Martin Holt
Dados Biográficos
| ID | 182860 |
|---|---|
| NOME | Martin Holt |
| PRENOMES | Martin |
| SOBRENOME | Holt |
| ASSINATURA | HOLT M |
| AFILIAÇÕES | UNSW Sydney |
| ORCID | 0000-0002-2586-8274 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 101 |
| TOTAL DE CITAÇÕES | 179 |
| TOTAL COMO AUTOR | 101 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2003 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 7 |
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…
Evidencing work
HIV pre-exposure prophylaxis (PrEP), the use of antiretroviral drugs to prevent HIV infection, was initially implemented in Australia as a daily regimen, transforming HIV prevention. However, the process of implementation, and key shifts in the delivery of PrEP, such as the introduction of on-demand (non-daily) dosing, are not well understood. This study aimed to understand how key stakeholders put PrEP into practice, and the 'evidencing work' th…
Outbreak distress’
In May 2022, a global outbreak of mpox (formerly known as monkeypox) was declared an international public health emergency. During this time, healthcare workers scrambled to respond to the outbreak amidst a lack of resources, knowledge gaps and pressures related to COVID-19. This period posed a risk of heightened moral distress, defined as distress arising from a situation in which a healthcare worker knows the right thing to do but is externally…
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 …
The limits of promoting pleasure
HIV pre-exposure prophylaxis (PrEP) is said to have transformed pleasure and sexual practices in myriad ways. This article draws on interviews with PrEP users in Australia who had paused, stopped, or switched PrEP use in order to explore the varied affects and experiences of PrEP in relation to different dosing strategies. Drawing on the concept of ‘desiring-assemblages’, we considered ‘what can a body with PrEP do?’. Our analysis affirms PrEP as…
International healthcare workers’ experiences and perceptions of the 2022 multi-country mpox outbreak
In May 2022, the most widespread outbreak of sustained transmission of mpox outside of countries historically affected countries in Western and Central Africa occurred. We aimed to examine the personal and clinical experiences of international healthcare workers (HCWs) during this public health emergency. We conducted an international cross-sectional survey study between August and October 2022, examining the experiences and perceptions of HCWs c…
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…
Patterns of Social Support and LGBTQ + Community Involvement Among Gay, Bisexual, and Other Men Who Have Sex with Men in Australia and Their Effect on HIV-Related Outcomes
Peer support from social networks of gay, bisexual, and other men who have sex with men (GBMSM) has been recognised as a critical driver of engagement with HIV prevention. Using data from an online cross-sectional survey of 1,032 GBMSM aged 18 or over in Australia, a latent class analysis was conducted to categorise participants based on social support, LGBTQ + community involvement, and social engagement with gay men and LGBTQ + people. Comparis…
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 …
The Implications of HIV Biomedical Prevention for Perceived HIV Risk and Psychosexual Health among Sexual Minority Men in the United States
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…
Trends in illicit drug use and their association with HIV transmission risks from behavioural surveillance of Australian gay and bisexual men
The Potential Role of Undetectable = Untransmittable (U = U) in Reducing HIV Stigma among Sexual Minority Men in the US
The Implications of PrEP Use, Condom Use, and Partner Viral Load Status for Openness to Serodifferent Partnering Among US Sexual Minority Men (SMM)
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…
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 how PrEP is made successful
After a decade of oral HIV pre-exposure prophylaxis (PrEP), the next generation of PrEP is being anticipated, including long-acting pills, injections, and implants. The unevenness of international PrEP implementation is increasingly recognised, with successful rollout in some settings and failure in others. There is a need to better understand conditions of PrEP implementation, and its localised (and sometimes unanticipated) effects. Implementati…
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…
Attitudes Towards Treatment as Prevention Among PrEP-Experienced Gay and Bisexual Men in Australia
