Timothy R Broady
Datos Biográficos
| ID | 312980 |
|---|---|
| NOMBRE | Timothy R Broady |
| NOMBRES | Timothy R |
| APELLIDO | Broady |
| FIRMA | BROADY T R |
| AFILIACIONES | UNSW Sydney |
| ORCID | 0000-0002-4341-1868 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 45 |
| TOTAL DE CITAS | 24 |
| TOTAL COMO AUTOR | 45 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2014 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
Experiences of Living with HIV, Stigma, and Healthcare Access in Australia among People Born in China, Thailand, and Latin America Compared to People Born in Australia
In Australia, progress towards the UNAIDS 95-95-95 targets is lower among people living with HIV born overseas compared to those born in Australia. Stigma is a major barrier to achieving these targets. This project aimed to identify differences in experiences of HIV-related stigma and healthcare outcomes between people born in Asia, Latin America, and Australia. Between April-August 2023, 153 Sydney Sexual Health Centre clients who were living wi…
Perceived Accuracy of ‘Undetectable Equals Untransmittable’ (U = U) Affects Openness to HIV Serodifferent Partnering in Australia
Varied Knowledge of HIV Transmission and Prevention Among Gay, Bisexual, and Heterosexual Men Who Have Sex with Men in Australia
We assessed knowledge about HIV transmission and prevention among men who have sex with men (MSM) to identify education needs. A national online survey was conducted across Australia in July-August 2024, including nine HIV knowledge items. We assessed how HIV knowledge varied by sexual identity (using ANOVA), and characteristics independently associated with HIV knowledge using multivariable linear regression. Of 2,688 respondents, 1,241 were gay…
Sexual Orientation, Gender, and HIV-Related Stigma or Discrimination Among Gay and Bisexual Men and Non-Binary People in Australia
Barriers and Facilitators to Oral HIV Pre-exposure Prophylaxis Use in Australia
Oral HIV pre-exposure prophylaxis (PrEP) is highly effective, yet various barriers limit its potential as a HIV prevention strategy. This scoping review aimed to identify and quantify determinants of oral PrEP initiation and continuation among community members, and provision by healthcare providers in Australia and comparable countries (UK, Canada, and New Zealand). Three databases were searched in January 2025 for original studies published bet…
A Decade of HIV Pre-Exposure Prophylaxis (PrEP) Cascade Monitoring
We have monitored Australia's maturing HIV pre-exposure prophylaxis (PrEP) program for the past decade, providing a unique view of long-term implementation among gay, bisexual and queer men and non-binary people. Using two national surveys, the GBQ + Community Periodic Surveys (GCPS, 2014-2023, N = 78,378) and the PrEPARE Project (2017-2023, N = 5,278), we constructed and iteratively refined cascades to monitor PrEP suitability, awareness, use, a…
Migration Status and HIV Pre-exposure Prophylaxis (PrEP) Uptake Among Gay and Bisexual Men and Non-binary People in Australia
Increasing HIV prevention coverage among migrant gay and bisexual men (GBM) and non-binary people in Australia has become a priority, as recently arrived migrants are at higher risk of HIV acquisition than longer-term Australian residents. We compared GBM and non-binary participants who were willing to use but had never used pre-exposure prophylaxis (PrEP) before with current PrEP users, and explored how migration status was associated with PrEP …
Tracing Structural Stigma in Health Care Towards People With Blood Borne Viruses and Sexually Transmissible Infections
Background Analysis of power is often omitted from research on stigma. This project examined structural stigma and power in health care for people affected by blood-borne viruses and sexually transmissible infections (BBV/STIs) with a focus on societal norms and hidden assumptions that shape health care practice and policy. Method In-depth interviews were conducted in 2023 with 24 key informants with expertise in designing and delivering services…
“The Culturally and Linguistically Diverse Community Is Not Just Minoritised But Ignored”
BACKGROUND: People from culturally and linguistically diverse (CALD) backgrounds who are living in high-income countries, are disproportionately impacted by blood-borne viruses and sexually transmissible infections (BBVs/STIs). Despite this, many do not engage with available preventive and treatment services due to a range of patient, provider and systems level barriers that make patient engagement challenging. This study explores ways to make he…
Suboptimal Patient-Provider Communication About Undetectable = Untransmittable and HIV Transmission Risk in Australia and the US
The Undetectable = Untransmittable (U = U) campaign aims to raise global awareness that people living with HIV whose viral load is undetectable cannot sexually transmit HIV. Healthcare providers are uniquely positioned to disseminate the U = U message. Our study explored patient-provider communication about U = U and HIV risk from the perspectives of gay, bisexual, and other men living with HIV (MLHIV) and healthcare providers engaged in HIV trea…
Estimating Prevention-Effective Adherence to HIV Pre-exposure Prophylaxis (PrEP) Among Australian Gay, Bisexual and Queer Men and Non-binary People
