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5. Real-world trends in incidence of bacterial sexually transmissible infections among gay and bisexual men using HIV pre-exposure prophylaxis (PrEP) in Australia following nationwide PrEP implementation: an analysis of sentinel surveillance data

Author

Asselin, Jason, Bastian, Lisa, Bateson, Deborah, Bowden, Scott, Boyd, Mark, Callander, Denton, Carter, Allison, Cogle, Aaron, Costello, Jane, Dimech, Wayne, Dittmer, Jennifer, Donovan, Basil, El-Hayek, Carol, Ellard, Jeanne, Fairley, Christopher, Franklin, Lucinda, Guy, Rebecca, Hellard, Margaret, Hocking, Jane, Kim, Jules, McGill, Scott, Nolan, David, Patel, Prital, Pendle, Stella, Polkinghorne, Victoria, Nguyen, Long, Nguyen, Thi, O'Connor, Catherine, Reed, Philip, Roth, Norman, Ryder, Nathan, Selvey, Christine, Stoové, Mark, Traeger, Michael William, Vickers, Toby, Walker, Melanie, Watchirs-Smith, Lucy, West, Michael, Traeger, Michael W, Wright, Edwina J, Grulich, Andrew, McManus, Hamish, Fairley, Christopher K, Chow, Eric P F, McNulty, Anna, Finlayson, Robert, Bell, Charlotte, Owen, Louise, Marshall, Lewis, Russell, Darren, O'Donnell, Darryl, Hellard, Margaret E, and Stoové, Mark A

Published
2022
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7. Physical distancing due to COVID-19 disrupts sexual behaviours among gay and bisexual men in Australia: Implications for trends in HIV and other sexually transmissible infections.

Author

Hammoud, Mohamed A., Maher, Lisa, Holt, Martin, Degenhardt, Louisa, Jin, Jeff, Murphy, Dean, Bavinton, Benjamin, Grulich, Andrew, Lea, Toby, Haire, Bridget, Bourne, Adam, Saxton, Peter, Vaccher, Stefanie, Ellard, Jeanne, Mackie, Brent, Batrouney, Colin, Bath, Nicky, and Prestage, Garrett

Published
2020
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13. Corrigendum to: Familiarity with, perceived accuracy of, and willingness to rely on Undetectable=Untransmittable (U=U) among gay and bisexual men in Australia: results of a national cross-sectional survey

Author

MacGibbon, James, primary, Bavinton, Benjamin R., additional, Broady, Timothy R., additional, Ellard, Jeanne, additional, Murphy, Dean, additional, Calabrese, Sarah K., additional, Kalwicz, David A., additional, Heath-Paynter, Dash, additional, Molyneux, Angus, additional, Power, Cherie, additional, Heslop, Andrew, additional, de Wit, John, additional, and Holt, Martin, additional

Published
2023
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15. Substantial Decline in Use of HIV Preexposure Prophylaxis Following Introduction of COVID-19 Physical Distancing Restrictions in Australia: Results From a Prospective Observational Study of Gay and Bisexual Men

Author

Hammoud, Mohamed A., Grulich, Andrew, Holt, Martin, Maher, Lisa, Murphy, Dean, Jin, Fengyi, Bavinton, Benjamin, Haire, Bridget, Ellard, Jeanne, Vaccher, Stefanie, Saxton, Peter, Bourne, Adam, Degenhardt, Louisa, Storer, Daniel, and Prestage, Garrett

Published
2021
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16. HIV Preexposure Prophylaxis Cascades to Assess Implementation in Australia: Results From Repeated, National Behavioral Surveillance of Gay and Bisexual Men, 2014–2018

Author

Holt, Martin, Lee, Evelyn, Lea, Toby, Bavinton, Benjamin, Broady, Tim, Mao, Limin, MacGibbon, James, Keen, Phillip, Murphy, Dean, Bear, Brandon, Crawford, David, Ellard, Jeanne, Kolstee, Johann, Power, Cherie, Prestage, Garrett, Grulich, Andrew, Guy, Rebecca, and de Wit, John

Published
2020
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19. Familiarity with, perceived accuracy of, and willingness to rely on Undetectable=Untransmittable (U=U) among gay and bisexual men in Australia: results of a national cross-sectional survey

