Understanding the Targeting and Uptake of HIV Testing Among Gay and Bisexual Men Attending Sexual Health Clinics

We assessed trends in HIV testing outcomes during a period of clinic-based initiatives introduced to increase HIV testing among gay and bisexual men (GBM) attending sexual health clinics (SHCs) in New South Wales (NSW). A cohort of 25,487 HIV-negative GBM attending 32 SHCs in NSW (2009–2015) was cla...

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Bibliographic Details
Published in:AIDS and behavior 2018-02, Vol.22 (2), p.513-521
Main Authors: Jamil, Muhammad S., McManus, Hamish, Callander, Denton, Prestage, Garrett, Ali, Hammad, O’Connor, Catherine C., Chen, Marcus, McNulty, Anna M., Knight, Vickie, Duck, Tim, Keen, Phillip, Gray, James, Medland, Nick, Hellard, Margaret, Lewis, David A., Grulich, Andrew E., Kaldor, John M., Fairley, Christopher K., Donovan, Basil, Guy, Rebecca J.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
AIDS
AIDS Serodiagnosis - methods
Ambulatory Care Facilities
Bisexuality
Bisexuality - psychology
Clients
Gays & lesbians
Health problems
Health Psychology
Health risks
HIV
HIV Infections - diagnosis
Homosexuality
Homosexuality, Male - psychology
Human immunodeficiency virus
Humans
Infectious Diseases
Male
Mass Screening - trends
Medical tests
Medicine
Medicine & Public Health
Men
Mens health
New South Wales
Original Paper
Poisson density functions
Public Health
Risk
Sexual behavior
Sexual Health
Sexually transmitted diseases
Statistical analysis
STD
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Summary:We assessed trends in HIV testing outcomes during a period of clinic-based initiatives introduced to increase HIV testing among gay and bisexual men (GBM) attending sexual health clinics (SHCs) in New South Wales (NSW). A cohort of 25,487 HIV-negative GBM attending 32 SHCs in NSW (2009–2015) was classified into six sub-groups each year based on client-type (new/existing), risk-status (low/high-risk), and any recent HIV testing. Poisson regression methods were used to assess HIV testing outcomes in sub-groups of GBM. HIV testing outcomes and the sub-groups with greatest statistically significant annual increases were: individuals attending (26% in high-risk existing clients with recent testing); testing uptake (4% in low-risk existing clients with no recent testing); testing frequency (6% in low-risk existing clients with no recent testing and 5% in high-risk existing clients with recent testing); and total tests (31% in high-risk existing clients with recent testing). High-risk existing clients with recent testing had a 13% annual increase in the proportional contribution to total tests. Our findings show improved targeting of testing to high-risk GBM at NSW SHCs. The clinic-based initiatives should be considered for translation to other similar settings.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-017-2012-2