Oral HIV pre-exposure prophylaxis (PrEP) is highly effective when taken appropriately at times of HIV risk, termed "prevention-effective adherence". To understand suboptimal adherence, we refined a brief measure for surveys among gay, bisexual and queer men and non-binary (GBQ+) people. We used a mixed-methods design, comprising a national, online cross-sectional survey (June-July 2023) and cognitive interviews (August-October 2023). Logistic reg…
Improving Gender and Sexuality Inclusivity of a Long-Running HIV Behavioural Surveillance Survey to Identify New Sexual Practices, HIV Risks, and Maintain Community Support
Inclusive language in data collection is essential for effective and sustained engagement with marginalised populations. The historic use of imprecise conceptualisations of gender and sexuality in the field of HIV and sexual health research has been challenged in the last decade, particularly cisnormative and monosexist assumptions about identity and practice. This study reports on the process of redesigning a repeated cross-sectional survey ques…
The Role of Social and Sexual Networks in Connecting to Sexual Health Services
Introduction Migrant gay, bisexual, and other men who have sex with men (GBMSM) are a priority population in HIV prevention in Australia. This study sought to understand how social and sexual networks influence sexual health behaviours among migrant GBMSM. Methods Semi-structured interviews were conducted with 27 migrant GBMSM who moved to Australia from 2017 onwards. Interviews were conducted between November 2022 and September 2023. Interviews …
Informed, but uncertain
In 2022, a global outbreak of mpox (formerly 'monkeypox') emerged in non-endemic countries, including Australia, predominantly affecting gay, bisexual and other men who have sex with men. Public health advice on transmission and isolation emerged rapidly from different sources, sometimes conflicting and producing uncertainty. Using the concept of 'counterpublic health', which acknowledges the incorporation of official science and experiences of a…
Stigma and patient work
Patient work refers to the quotidian labour undertaken by individuals to manage health, often unrecognised by health systems. This article argues that anticipated and received stigma and inclusivity labour comprise additional forms of patient work specific to minority populations. We draw on a case study of gay and bisexual men's experiences accessing healthcare services related to HIV prevention and testing in New South Wales (NSW), Australia's …
Understanding Hepatitis B Knowledge, Attitudes, and Stigma in the Korean Community in Australia
Experiences of stigma and subsequent reduced access to health care among women who inject drugs
Stigma, and factors associated with experiencing stigma, while visiting health‐care services among samples of people who use illegal drugs in Australia
Differences in stigma reduction related to injection drug use between people expressing conservative, moderate and progressive values following an online intervention
Trends in illicit drug use and their association with HIV transmission risks from behavioural surveillance of Australian gay and bisexual men
Understanding stigma and attitudes towards hepatitis B among university students in Australia of Chinese and Vietnamese background
This research provides insights that could inform culturally sensitive health promotion programs to address negative attitudes towards hepatitis B among the broader Chinese and Vietnamese communities living in Australia
Mpox Illness Narratives
In May 2022, a global outbreak of mpox (formerly monkeypox virus) affected thousands of mainly gay and bisexual men. Mpox is usually a time-limited illness that can involve fever, pain, and skin lesions, but may require hospitalisation. There is scant research into the firsthand experiences of people affected by mpox, including experiences of symptoms, healthcare, and recovery. This study considers the different illness narratives of people who e…
Factors associated with experiencing stigma, discrimination, and negative health care treatment among people who inject drugs
Results highlight important intersections and disparities in stigmatising experiences among people who inject drugs. Considering these intersections can assist health services provide more inclusive care
Factors associated with sharing equipment among people who inject drugs
Explicit Relationship Agreements and HIV Pre-exposure Prophylaxis Use by Gay and Bisexual Men in Relationships
Relationship agreements are important for HIV prevention among gay and bisexual men (GBM) in relationships, with research earlier in the HIV epidemic often finding that agreements specified monogamy or condom use with casual partners. There is evidence that HIV pre-exposure prophylaxis (PrEP) has shifted sexual practices among some men in relationships, such as allowing condomless sex with casual partners, but there has been little attention paid…
Understanding carers’ lived experience of stigma
Existing research suggests that there are several unique challenges associated with caring for a child on the autism spectrum. Despite a growing evidence base regarding autism spectrum disorders and their increasing prevalence, children on the autism spectrum and their families continue to perceive stigmatisation from various sources throughout the community. These perceptions of stigma can profoundly impact the quality of life of these children …
