Time Trends In HIV and STI Testing

STI & HIV testing among MSM Iryna Zablotska

Methods
Data source: Gay Community Periodic Surveys
Samples: Men recruited at community events and social or sex venues (excluding sexual health clinics)
HIV testing: available in all surveys
STI testing: 2003 – 2007
Frequency of STI testing: 2005-2007

Proportion of men who have never been tested for HIV Note: Total samples excluding men from sexual health clinics

Serostatus of all men excluding those recruited in sexual health clinics VIC QLD NSW

Knowledge of viral load among HIV-positive respondents VIC QLD NSW

Proportion of non HIV-positive men who have been tested for HIV in the last year & last 6 mo Notes: Total samples excluding men from sexual health clinics (all states) Among those men who had not been tested, - about 20% reported no sex partners - about 25% had one partner and - the rest had 2 or more sex partners

STI testing (last 12 months) VIC QLD NSW

Frequency of STI testing in the past 12 mo: SGCPS Anal swabs Throat swabs Penile swabs

Frequency of STI testing in the past 12 mo: Melbourne GCPS Anal swabs Throat swabs Penile swabs

Frequency of STI testing in the past 12 mo: Qld GCPS Anal swabs Throat swabs Penile swabs

STI testing by serostatus: Sydney GCPS HIV positive men HIV negative and status unknown men

STI testing by serostatus: Melbourne GCPS HIV positive men HIV negative and status unknown men

STI testing by serostatus: Qld GCPS HIV positive men HIV negative and status unknown men

STI testing among HIV positive men, by the use of combination ART: Sydney GCPS

Sexual health testing rates among men who had and did not have HIV test in past 12 months Note: Men from sexual health clinics were excluded from the analyses Men who had HIV test in past 12 months Men who did not have HIV test in past 12 months

HIV testing rates among men who had and did not have any STI test in past 12 months Note: Men from sexual health clinics were excluded from the analyses Men who had at least one STI test Men who did not have any STI test in past 12 months in past 12 months

Factors associated with STI testing: all men, SGCPS, 2007

Factors associated with viral load

Summary
Improvement in HIV testing
Increased comprehensiveness and frequency of STI testing (individual tests), but not the overall proportion of men who have been tested for STI other than HIV
Areas which still need to be addressed:
Some men are still not being tested for HIV and other STI
Some are tested for one but not for the other
More HIV- positive men are still being tested compared with HIV-negative/UK serostatus men
Testing behaviours are associated with risk taking

Time Trends In HIV and STI Testing

by Australian Federation of AIDS Organisations

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