Publication:
Rates of condom and non-condom-based anal intercourse practices among homosexually active men in Australia: deliberate HIV risk reduction?
Rates of condom and non-condom-based anal intercourse practices among homosexually active men in Australia: deliberate HIV risk reduction?
dc.contributor.author | Mao, Limin | en_US |
dc.contributor.author | Kippax, Susan | en_US |
dc.contributor.author | Holt, Martin | en_US |
dc.contributor.author | Prestage, Garrett | en_US |
dc.contributor.author | Zablotska, Iryna | en_US |
dc.contributor.author | de Wit, John | en_US |
dc.date.accessioned | 2021-11-25T12:24:23Z | |
dc.date.available | 2021-11-25T12:24:23Z | |
dc.date.issued | 2011 | en_US |
dc.description.abstract | Objective Three decades into the HIV epidemic and with the advancement of HIV treatments, condom and non-condom-based anal intercourse among gay men in resource-rich countries needs to be re-assessed. Methods The proportions of men engaging in a range of anal intercourse practices were estimated from the ongoing cross-sectional Gay Community Periodic Surveys in six states in Australia from 2007 to 2009. Comparisons were made between HIV-negative men, HIV-positive men with an undetectable viral load and those with a detectable viral load. Results Condoms play a key role in gay men's anal intercourse practices: 33.8% of HIV-negative men, 25.1% of HIV-positive men with an undetectable viral load and 22.5% of those with a detectable viral load reported consistent condom use with all male partners in the 6 months before the survey. Among HIV-negative men, the second largest group were men who had unprotected anal intercourse (UAI) only in the context of HIV-negative seroconcordant regular relationships. Among HIV-positive men, the second largest group was men who had UAI in casual encounters preceded by HIV status disclosure to some, but not all, casual partners. Conclusions A minority, yet sizeable proportion, of men consistently engaged in a number of UAI practices in specific contexts, suggesting they have adopted deliberate HIV risk-reduction strategies. While it is important that HIV behavioural prevention continues to reinforce condom use, it needs to address both the challenges and opportunities of the substantial uptake of non-condom-based risk-reduction strategies. | en_US |
dc.identifier.issn | 1472-3263 | en_US |
dc.identifier.uri | http://hdl.handle.net/1959.4/51714 | |
dc.language | English | |
dc.language.iso | EN | en_US |
dc.rights | CC BY-NC-ND 3.0 | en_US |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/3.0/au/ | en_US |
dc.source | Legacy MARC | en_US |
dc.subject.other | HIV prevention | en_US |
dc.subject.other | Gay men | en_US |
dc.subject.other | Australia | en_US |
dc.subject.other | HIV status | en_US |
dc.subject.other | Risk reduction practices | en_US |
dc.subject.other | Condom use | en_US |
dc.subject.other | HIV disclosure | en_US |
dc.title | Rates of condom and non-condom-based anal intercourse practices among homosexually active men in Australia: deliberate HIV risk reduction? | en_US |
dc.type | Journal Article | en |
dcterms.accessRights | metadata only access | |
dspace.entity.type | Publication | en_US |
unsw.accessRights.uri | http://purl.org/coar/access_right/c_14cb | |
unsw.identifier.doiPublisher | http://dx.doi.org/doi:10.1136/sextrans-2011-050041 | en_US |
unsw.relation.faculty | Arts Design & Architecture | |
unsw.relation.faculty | Medicine & Health | |
unsw.relation.ispartofjournal | Sexually Transmitted Infections | en_US |
unsw.relation.ispartofpagefrompageto | 489-493 | en_US |
unsw.relation.ispartofvolume | 87 | en_US |
unsw.relation.originalPublicationAffiliation | Mao, Limin, National Centre in HIV Social Research, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Kippax, Susan, Social Policy Research Centre, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Holt, Martin, National Centre in HIV Social Research, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Prestage, Garrett, Kirby Institute, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Zablotska, Iryna, Garvan Institute of Medical Research, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | de Wit, John, National Centre in HIV Social Research, UNSW | en_US |
unsw.relation.school | Centre for Social Research in Health | * |
unsw.relation.school | Social Policy Research Centre | * |
unsw.relation.school | The Kirby Institute | * |
unsw.relation.school | Garvan Institute | * |
unsw.subject.fieldofresearchcode | 111799 Public Health and Health Services not elsewhere classified | en_US |
unsw.subject.fieldofresearchcode | 111712 Health Promotion | en_US |
unsw.subject.fieldofresearchcode | 200205 Culture, Gender, Sexuality | en_US |
unsw.subject.fieldofresearchcode | 160512 Social Policy | en_US |