The introduction of HIV pre-exposure prophylaxis (PrEP) has the potential to impact the attitudes gay and bisexual men (GBM) who consequently choose to take PrEP have towards treatment as prevention (TasP), and the extent to which they are willing to have condomless anal intercourse (CLAI) with an HIV-positive sexual partner who has an undetectable viral load (UVL). Using a cross-sectional sample from an observational cohort study conducted from …
Not everyone’s gonna like me
Sexual racism can be thought of as a specific form of racial prejudice enacted in the context of sex and dating. It is a contentious issue among gay and bisexual men looking for partners online. This study draws upon 14 in-depth interviews conducted between August and October 2012 with gay and bisexual men of colour in Australia. Data were thematically analysed to identify interpretations and experiences of, and reactions to sexual racism online.…
Is Sexual Racism Really Racism? Distinguishing Attitudes Toward Sexual Racism and Generic Racism Among Gay and Bisexual Men
Being Gay, Being Straight and Being Yourself
Authenticity or `being true to the self' continues to be a culturally valued quality despite (or perhaps because of) the increasing fragmentation of identities in contemporary culture. Focusing on accounts of the lesbian and gay `scene' of bars and clubs in Birmingham, UK, we discuss how young people employ a discourse of authenticity when talking about leisure. In our interview material, the scene is privileged as a space to be authentic (somewh…
Agency and dependency within treatment
Qualitative Findings on the Impact of Covid-19 Restrictions on Australian Gay and Bisexual Men
COVID-19 may threaten the already poor mental health outcomes of Australian gay and bisexual men and cut ties to important social/sexual networks and community. Qualitative research into the experiences of gay and bisexual men during COVID-19 regulations is currently sparse. We report on 489 responses to a qualitative free-text question asking Australian gay and bisexual men about the impacts of COVID-19 during April 2020. Issues pertinent to gay…
Challenging Perceptions of 'Straight
Research shows that some heterosexually identified men engage in sex with men; however, they remain largely hidden and little understood. Despite long-standing scholarly recognition that sexual identity and orientation do not always neatly coincide, the culturally normative heterosexual/homosexual binary tends to shape mainstream perceptions of such men as well as render them invisible in sexual health systems reliant on stable sexual identity ca…
Living with HIV and negotiating psychological discourse
Since the introduction of antiretroviral drug treatments, there has been increased interest in the psychological aspects of living with HIV and a growth of related research and therapeutic literature. While there has been concern about the 'remedicalization' of HIV, there is apparently less concern about its 'psychologization'. This article considers how the expansion of psychological discourse about HIV impacts on the lives of HIV-positive peopl…
Prescribing as affective clinical practice
New medicines can transform routines and priorities in clinical practice, but how do clinicians think and feel about these changes, and how does it affect their work? In Australia, the HIV prevention regimen pre-exposure prophylaxis (PrEP) has been rapidly rolled out, transforming the sexual cultures and practices of users, but less attention has been given to the ways PrEP has reconfigured clinical practice. This paper draws on 28 qualitative se…
Solidarity beyond Sexuality
The relevance of community in the face of mounting individualism remains a pressing sociological issue. Social fragmentation challenges traditional communities of shared identifications and collective memberships while flexible relationship options lead sociologists to question the real benefits of friendships and the viability of personal commitments. These issues are sharply defined in current debates about 'gay community' and whether sexual pr…
II. ‘Marriage-Like’ or Married? Lesbian and Gay Marriage, Partnership and Migration
Dosing practices made mundane
Maintaining routines of medication dosing requires effort amidst the variabilities of everyday life. This article offers a sociomaterial analysis of how the oral HIV prevention regimen, pre-exposure prophylaxis (PrEP), is put to use and made to work, including in situations which disrupt or complicate dosing regimes. Other than a daily pill, PrEP can be taken less frequently based on anticipated sexual activity and HIV risk, including 'on-demand'…
Individual Versus Community-Level Risk Compensation Following Preexposure Prophylaxis of HIV
