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Gay men: personal, community and health services barriers to sexual health testing


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Brett Stevens (QAHC) discusses a trial of incentive based promotion within Sex On Premises Venue’s (SOPV’s) in Queensland. This presentation was given at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.

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Gay men: personal, community and health services barriers to sexual health testing

  1. 1. Gay men: personal, community and health services barriers to sexual health testing A trial of incentive based promotion within Sex On Premises Venue’s (SOPV’s) 1
  2. 2. OverviewSOPV’s in QueenslandSOPV Testing ProjectResultsCurrent ResearchWhere to from here 2
  3. 3. SOPV Clinic’s in QueenslandSOPV Outreach Clinics commenced early 90’s2 x Venues (2hrs p/w) - Bodyline & Wet Spa &SaunaConsultations – av.143 per yearOutreach Clinics cease in 2011 3
  4. 4. SOPV’s in QueenslandSOPV Testing Project formed partially inresponse to closure of Outreach ClinicsSustained increase in syphilis & newlydiagnosed HIV infections in Qld (2010)Reported increase in men who had nevertested or had only tested 2yrs+ (GCPS 2010)Healthy Communities, Queensland Health &SOPV Operators Group initiative 4
  5. 5. Venues Klub Kruise The Den Wet Spa & Sauna Bodyline Spa & Sauna 5
  6. 6. Clinics & GP’sGladstone Road Medical CentreStonewall Medical CentreCentral Brunswick MedicalP.A.SH ClinicBSHCKobi House (Ipswich)Toowoomba SHC 6
  7. 7. Promotional Materials Snowballing ejaculating into another guy’s mouth and spitting it back into his mouth while kissing Felching ejaculating into a guy’s anus and sucking out the semenPearl Necklace ejaculating on a guys chest, neck and shoulders as a result of masturbating on his or thrusting on his chest Dirty Sanchez a moustache made of faecal matter that ends up on a guy’s upper lip after anal sex. Whether said excrement gets placed there directly from the penis or manually by finger is a matter of debate. Some people insist that the act of drawing the moustache with the penis itself after anal intercourse should be referred to as a Dirty RodriguezCream pie When a man ejaculates in a guy’s anus without using a condom, it’s called a cream pie. This internal cum shot is usually followed by watching the semen drip out Daisy Chain group of more than two sexual partners, stimulating each other at the same time. While Partner Aperforms oral sex on Partner B, Partner B performs oral sex on Partner C, who performs oral sex on Partner D and so on, ultimately resulting in a chain where the last partner is pleasing the first partner ATM stands for Ass-To-Mouth, which refers to the act of anally penetrating a guy and then putting your penis in his mouth ie going down on you immediately following anal sexBukkake several men masturbating and ejaculating on a single guy. The number of men can vary from a few to many, the object being to get as much ejaculate on the guy’s body as possibleDocking two men rubbing the heads of their dicks together, with one of the mens foreskin being stretched over the head of his partners dick until orgasm BDSM erotic practice and expression involving the consensual use of restraint, intense sensory stimulation, and fantasy power role-play 7
  8. 8. Clinic Cards 109 8
  9. 9. Carwash Cards109 9
  10. 10. Expectations - CommencementVenues - concerns multiple entries, cease ofClinic’s, cost of non bulk billing GP’sClinicians & GP’s - novel approach, limitedcapacity of service, importance of outreachclinics (GP’s), sexualised material (Clinics) 10
  11. 11. Results? 11
  12. 12. 0 12
  13. 13. Promotional Materials #2 13
  14. 14. Results? 14
  15. 15. 9 Cards Returned244 clinic cards from SOPV’s9 carwash cards from Clinics3 return entries to SOPV’s 15
  16. 16. Looking at another Incentive Based Promotion 16
  17. 17. Show me the money: financial incentives increase chlamydiascreening rates among tertiary students: a pilot study.Currie MJ, Schmidt M, Davis BK, Baynes AM, OKeefe EJ, Bavinton TP, McNiven M, Martin SJ, Bowden FJ. 17
  18. 18. ResultsPhase 1. 2786 attended activities/events, 627students (22.5%). chlamydia testing. Phase 2, thedissemination of 866 text messages resulted in 392students (45.3%).Costs per test were AUD $175.11 in Phase 1 andAUD $27.13 in Phase 2 18
  19. 19. Points of DifferenceSOPV Testing Project:Testing not onsiteAccessibility of SitesComplex Process remunerationReliance on venue StaffCost of the project < $200 19
  20. 20. Concurrent Research STI Testing Survey for Gay Men & other MSM, Qld 2011Rates: Last 12 months (68.5%), Last 6 months(53.1%), Unsure/Never (11.6%), 2yrs+ (10.5%)Motivators: General health checkup (38.9%), multiplepartners (20.7%), unsafe sex (19.3%)Site: Doctor’s expertise (16.7%), Familiarity w site(15.6%), Convenience (15.1%), Proximity(12.1%), Confidentiality (11.8%), Gay friendly service (11.5%) 20
  21. 21. ConclusionSuccess or failure?Total cost of project <$200 ie $22 p/pWould further promotion increase response? 21
  22. 22. Where to from here?Advocate for Outreach Clinics to bereinstated in the venuesSOPV Testing Project - continuation?Commencing SOPV Outreach ServiceRapid Testing in Venues 22