Variations in HIV Prevention Coverage in Subpopulations of Australian Gay and Bisexual Men, 2017–2021: Implications for Reducing Inequities in the Combination Prevention Era

Using repeated behavioural surveillance data collected from gay and bisexual men (GBM) across Australia, we assessed trends in HIV prevention coverage (the level of ‘safe sex’ achieved in the population by the use of effective prevention methods, including condoms, pre-exposure prophylaxis [PrEP] an...

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Bibliographic Details
Published in:AIDS and behavior 2024-05, Vol.28 (5), p.1469-1484
Main Authors: Holt, Martin, Chan, Curtis, Broady, Timothy R., MacGibbon, James, Mao, Limin, Smith, Anthony K. J., Rule, John, Bavinton, Benjamin R.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Australia - epidemiology
Bisexuality
Condoms
Condoms - statistics & numerical data
Disease prevention
Health Psychology
Health risks
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
Homosexuality
Homosexuality, Male - psychology
Homosexuality, Male - statistics & numerical data
Human immunodeficiency virus
Humans
Inequality
Infectious Diseases
Male
Medicine
Medicine & Public Health
Men
Middle Aged
Migrants
National identity
Original Paper
Pre-Exposure Prophylaxis - statistics & numerical data
Prevention
Prophylaxis
Public Health
Residents
Safe Sex - statistics & numerical data
Safe sexual practices
Sexual and Gender Minorities - statistics & numerical data
Sexual Behavior
Sexual Partners
Sexuality
Sexually transmitted diseases
STD
Subpopulations
Suburban areas
Suburbs
Surveillance
Trends
Viral Load
Young Adult
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Summary:Using repeated behavioural surveillance data collected from gay and bisexual men (GBM) across Australia, we assessed trends in HIV prevention coverage (the level of ‘safe sex’ achieved in the population by the use of effective prevention methods, including condoms, pre-exposure prophylaxis [PrEP] and having an undetectable viral load). We stratified these trends by age, country of birth/recency of arrival, sexual identity, and the proportion of gay residents in the participant’s suburb. Among 25,865 participants with casual male partners, HIV prevention coverage increased from 69.8% in 2017 to 75.2% in 2021, lower than the UNAIDS target of 95%. Higher levels of coverage were achieved among older GBM (≥ 45 years), non-recently-arrived migrants, and in suburbs with ≥ 10% gay residents. The lowest levels of prevention coverage (and highest levels of HIV risk) were recorded among younger GBM (
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-023-04172-3