhibited by gay and bisexual men, pressing the need for pro-social interventions to promote safe-sex norms online. We conclude that both Internet and community-based prevention will help reach app/web users.

Australian gay and bisexual men’s online preferences about sex with HIV-positive partners

Sexual Health ◽  
2017 ◽  
Vol 14 (3) ◽  
pp. 221 ◽  
Author(s):  
Garrett Prestage ◽  
Benjamin Bavinton ◽  
Denton Callander ◽  
Steven P. Philpot ◽  
Iryna Zablotska ◽  
...  
Keyword(s):  
Safer Sex ◽  
Gay And Bisexual Men ◽  
Hiv Positive ◽  
Bisexual Men ◽  
Sex Partners ◽  
Hiv Status ◽  
Capital Cities ◽  
Gay Community ◽  
And Bisexual ◽  
Hiv Positive Men

Background Among gay and bisexual men (GBM), ‘serosorting’ is common and involves restricting sex, or at least condomless sex, to partners of the same HIV status. The prevalence of men conveying their serosorting preferences regarding partners they meet online remains unclear. Methods: This study reviewed 57 178 Australian online profiles obtained directly from a popular gay website. Logistic regression was used to identify factors associated with preferences for meeting HIV-positive partners. Results: Men could indicate their preferences from a list of 22 types of partners; 4358 profiles (7.6%) indicated an interest in meeting HIV-positive men. There were 1959 profiles (3.4%) listing a preference for 21 of the 22 types of men, including 1498 men (2.6%) that specifically excluded HIV-positive men. Men who specifically excluded HIV-positive men on their profiles were younger (mean age 34.7 years), less likely to identify as gay (25.6%) and more likely to always prefer ‘safer sex’ (55.3%) than those who specifically included them (mean age 39.6 years; 62.8% gay-identified; 30.9% preferred safer sex; P < 0.001). Men who specifically excluded HIV-positive partners on their profiles were also more likely to live outside major capital cities (P < 0.001). Conclusions: Being younger, living outside major cities, not identifying as gay, always preferring safer sex and either Caucasian or Asian background were associated with excluding HIV-positive men as potential sex partners. These factors may reflect lower social and community engagement with the gay community. The disinclination to include HIV-positive men as potential sex partners may be due to fear of infection, stigma or poor information about HIV.

Methamphetamine use among gay and bisexual men in Australia: Trends in recent and regular use from the Gay Community Periodic Surveys

2016 ◽  
Vol 29 ◽  
pp. 66-72 ◽  
Author(s):  
Toby Lea ◽  
Limin Mao ◽  
Max Hopwood ◽  
Garrett Prestage ◽  
Iryna Zablotska ◽  
...  
Keyword(s):  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
Methamphetamine Use ◽  
Gay Community ◽  
And Bisexual

scholarly journals Multi-Dimensional Factors Associated with Illegal Substance Use Among Gay and Bisexual Men in Taiwan

2019 ◽  
Vol 16 (22) ◽  
pp. 4476 ◽  
Author(s):  
Dian-Jeng Li ◽  
Shiou-Lan Chen ◽  
Cheng-Fang Yen
Keyword(s):  
Substance Use ◽  
Logistic Regression ◽  
Early Adulthood ◽  
Gay And Bisexual Men ◽  
Stepwise Logistic Regression ◽  
Childhood And Adolescence ◽  
Bisexual Men ◽  
Cross Sectional ◽  
Factors Associated ◽  
And Bisexual

Illegal substance use in sexual minorities is an important health issue worldwide. The present cross-sectional study aimed to investigate the multi-dimensional factors associated with illegal substance use among gay and bisexual men in Taiwan. This questionnaire-survey study recruited 500 gay or bisexual men aged between 20 and 25 years. Their experiences of using eight kinds of illegal substances in the preceding month were collected. Their previous experiences of homophobic bullying, satisfaction with academic performance, truancy, perceived family and peer support in childhood and adolescence, and social-demographic characteristics, were also collected. Potential factors associated with illegal substance use were identified using univariate logistic regression, and further selected into a forward stepwise logistic regression model to identify the factors most significantly related to illegal substance use. A total of 22 (4.4%) participants reported illegal substance use in the preceding month, and mean age was 22.9 ± 1.6. Forward stepwise logistic regression revealed that being victims of homophobic cyberbullying in childhood and adolescence (odds ratio (OR) = 1.26; p = 0.011), disclosure of sexual orientation at junior high school (OR = 4.67; p = 0.001), and missing classes or truancy in senior high school (OR = 2.52; p = 0.041) were significantly associated with illegal substance use in early adulthood. Multi-dimensional factors in childhood and adolescence that were significantly associated with illegal substance use in early adulthood among gay and bisexual men were identified. Besides traditional bullying, the effect of cyberbullying and school performance on illegal substance use should not be ignored. This study is limited to the cross-sectional design and possible recall bias. Mental health professionals must routinely assess these significant factors to prevent and intervene in illegal substance use among gay and bisexual men.

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