Engaging Stigmatised Communities in Australia with Digital Health Systems
Engaging stigmatised communities-including in relation to gender, sexuality, sex work, drug use, HIV-requires a commitment to data justice. The design and implementation of digital health systems requires investment in ongoing and meaningful consultation with communities and representative organisations
The Intersection of Domestic Violence and Child Protection in Australia
Domestic and family violence (DFV) and child maltreatment have been widely identified as co-occurring social phenomena. It has been well established that children living in an environment of DFV are at significant risk of either directly experiencing violence themselves, or being neglected due to their parents’ reduced caregiving capacity. In order to effectively address clients’ presenting concerns, intervention responses must account for the ov…
Exploratory Visuals and Text in Qualitative Research Interviews
Visual stimuli are increasingly used in formal communications and as a qualitative research method, reported to generate a 'different' and 'richer' response than text or language alone. However, the parameters by which this occurs are underexplored. In our research we use images and text as interview stimuli in a project exploring personal wellbeing to compare differences in communication process and outcomes. A visual tool expressing concepts of…
The Role of Social and Sexual Networks in Connecting to Sexual Health Services
Introduction Migrant gay, bisexual, and other men who have sex with men (GBMSM) are a priority population in HIV prevention in Australia. This study sought to understand how social and sexual networks influence sexual health behaviours among migrant GBMSM. Methods Semi-structured interviews were conducted with 27 migrant GBMSM who moved to Australia from 2017 onwards. Interviews were conducted between November 2022 and September 2023. Interviews …
Stigma and patient work
Patient work refers to the quotidian labour undertaken by individuals to manage health, often unrecognised by health systems. This article argues that anticipated and received stigma and inclusivity labour comprise additional forms of patient work specific to minority populations. We draw on a case study of gay and bisexual men's experiences accessing healthcare services related to HIV prevention and testing in New South Wales (NSW), Australia's …
Understanding Hepatitis B Knowledge, Attitudes, and Stigma in the Korean Community in Australia
Changing Levels of Social Engagement with Gay Men Is Associated with HIV Related Outcomes and Behaviors
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 = 161,1…
What is a person‐centred approach? Familiarity and understanding of individualised funding amongst carers in New South Wales
Person‐centred approaches place individuals with a disability at the centre of decision making, with their carers and family invited to be partners in the process. Rather than being required to fit within existing service programs, person‐centred approaches enable individuals to choose the support options that best meet their needs. In order to facilitate this, person‐centred approaches will be accompanied by the introduction of individualised fu…
Understanding carers’ lived experience of stigma
Existing research suggests that there are several unique challenges associated with caring for a child on the autism spectrum. Despite a growing evidence base regarding autism spectrum disorders and their increasing prevalence, children on the autism spectrum and their families continue to perceive stigmatisation from various sources throughout the community. These perceptions of stigma can profoundly impact the quality of life of these children …
The Intersection of Domestic Violence and Child Protection in Australia
Domestic and family violence (DFV) and child maltreatment have been widely identified as co-occurring social phenomena. It has been well established that children living in an environment of DFV are at significant risk of either directly experiencing violence themselves, or being neglected due to their parents’ reduced caregiving capacity. In order to effectively address clients’ presenting concerns, intervention responses must account for the ov…
Gay Men’s Relationship Agreements in the Era of Pre-exposure Prophylaxis
The sandwich generation
The role of social support in moderating the relationship between HIV centrality, internalised stigma and psychological distress for people living with HIV
Research has documented the negative impact of stigma on health outcomes for people living with HIV (PLHIV). How central HIV is to the identity of the individual may increase the negative effects of stigma, including greater psychological distress, while having strong social supports may play a buffering role. This study aimed to establish whether internalised stigma mediates the relationship between the centrality of HIV identity and psychologic…
Increases in HIV Testing Frequency in Australian Gay and Bisexual Men are Concentrated Among PrEP Users
Assessing the HIV Prevention Needs of Young Gay and Bisexual Men in the PrEP Era
Australian Gay and Bisexual Men Who Use Condoms, PrEP or Rarely Practise HIV Risk Reduction with Casual Sex Partners
Positive effects of community attachment on internalised stigma and wellbeing among people who inject drugs
Online interventions to reduce stigma towards population groups affected by blood borne viruses in Australia