We analyzed the concept of risk compensation and how it has been applied in HIV prevention, paying particular attention to the strategy of HIV preexposure prophylaxis (PrEP). In risk compensation, reduced perceptions of risk after the introduction of a preventative intervention lead to more frequent risk-taking behavior. Such a change may undermine the intervention’s protective benefits. We found that many studies purporting to investigate risk c…
Just Take Viagra
Gay men's recreational use of Viagra and similar drugs has received considerable attention in the public health literature, implicating Viagra as a risk factor for HIV transmission. Framed by work on the pharmaceuticalization of everyday life and critical Viagra studies, gay men's accounts are analysed to assess the ways in which Viagra is understood, valued and experienced. Viagra was commonly described as a corrective remedy that guaranteed ere…
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
Troubling the non-specialist prescription of HIV pre-exposure prophylaxis (PrEP)
The broadening of access to HIV pre-exposure prophylaxis (PrEP) in Australia has rekindled debates about which types of clinicians are best suited to deliver HIV prevention innovations: specialist HIV services or primary care physicians and general practitioners (GPs). We conducted 21 semi-structured qualitative interviews in 2017 with Australian HIV sector experts working across policy, advocacy, clinical service provision, research, and health …
HIV pre-exposure prophylaxis and the 'problems' of reduced condom use and sexually transmitted infections in Australia
HIV pre-exposure prophylaxis (PrEP) has been embraced in Australia, making PrEP available with public funding to people at risk of HIV. Here, we consider the associated 'problems' of reduced condom use and sexually transmissible infections (STIs), as seen by HIV professionals. Twenty-one interviews were conducted during May-August 2017. All agreed that PrEP was a valuable addition to HIV prevention, but their views about reduced condom use and ST…
Normalisation of recreational drug use among young people
There is evidence to suggest that illicit drug use is increasingly a ‘normal’ part of the lives of many young people in Australia. The normalisation framework has been applied in limited contexts in Australia, and has not been assessed using longitudinal data. This paper uses cross-sectional periodic data collected at the Sydney Big Day Out music festival between 2006 and 2009 to examine several aspects of normalisation among festival patrons. Ov…
Relationship Between Sexual Behaviors with Non-committed Relationship Partners and Covid-19 Restrictions and Notification Rates
The online version contains supplementary material available at 10.1007/s13178-022-00733-8
Increase in Depression and Anxiety Among Australian Gay and Bisexual Men During Covid-19 Restrictions
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 o…
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 …
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…
Barriers to accessing HIV and sexual health services among gay men in Tasmania, Australia
We examined barriers to accessing HIV and sexual health services among gay and bisexual men (GBM) in Tasmania, Australia, using in-depth interviews. Most participants were satisfied with the care they had received at public sexual health services. Barriers included the limited number of services, concerns about anonymity and privacy in small communities, difficulties accessing services via a general practitioner, and perceived stigma and discrimi…
Human rights and universal access for men who have sex with men and people who inject drugs
Being Gay, Being Straight and Being Yourself
Authenticity or `being true to the self' continues to be a culturally valued quality despite (or perhaps because of) the increasing fragmentation of identities in contemporary culture. Focusing on accounts of the lesbian and gay `scene' of bars and clubs in Birmingham, UK, we discuss how young people employ a discourse of authenticity when talking about leisure. In our interview material, the scene is privileged as a space to be authentic (somewh…
II. ‘Marriage-Like’ or Married? Lesbian and Gay Marriage, Partnership and Migration
II. ‘Marriage-Like’ or Married? Lesbian and Gay Marriage, Partnership and Migration
Living with HIV and negotiating psychological discourse
Since the introduction of antiretroviral drug treatments, there has been increased interest in the psychological aspects of living with HIV and a growth of related research and therapeutic literature. While there has been concern about the 'remedicalization' of HIV, there is apparently less concern about its 'psychologization'. This article considers how the expansion of psychological discourse about HIV impacts on the lives of HIV-positive peopl…
Managing Mental Health Problems in Everyday Life
Agency and dependency within treatment
