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AIDS and Behavior

, Volume 20, Issue 7, pp 1564–1571 | Cite as

Increasing Belief in the Effectiveness of HIV Treatment as Prevention: Results of Repeated, National Surveys of Australian Gay and Bisexual Men, 2013–15

  • Martin Holt
  • Toby Lea
  • Heather-Marie Schmidt
  • Dean Murphy
  • Marsha Rosengarten
  • David Crawford
  • Jeanne Ellard
  • Johann Kolstee
  • John de Wit
Original Paper

Abstract

We surveyed Australian gay and bisexual men, assessing belief in HIV treatment as prevention (TasP) and support for early treatment. We identified the characteristics of participants who believed in TasP and supported early treatment using multivariate logistic regression. In 2013, 1316 men participated; 1251 participated in 2015. Belief in TasP increased from 2.6 % in 2013 to 13.1 % in 2015 (p < 0.001). The increase was most noticeable among HIV-positive men (from 9.7 % to 46.2 %). Support for early treatment increased from 71.8 % to 75.3 % (p = 0.02). Belief in TasP was associated with being HIV-positive, having a tertiary education, having recent condomless anal intercourse with casual male partners, and ever having taken post-exposure prophylaxis. Support for early HIV treatment was associated with being younger, living in New South Wales and being in paid employment. We recommend continued monitoring of the growing gap in belief about TasP between HIV-positive men and HIV-negative/untested men.

Keywords

Acceptability Attitudes Cross-sectional surveys HIV treatment as prevention Men who have sex with men 

Resumen

Encuestamos a hombres australianos gay y bisexuales, evaluando la creencia en el tratamiento como prevención del VIH (TaSP – por sus siglas en ingles) y apoyo al tratamiento temprano. Se identificaron las características de los participantes que creyeron en (TasP) y tratamiento temprano mediante regresión logística multivariante. En el 2013, participaron 1.316 hombres; en el 2015 participaron 1.251. La creencia en (TasP) aumentó de 2.6 % en el 2013 a 13.1 % en el 2015 (p < 0.001). El aumento fue más notable entre los hombres VIH-positivos (de 9.7 % a 46.2 %). Apoyo al tratamiento temprano aumentó de 71.8 % a 75.3 % (p = 0.02). La creencia en TasP se asoció con ser VIH-positivo, con tener una educación terciaria, con tener coito anal recientemente sin condón con parejas casuales y con haber tomado, por lo menos alguna vez, la profilaxis posexposición. El apoyo al tratamiento temprano del VIH se asoció con ser más joven, con vivir en Nueva Gales del Sur y con tener empleo remunerado. Se recomienda el monitoreo continuo de la creciente brecha acerca de la creencia en TasP entre hombres VIH-positivos y VIH-negativo/no comprobado.

Notes

Acknowledgments

We thank the survey participants for their time and Susan Kippax (who advised on the conduct of the study but did not participate in the writing of this article). The Centre for Social Research in Health (CSRH), National Drug Research Institute and Australian Research Centre in Sex, Health and Society receive funding from the Australian Government Department of Health. ACON and Positive Life NSW receive funding from the New South Wales (NSW) Ministry of Health. In 2013 the PrEPARE Project was supported by a research promotion grant from CSRH and in 2015 by the Blood borne viruses and sexually transmissible infections Research, Intervention and Strategic Evaluation (BRISE) program, funded by the NSW Ministry of Health.

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Centre for Social Research in HealthUNSW AustraliaSydneyAustralia
  2. 2.New South Wales Ministry of HealthSydneyAustralia
  3. 3.National Drug Research InstituteCurtin UniversityMelbourneAustralia
  4. 4.Goldsmiths, University of LondonLondonUK
  5. 5.Positive Life NSWSydneyAustralia
  6. 6.Australian Research Centre in Sex, Health and SocietyLa Trobe UniversityMelbourneAustralia
  7. 7.ACONSydneyAustralia

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