Author

MacGibbon, James, primary, Bavinton, Benjamin R., additional, Broady, Timothy R., additional, Ellard, Jeanne, additional, Murphy, Dean, additional, Calabrese, Sarah K., additional, Kalwicz, David A., additional, Heath-Paynter, Dash, additional, Molyneux, Angus, additional, Power, Cherie, additional, Heslop, Andrew, additional, de Wit, John, additional, and Holt, Martin, additional

Published
2023
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22. Familiarity with, perceived accuracy of, and willingness to rely on Undetectable=Untransmittable (U=U) among gay and bisexual men in Australia: Results of a national cross-sectional survey

Author

Macgibbon, James, Bavinton, Benjamin R., Broady, Timothy R., Ellard, Jeanne, Murphy, Dean, Calabrese, Sarah K., Kalwicz, David A., Heath-Paynter, Dash, Molyneux, Angus, Power, Cherie, Heslop, Andrew, De Wit, John, Holt, Martin, Macgibbon, James, Bavinton, Benjamin R., Broady, Timothy R., Ellard, Jeanne, Murphy, Dean, Calabrese, Sarah K., Kalwicz, David A., Heath-Paynter, Dash, Molyneux, Angus, Power, Cherie, Heslop, Andrew, De Wit, John, and Holt, Martin

Abstract

Background: The Undetectable=Untransmittable (U=U) message has been promoted since it was demonstrated that viral suppression through HIV treatment prevents sexual transmission between serodiscordant partners (HIV treatment as prevention). Our study assessed familiarity with, perceived accuracy of, and willingness to rely on U=U in a national sample of gay and bisexual men in Australia. Methods: We conducted a national, online cross-sectional survey in April-June 2021. Eligible participants were gay, bisexual and queer men and non-binary people who lived in Australia. Logistic regression was used to identify factors associated with familiarity, perceived accuracy and willingness to rely on U=U (by having condomless sex with a partner with HIV who has an undetectable viral load). Results: Of 1280 participants, most were familiar with U=U (1006/1280 78.6%), the majority of whom believed U=U was accurate (677/1006 67.3%). Both familiarity and perceived accuracy were higher among participants living with HIV, followed by pre-exposure prophylaxis (PrEP) users, HIV-negative participants not taking PrEP, and untested/unknown status participants. Knowing at least one person living with HIV, among other factors, was associated with familiarity and perceived accuracy of U=U and familiarity was associated with perceived accuracy. Among participants familiar with U=U, less than half were willing to rely on U=U (473/1006 47.0%). Familiarity with U=U and knowing at least one person living with HIV were associated with willingness to rely on U=U, among other factors. Conclusions: We found familiarity with U=U was associated with perceived accuracy and willingness to rely upon it. There is an ongoing need to educate gay and bisexual men (particularly HIV-negative men) about U=U and its benefits.

Published
2023

23. Familiarity with, perceived accuracy of, and willingness to rely on Undetectable=Untransmittable (U=U) among gay and bisexual men in Australia: Results of a national cross-sectional survey

Author

Leerstoel de Wit, Social Policy and Public Health, Macgibbon, James, Bavinton, Benjamin R., Broady, Timothy R., Ellard, Jeanne, Murphy, Dean, Calabrese, Sarah K., Kalwicz, David A., Heath-Paynter, Dash, Molyneux, Angus, Power, Cherie, Heslop, Andrew, De Wit, John, Holt, Martin, Leerstoel de Wit, Social Policy and Public Health, Macgibbon, James, Bavinton, Benjamin R., Broady, Timothy R., Ellard, Jeanne, Murphy, Dean, Calabrese, Sarah K., Kalwicz, David A., Heath-Paynter, Dash, Molyneux, Angus, Power, Cherie, Heslop, Andrew, De Wit, John, and Holt, Martin

Published
2023

24. Assessing understandings and perceptions of HIV cure among peer navigators and treatment officers in Australia.

Author

Lau, Jillian S. Y., Clifton, Brent, Rule, John, Ellard, Jeanne, and McMahon, James H.