Pleasure and drugs
Predictors of HIV Disclosure Among Untested, HIV-Negative and HIV-Positive Australian Men Who had Anal Intercourse with Their Most Recent Casual Male Sex Partner
Just Take Viagra
Gay men's recreational use of Viagra and similar drugs has received considerable attention in the public health literature, implicating Viagra as a risk factor for HIV transmission. Framed by work on the pharmaceuticalization of everyday life and critical Viagra studies, gay men's accounts are analysed to assess the ways in which Viagra is understood, valued and experienced. Viagra was commonly described as a corrective remedy that guaranteed ere…
Normalisation of recreational drug use among young people
There is evidence to suggest that illicit drug use is increasingly a ‘normal’ part of the lives of many young people in Australia. The normalisation framework has been applied in limited contexts in Australia, and has not been assessed using longitudinal data. This paper uses cross-sectional periodic data collected at the Sydney Big Day Out music festival between 2006 and 2009 to examine several aspects of normalisation among festival patrons. Ov…
Patterns of Alcohol and Other Drug Use Associated with Major Depression Among Gay Men Attending General Practices in Australia
Changes in Gay Men’s Participation in Gay Community Life
HIV Testing, Gay Community Involvement and Internet USE
HIV treatment and prevention technologies in international perspective
Gay men and ambivalence about ‘gay community’
The concept of 'gay community', and gay men's attachment to and involvement in gay community activities, has held both a symbolic and practical role in understanding and guiding responses to HIV in developed world contexts. In the West, the HIV epidemic has disproportionately affected gay men. Being involved in and connected to gay community activities (what, in Australia, is described as 'gay community attachment') predicted the adoption of safe…
Comparing ‘doctor’ and ‘patient’ beliefs about the role of illicit drug use in gay men’s depression
High rates of both illicit drug use and depression are consistently reported among gay men. However, little is known about how beliefs about drug use shape clinical encounters between gay men and health professionals, and that in turn affect clinical communication and care, particularly in relation to depression. We compared 'doctor' and 'patient' beliefs about the role of illicit drug use in gay men's depression. Semi-structured interviews were …
Human rights and universal access for men who have sex with men and people who inject drugs
Gay Men Who Are Not Getting Tested for HIV
HIV-Negative and HIV-Positive Gay Men’s Attitudes to Medicines, HIV Treatments and Antiretroviral-based Prevention
Just a preference
Racialised language is a salient and contested aspect of contemporary sexual cultures, particularly in the online domain. This paper explores the ways in which gay men in Australia employ race-related language when using online sex/dating websites. Using inductive content analysis, descriptive categories were developed to identify recurrent patterns in the racialised language employed by website users. A coding framework was then constructed to i…
Solidarity beyond Sexuality
The relevance of community in the face of mounting individualism remains a pressing sociological issue. Social fragmentation challenges traditional communities of shared identifications and collective memberships while flexible relationship options lead sociologists to question the real benefits of friendships and the viability of personal commitments. These issues are sharply defined in current debates about 'gay community' and whether sexual pr…
The converging and diverging characteristics of HIV-positive and HIV-negative gay men in the Australian Gay Community Periodic Surveys, 2000–2009
To assess the changing health promotion needs of human immunodeficiency virus (HIV)-positive gay men in Australia, we analysed the social and behavioural characteristics of HIV-positive men in the Australian Gay Community Periodic Surveys. We looked at change over time in the characteristics of HIV-positive men (from 2000-2001 to 2008-2009) and compared HIV-positive men with their HIV-negative peers within each time period. Multivariate logistic …
At Home and Away
Injecting drug use among gay and bisexual men in Sydney
HIV-Negative Gay Men’s Perceived HIV Risk Hierarchy
HIV/AIDS Research and Interventions (76 obras) · Medicine (74 obras) · Psychology (69 obras) · HIV, Drug Use, Sexual Risk (58 obras) · Public health (52 obras) · Human immunodeficiency virus (HIV (51 obras) · Family medicine (50 obras) · Men who have sex with men (47 obras) · Sociology (45 obras) · Demography (38 obras)