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Revisiting safe sex
 

Revisiting safe sex

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Yves Calmette (ACON) talks about the development of a risk reduction campaign for gay men that includes an online 'risk calculator'. This presentation was given at the AFAO/NAPWA Gay Men's HIV Health ...

Yves Calmette (ACON) talks about the development of a risk reduction campaign for gay men that includes an online 'risk calculator'. This presentation was given at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.

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    Revisiting safe sex Revisiting safe sex Presentation Transcript

    • REVISITING SAFE SEX Yves Calmette
    • Background and objectives
    • Background It is very timely to revisit safe sex and risk reduction with the aim of building and updating theknowledge, skills and ability of gay men to make informed sexual decision making choices.
    • Background
    • Background
    • Background
    • Background
    • Main objectivesTo ensure that men gain a greater awareness of• HIV transmission,•The risks associated with non-condom based risk reductistrategies and various sexual acts,•How, why and whether risk reduction strategies work, anto what degree.…While reinforcing the role of condoms as the cornerstone ofgay men’s HIV prevention and the most assured protectionagainst HIV transmission.
    • Secondary objectives• Encourage all gay men to engage in regular HIV/STI testing.• Educate - and encourage communication - about HIV status/viral load amongst partners.
    • Communication strategy
    • Communication strategy• To acknowledge that men use non-condom based RRS and that the choices gay men make are ultimately up to them.• To reinforce condom use as the primary RRS.• To direct gay men to tailored information on a dedicated website about the level of risk involved in what they do, via a series of print posters and web banners.
    • CreativePrint executions
    • CreativeWeb banners
    • CreativeWebsite
    • Lessons learnt
    • Evaluation and review•Clinically reviewed • by Dr Chris Bourne, SSHC•Pre evaluation • External evaluation • 6 focus groups of gay men • HIV-, HIV+, Sydney, Regions, Older, Younger
    • Contingency planBriefing sessions•ACON staff • 5 sessions•External stakeholders • Media • ASHM • SOPVs • Key community partners: Bears, SLPA, Convicts…
    • • Is ACON saying that gay men no longer need to use condoms? Q&A• Could this campaign increase HIV transmission by encouraging gay men to stop using condoms?• Isn’t this campaign encouraging unsafe and risky sexual practices?• Given the success of ACON’s condom reinforcement campaign in stabilising HIV transmission in NSW, why change the message now?• The campaign states that the success of risk reduction strategies is dependent on knowing the HIV status of one’s sexual partner/s. If a person tells you they’re HIV-negative, how can you certain that they are?• The campaign states that the success of risk reduction strategies is dependent on sexual partners with HIV having an undetectable viral load (UDVL). Given that viral load is different in blood, semen and anal mucus, how is it possible to be certain about a sexual partner’s viral load when the only commonly available measure of it is via blood samples? Does UDVL in the blood also lower (generally speaking) your VL in other body fluids• What about blips in VL in between the 3 month period• Q Is ACON saying it’s OK to get HIV or that HIV is no longer a big deal?• What about status unknown ! will there be information on how certain activities and length of time since last test might mean they are now positive ?• What about the fact that different treatments have varying impact on levels of detectable VL in different fluids• What about reinfection, New information from CROI• Will this campaign increases the rates of STI’s. Is this message the same for STI’s
    • Launch date: June 4
    • Acknowledgement•Geoff Honnor, ACON•Dermot Ryan, ACON•Tony Tang, ACON
    • Thank Youycalmette@acon.org.au