The converging and diverging characteristics of HIV-positive and HIV-negative gay men in the Australian Gay Community Periodic Surveys, 2000–2009

Bibliographic Data

ID19443761
AuthorsMartin Holt (0000-0002-2586-8274, a National Centre in HIV Social Research , The University of New South Wales , Sydney , Australia, corresponding author), Evelyn Lee (0000-0002-4434-1304, a National Centre in HIV Social Research , The University of New South Wales , Sydney , Australia), Garrett P Prestage (b The Kirby Institute , The University of New South Wales , Sydney , Australia), Iryna Zablotska (0000-0003-1456-2197, b The Kirby Institute , The University of New South Wales , Sydney , Australia), John De Wit (0000-0002-5895-7935, a National Centre in HIV Social Research , The University of New South Wales , Sydney , Australia), Limin Mao (0000-0003-0995-5789, a National Centre in HIV Social Research , The University of New South Wales , Sydney , Australia)
Year2013
Volume25
Issue1
Pages28-37
Publication date2013-01-01
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2012.686598
PMID22639958
OpenAlexW2069661536
LanguageEN
Citations received14
References cited29

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 regression analysis was used to assess independent changes over time within each HIV status group. A total of 21,620 responses were included in the analyses; 10,537 in 2000-2001 and 11,083 in 2008-2009. Between the two time periods, HIV-positive and HIV-negative men became more similar in the following areas: paid employment, sexual identity, number of male sex partners, the likelihood of having a regular male partner and having a seroconcordant regular male partner. The two groups diverged in these areas: age, ethnicity, educational level, social engagement with gay men, types of relationship with regular male partners, likelihood of unprotected anal intercourse with casual male partners and likelihood of HIV disclosure to casual male partners. Workforce participation and educational attainment have improved among HIV-positive gay men since 2000, but they still lag behind their HIV-negative peers in these areas. Because HIV-positive men are an ageing cohort, support services will need to increasingly address issues of HIV, sexuality and ageing with HIV-positive men. The increase in unprotected anal intercourse and HIV disclosure with casual partners means that education and support services will increasingly need to address effective HIV disclosure and non-condom-based risk reduction strategies with both HIV-positive and HIV-negative gay men

Casual · Cohort · Educational attainment · Human sexuality · Logistic regression · Sociology · Demography · Gender Studies · HIV-related health complications and treatments · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Gerontology · Immunology · Internal Medicine

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