Abstract

HIV community peer navigators and treatment officers are important sources of information and guidance for people living with HIV. We conducted an anonymous online survey with members of the treatment outreach network of the Australian National Association of People Living with HIV. The survey explored understandings and acceptance of HIV cure research and was disseminated before and following an interactive workshop on HIV cure. We demonstrated an improvement in understandings of HIV cure science and increased willingness to participate in interventional clinical trials after the workshop. Concerns around interrupting HIV treatment and detrimental impacts on health were identified as barriers to participation. Altruism was a motivator to enrol in HIV cure trials, along with endorsement from a trusted member of community. [ABSTRACT FROM AUTHOR]

Published
2024
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25. Experiences of, and motivations for, disclosing HIV to social and familial networks: considering the social and relational domains of HIV disclosure.

Author

Wells, Nathanael, Murphy, Dean, Ellard, Jeanne, Philpot, Steven, and Prestage, Garrett

Subjects
SOCIAL networks, HIV, HIV-positive persons, HIV status, SEMI-structured interviews
Abstract

For people living with HIV, decisions about when, how and who to tell about their HIV status can involve navigating complex social, legal and health domains. With a focus on disclosure to broader social and familial networks, we explored the experiences of, and motivations for, HIV (non-)disclosure among recently diagnosed people living with HIV in Australia. Semi-structured interviews were conducted with 35 people diagnosed with HIV from 2016 onwards, of whom 25 completed follow-up interviews. Participants commonly reported anticipating negative responses and rejection from others when considering whether to disclose their HIV status. Some participants also took on the role of ensuring others' wellbeing when disclosing (or not), even as they themselves needed emotional support. Finally, some participants felt it important to be open about their HIV status to raise awareness of HIV and challenge HIV-related stigma. Our findings highlight the complex relational and social contexts that shape HIV disclosure. In addition to supporting individual people living with HIV when disclosing, we argue that educational programmes that target the broader, HIV-negative population are needed to shift the social landscape in which people living with HIV disclose. [ABSTRACT FROM AUTHOR]

Published
2023
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27. Evidence synthesis and application for policy and practice project full report

Author

Brown, Graham, Johnston, Kylie, Ellard, Jeanne, and Carman, Marina

Abstract

Series: Monograph series (La Trobe University. Australian Research Centre in Sex, Health and Society) ; no. 89Over the past 30 years of responding to HIV the Australian community, policy and public health sectors have moved from a crisis response to a sustained and adaptive response. The Australian partnership approach to HIV was recognised for many years as highly successful compared to other countries.La Trobe University. Australian Research Centre in Sex, Health and Society

Published
2023
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28. Changing Attitudes Towards Condoms Among Australian Gay and Bisexual Men in the PrEP Era: An Analysis of Repeated National Online Surveys 2011-2019

Author

Kolstee, Johann, primary, MacGibbon, James, additional, Prestage, Garrett, additional, Clackett, Shawn, additional, Paynter, Heath, additional, Bavinton, Benjamin R., additional, Broady, Timothy R., additional, Ellard, Jeanne, additional, Murphy, Dean A., additional, de Wit, John, additional, Power, Cherie, additional, and Holt, Martin, additional

Published
2022
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34. Real-world trends in incidence of bacterial sexually transmissible infections among gay and bisexual men using HIV pre-exposure prophylaxis (PrEP) in Australia following nationwide PrEP implementation: an analysis of sentinel surveillance data