Australian health and medical workers’ concerns around providing care to people living with hepatitis B
There is established literature on health workers' attitudes towards working with people living with stigmatised health conditions and behaviours, such as HIV, hepatitis C and injecting drug use. Less is known about health workers' attitudes and concerns around providing care to people living with hepatitis B virus (HBV), which is concerning as research indicates that negative attitudes may impact on the quality of care provided to these populati…
Covid-19 Vaccination Uptake and Hesitancy in a National Sample of Australian Gay and Bisexual Men
Minority groups may face additional barriers to vaccination. In April-June 2021, we assessed the level of COVID-19 vaccination and willingness to be vaccinated in a national, online survey of 1280 gay and bisexual men in Australia. Over a quarter of the sample (28.0%) had been partially or fully vaccinated, and 80.0% of the unvaccinated were willing to be vaccinated. Vaccination was independently associated with older age, being university educat…
Adjusting Behavioural Surveillance and Assessing Disparities in the Impact of Covid-19 on Gay and Bisexual Men’s HIV-Related Behaviour in Australia
COVID-19 has disrupted sexual behaviour and access to health systems. We adapted regular HIV behavioural surveillance of gay and bisexual men (GBM) in Australia in response to COVID-19, assessed the impact on the profile of the sample, the participants' HIV-related behaviour, and whether COVID-19 may have accentuated existing disparities in the Australian HIV epidemic. Data collected from five states during July 2017-June 2021 were included (N = …
Changing Levels of Social Engagement with Gay Men Is Associated with HIV Related Outcomes and Behaviors
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 = 161,1…
Exploratory Visuals and Text in Qualitative Research Interviews
Visual stimuli are increasingly used in formal communications and as a qualitative research method, reported to generate a 'different' and 'richer' response than text or language alone. However, the parameters by which this occurs are underexplored. In our research we use images and text as interview stimuli in a project exploring personal wellbeing to compare differences in communication process and outcomes. A visual tool expressing concepts of…
Factors associated with sharing equipment among people who inject drugs
Explicit Relationship Agreements and HIV Pre-exposure Prophylaxis Use by Gay and Bisexual Men in Relationships
Relationship agreements are important for HIV prevention among gay and bisexual men (GBM) in relationships, with research earlier in the HIV epidemic often finding that agreements specified monogamy or condom use with casual partners. There is evidence that HIV pre-exposure prophylaxis (PrEP) has shifted sexual practices among some men in relationships, such as allowing condomless sex with casual partners, but there has been little attention paid…
The impact of sources of stigma on health care avoidance among gay and bisexual men in Australia
Stigma has a negative impact on health and wellbeing for gay and bisexual men (GBM). There is little research which assesses whether stigma from various sources affects access to different health care services. Further, those people who pay more attention to their stigmatised condition may be more likely to avoid health services. This study aimed to assess the association between sources of stigma and health care avoidance amongst a sample of GBM…
Variations in HIV Prevention Coverage in Subpopulations of Australian Gay and Bisexual Men, 2017–2021
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 g…
National Surveillance of Home-Based HIV Testing Among Australian Gay and Bisexual Men, 2018–2020
HIV self-testing allows people to collect samples and test themselves at home, addressing known barriers to facility-based testing. We aimed to measure the uptake of home HIV testing among Australian gay and bisexual men (GBM). Using national cross-sectional data from the Australian Gay Community Periodic Surveys, we assessed trends in home HIV testing among non-HIV positive GBM between 2018 and 2020. Overall, the use of home HIV testing was low,…
Engaging Stigmatised Communities in Australia with Digital Health Systems
Engaging stigmatised communities-including in relation to gender, sexuality, sex work, drug use, HIV-requires a commitment to data justice. The design and implementation of digital health systems requires investment in ongoing and meaningful consultation with communities and representative organisations
Experiences of stigma and subsequent reduced access to health care among women who inject drugs
Stigma, and factors associated with experiencing stigma, while visiting health‐care services among samples of people who use illegal drugs in Australia
Differences in stigma reduction related to injection drug use between people expressing conservative, moderate and progressive values following an online intervention
HIV/AIDS Research and Interventions (33 obras) · Medicine (29 obras) · Psychology (26 obras) · Public health (23 obras) · HIV, Drug Use, Sexual Risk (20 obras) · Family medicine (19 obras) · Human immunodeficiency virus (HIV (16 obras) · Men who have sex with men (15 obras) · Sex work and related issues (15 obras) · Psychiatry (14 obras)