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Changing Levels of Social Engagement with Gay Men Is Associated with HIV Related Outcomes and Behaviors: Trends in Australian Behavioral Surveillance 1998-2020.
Chan, Curtis; Bavinton, Benjamin R; Prestage, Garrett E; Broady, Timothy R; Mao, Limin; Rule, John; Wilcock, Ben; Holt, Martin.
Afiliação
  • Chan C; Kirby Institute, UNSW Sydney, Level 6 Wallace Wurth Building High Street, Kensington, Sydney, NSW, 2052, Australia. cchan@kirby.unsw.edu.au.
  • Bavinton BR; Kirby Institute, UNSW Sydney, Level 6 Wallace Wurth Building High Street, Kensington, Sydney, NSW, 2052, Australia.
  • Prestage GE; Kirby Institute, UNSW Sydney, Level 6 Wallace Wurth Building High Street, Kensington, Sydney, NSW, 2052, Australia.
  • Broady TR; Centre for Social Research in Health, UNSW Sydney, Sydney, Australia.
  • Mao L; Centre for Social Research in Health, UNSW Sydney, Sydney, Australia.
  • Rule J; National Association of People with HIV Australia, Sydney, Australia.
  • Wilcock B; Australia Federation of AIDS Organisations, Sydney, Australia.
  • Holt M; Centre for Social Research in Health, UNSW Sydney, Sydney, Australia.
Arch Sex Behav ; 51(5): 2509-2521, 2022 07.
Article em En | MEDLINE | ID: mdl-35672592
ABSTRACT
Changes to how gay, bisexual, and other men who have sex with men (GBM) connect with each other and with their communities have implications for HIV prevention. Social engagement with gay men (defined as having friends who are gay men and spending time with them) has been associated with HIV related outcomes over time among Australian GBM. Using data collected in national, repeated, cross-sectional surveys of GBM between 1998 and 2020 (N = 161,117), analyses of trends in the prevalence of gay social engagement (GSE) in Australia were conducted using linear regression. To assess changing associations with GSE at different time points in the HIV epidemic, three cross-sectional analyses were conducted on factors associated with high and low GSE in 1999/2000, 2009/2010, and 2019/2020 using bivariate and multivariable logistic regression. GSE (scored from 0 to 7) declined among all participants from 4.76 in 1998 to 4.04 in 2020 (p < 0.001) with a steeper decline among GBM aged under 25 years from 4.63 in 1998 to 3.40 in 2020 (p < 0.001). In all timepoints, high GSE was associated with older age, being university educated, full time employment, identifying as gay, recent HIV testing, and PrEP uptake. While mostly associated with protective behaviors, high GSE was also associated with some practices that may put GBM at risk of HIV infection such as drug-enhanced sex and group sex in the most recent timepoint. Changing levels of GSE have implications for health promotion among GBM, particularly how to engage GBM less connected to gay social networks.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções por HIV / Profilaxia Pré-Exposição / Minorias Sexuais e de Gênero Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções por HIV / Profilaxia Pré-Exposição / Minorias Sexuais e de Gênero Idioma: En Ano de publicação: 2022 Tipo de documento: Article