Author

Traeger, Michael W, primary, Guy, Rebecca, additional, Asselin, Jason, additional, Patel, Prital, additional, Carter, Allison, additional, Wright, Edwina J, additional, Grulich, Andrew, additional, McManus, Hamish, additional, Fairley, Christopher K, additional, Chow, Eric P F, additional, McNulty, Anna, additional, Finlayson, Robert, additional, Bell, Charlotte, additional, Owen, Louise, additional, Marshall, Lewis, additional, Russell, Darren, additional, O'Donnell, Darryl, additional, Donovan, Basil, additional, Hellard, Margaret E, additional, Stoové, Mark A, additional, Bastian, Lisa, additional, Bateson, Deborah, additional, Bowden, Scott, additional, Boyd, Mark, additional, Callander, Denton, additional, Cogle, Aaron, additional, Costello, Jane, additional, Dimech, Wayne, additional, Dittmer, Jennifer, additional, El-Hayek, Carol, additional, Ellard, Jeanne, additional, Fairley, Christopher, additional, Franklin, Lucinda, additional, Hellard, Margaret, additional, Hocking, Jane, additional, Kim, Jules, additional, McGill, Scott, additional, Nolan, David, additional, Pendle, Stella, additional, Polkinghorne, Victoria, additional, Nguyen, Long, additional, Nguyen, Thi, additional, O'Connor, Catherine, additional, Reed, Philip, additional, Roth, Norman, additional, Ryder, Nathan, additional, Selvey, Christine, additional, Stoové, Mark, additional, Traeger, Michael William, additional, Vickers, Toby, additional, Walker, Melanie, additional, Watchirs-Smith, Lucy, additional, and West, Michael, additional

Published
2022
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38. Relationship Between Sexual Behaviors with Non-committed Relationship Partners and COVID-19 Restrictions and Notification Rates: Results from a Longitudinal Study of Gay and Bisexual Men in Australia

Author

Storer, Daniel, primary, Prestage, Garrett, additional, McManus, Hamish, additional, Maher, Lisa, additional, Bavinton, Benjamin R., additional, Ellard, Jeanne, additional, Jin, Fengyi, additional, Philpot, Steven, additional, Holt, Martin, additional, Saxton, Peter, additional, Haire, Bridget, additional, Murphy, Dean, additional, and Hammoud, Mohamed A., additional

Published
2022
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41. COVID-19 Vaccination Uptake and Hesitancy in a National Sample of Australian Gay and Bisexual Men

Author

Leerstoel de Wit, Social Policy and Public Health, Holt, Martin, MacGibbon, James, Bavinton, Benjamin, Broady, Timothy, Clackett, Shawn, Ellard, Jeanne, Kolstee, Johann, Molyneux, Angus, Murphy, Dean, Power, Cherie, de Wit, John, Leerstoel de Wit, Social Policy and Public Health, Holt, Martin, MacGibbon, James, Bavinton, Benjamin, Broady, Timothy, Clackett, Shawn, Ellard, Jeanne, Kolstee, Johann, Molyneux, Angus, Murphy, Dean, Power, Cherie, and de Wit, John

Published
2022

43. How to have sex in a pandemic: the development of strategies to prevent COVID-19 transmission in sexual encounters among gay and bisexual men in Australia

Author

Murphy, Dean, primary, Ellard, Jeanne, additional, Maher, Lisa, additional, Saxton, Peter, additional, Holt, Martin, additional, Haire, Bridget, additional, Grulich, Andrew, additional, Bavinton, Benjamin, additional, Philpot, Steven, additional, Bourne, Adam, additional, Storer, Daniel, additional, Jin, Fengyi, additional, Hammoud, Mohamed, additional, and Prestage, Garrett, additional

Published
2022
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44. Increase in Depression and Anxiety Among Australian Gay and Bisexual Men During COVID-19 Restrictions: Findings from a Prospective Online Cohort Study

Author

Bavinton, Benjamin R., Chan, Curtis, Hammoud, Mohamed A., Maher, Lisa, Haire, Bridget, Degenhardt, Louisa, Holt, Martin, Lea, Toby, Bath, Nicky, Storer, Daniel, Jin, Fenyi, Grulich, Andrew E., Bourne, Adam, Saxton, Peter, Prestage, Garrett P., Murphy, Dean, Mackie, Brent, Batrouney, Colin, Ellard, Jeanne, Grierson, Jeffrey, and Pastorelli, Marcus

