Barriers to HIV testing among Australian gay men

Objective To investigate the barriers to HIV testing among Australian gay men. Methods: An online survey was conducted to explore reasons for avoiding and delaying testing for HIV; 519 non-HIV-positive men completed the online survey. Results: Most non-HIV-positive men (92.9%) had been tested for HI...

Full description

Bibliographic Details
Main Authors: Prestage, G., Brown, Graham, Keen, P.
Format: Journal Article
Published: 2012
Online Access:http://hdl.handle.net/20.500.11937/13455
_version_ 1848748351916343296
author Prestage, G.
Brown, Graham
Keen, P.
author_facet Prestage, G.
Brown, Graham
Keen, P.
author_sort Prestage, G.
building Curtin Institutional Repository
collection Online Access
description Objective To investigate the barriers to HIV testing among Australian gay men. Methods: An online survey was conducted to explore reasons for avoiding and delaying testing for HIV; 519 non-HIV-positive men completed the online survey. Results: Most non-HIV-positive men (92.9%) had been tested for HIV, with 75.4% indicating they had been tested in the previous year. The most common reasons for avoiding or delaying testing were a belief that they had not done anything risky (41.2%) and the need to return for a second clinic visit to receive results (40.3%). Among men who engaged in unprotected anal intercourse with casual partners (UAIC), those who had not been recently tested were more likely to cite the lack of any symptoms as reasons for not having tested (adjusted odds ratio: 2.34; 95% confidence interval: 1.035.31; P=0.041). Conclusions: For men who do not engage in risky sex, the decision not to test is probably reasonable, but those who engage in noncondom-based risk reduction may be at some increased risk and should be encouraged to test relatively often. Changes to Australia's national HIV testing policy may ameliorate some of the need to return for second clinic visits to receive results, but the policy still requires full implementation, including the introduction of rapid point-of-care HIV testing to Australia. Among men who engage in UAIC, there appears to be a particular need for information about the benefits of early treatment after HIV diagnosis and about the relative likelihood of experiencing HIV seroconversion illness. © 2012 CSIRO.
first_indexed 2025-11-14T07:03:40Z
format Journal Article
id curtin-20.500.11937-13455
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T07:03:40Z
publishDate 2012
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-134552017-09-13T15:00:25Z Barriers to HIV testing among Australian gay men Prestage, G. Brown, Graham Keen, P. Objective To investigate the barriers to HIV testing among Australian gay men. Methods: An online survey was conducted to explore reasons for avoiding and delaying testing for HIV; 519 non-HIV-positive men completed the online survey. Results: Most non-HIV-positive men (92.9%) had been tested for HIV, with 75.4% indicating they had been tested in the previous year. The most common reasons for avoiding or delaying testing were a belief that they had not done anything risky (41.2%) and the need to return for a second clinic visit to receive results (40.3%). Among men who engaged in unprotected anal intercourse with casual partners (UAIC), those who had not been recently tested were more likely to cite the lack of any symptoms as reasons for not having tested (adjusted odds ratio: 2.34; 95% confidence interval: 1.035.31; P=0.041). Conclusions: For men who do not engage in risky sex, the decision not to test is probably reasonable, but those who engage in noncondom-based risk reduction may be at some increased risk and should be encouraged to test relatively often. Changes to Australia's national HIV testing policy may ameliorate some of the need to return for second clinic visits to receive results, but the policy still requires full implementation, including the introduction of rapid point-of-care HIV testing to Australia. Among men who engage in UAIC, there appears to be a particular need for information about the benefits of early treatment after HIV diagnosis and about the relative likelihood of experiencing HIV seroconversion illness. © 2012 CSIRO. 2012 Journal Article http://hdl.handle.net/20.500.11937/13455 10.1071/SH12033 restricted
spellingShingle Prestage, G.
Brown, Graham
Keen, P.
Barriers to HIV testing among Australian gay men
title Barriers to HIV testing among Australian gay men
title_full Barriers to HIV testing among Australian gay men
title_fullStr Barriers to HIV testing among Australian gay men
title_full_unstemmed Barriers to HIV testing among Australian gay men
title_short Barriers to HIV testing among Australian gay men
title_sort barriers to hiv testing among australian gay men
url http://hdl.handle.net/20.500.11937/13455