Abstract

We examined depression and anxiety prior to and during COVID-19 restrictions in Australian gay and bisexual men (GBM). In an online cohort, a COVID-19-focused survey was conducted in April 2020. During 2019 and in April 2020, 664 GBM completed the Patient Health Questionnaire (PHQ-9, measuring depression) and Generalized Anxiety Disorder Assessment (GAD-7, measuring anxiety). Increased depression and anxiety were defined as a ≥ 5 point increase on the respective scales. Mean PHQ-9 and GAD-7 scores increased between 2019 and 2020 (PHQ-9: from 5.11 in 2019 to 6.55 in 2020; GAD-7: from 3.80 in 2019 to 4.95 in 2020). The proportion of participants with moderate-severe depression (PHQ-9 ≥ 10) increased from 18.8% (n = 125) to 25.5% (n = 169), while the proportion of participants with moderate-severe anxiety (GAD-7 ≥ 10) increased from 12.7% (n = 84) to 17.3% (n = 115). Almost one-quarter of participants (n = 158, 23.8%) had increased depression; in these men, mean PHQ-9 increased from 2.49 in 2019 to 11.65 in 2020 (p

Published
2022

47. How to have sex in a pandemic: the development of strategies to prevent COVID-19 transmission in sexual encounters among gay and bisexual men in Australia.

Author

Murphy, Dean, Ellard, Jeanne, Maher, Lisa, Saxton, Peter, Holt, Martin, Haire, Bridget, Grulich, Andrew, Bavinton, Benjamin, Philpot, Steven, Bourne, Adam, Storer, Daniel, Jin, Fengyi, Hammoud, Mohamed, and Prestage, Garrett

Subjects
*BISEXUAL men, *GAY men, *COVID-19, *PANDEMICS, *COVID-19 pandemic
Abstract

Although many studies reported on decreases in sexual partner numbers among gay and bisexual-identifying men in the early period of the COVID-19 pandemic, few studies have explored COVID-19 risk-reduction strategies. Drawing on free-text responses in an online survey (from April to July 2020), we describe the ways in which men sought to minimise the risk of COVID-19 in sexual encounters. Partner selection was an important strategy, in particular, restricting sex to men they already knew. Accounts also indicate how participants assessed risk from potential sex partners based on symptoms, residential location, recent travel, work role, and number of other sexual contacts. Less common were in situ practices, such as avoiding kissing. Participants' responses provide insight into creative community-based responses in the early months of the pandemic, some of which have resonances with early responses to HIV. Findings are discussed in relation to the concepts of 'lay epidemiology' and 'counterpublic health'. In particular, we examine how risks and health are experienced and valued in relation to local knowledges, meanings, and practices; and how practices emerge in response to dominant public health discourses that produce an idealised public based on (hetero)normative assumptions. [ABSTRACT FROM AUTHOR]

Published
2023
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48. HIV Diagnosis as Both Biographical Disruption and Biographical Reinforcement: Experiences of HIV Diagnoses Among Recently Diagnosed People Living With HIV.

Author

Wells, Nathanael, Murphy, Dean, Ellard, Jeanne, Philpot, Steven P., and Prestage, Garrett

Subjects
DIAGNOSIS of HIV infections, RESEARCH funding, PSYCHOLOGY of HIV-positive persons
Abstract

Despite the potential for HIV treatments to transform the health needs of people living with HIV, receiving a positive HIV diagnosis can be a difficult experience and feelings of shock, distress and concerns for the future are commonly reported. Drawing on Michael Bury's conceptualisation of 'biographical disruption', we utilised semi-structured interviews to explore experiences of HIV diagnoses among 34 people diagnosed with HIV between 2016 and 2020 and living in Australia. Interviews were conducted between January 2018 and August 2021. Despite significant advances in biomedical HIV treatments and prevention, participants commonly experienced HIV diagnosis as emotionally challenging. For those with limited HIV awareness, HIV was commonly understood as a likely fatal condition. For some participants, receiving a positive diagnosis also engendered a degree of uncertainty as to their anticipated life trajectory, particularly its impact on future sexual and romantic relationships, options for starting a family and migration opportunities. For some gay and bisexual male participants, receiving a positive diagnosis almost confirmed a life trajectory that they had worked to avoid and their own sometimes-negative attitudes toward people living with HIV were internalised, making adjusting to diagnosis more complex. While all participants reported challenges in adjusting to an HIV diagnosis, some ultimately came to experience living with HIV as bringing about unexpected and welcome changes to their lives. Our findings highlight the complex and intersecting medical, social and emotional needs of people living with HIV when receiving and adjusting to a positive HIV diagnosis. [ABSTRACT FROM AUTHOR]

Published
2023
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