Combination prevention and HIV: A cross-sectional community survey of gay and bisexual men in London, october to december 2016

Louise Logan; Ibidun Fakoya; Alison Howarth; Gary Murphy; Anne M. Johnson; Alison J. Rodger; Fiona Burns; Anthony Nardone

doi:10.2807/1560-7917.ES.2019.24.25.1800312

Combination prevention and HIV: A cross-sectional community survey of gay and bisexual men in London, october to december 2016

Louise Logan^*
, Ibidun Fakoya
, Alison Howarth
, Gary Murphy
, Anne M. Johnson
, Alison J. Rodger
, Fiona Burns
, Anthony Nardone

^*Corresponding author for this work

Clinical Services Unit

Research output: Contribution to journal › Article › peer-review

15 Citations (Scopus)

Abstract

Background: Men who have sex with men (MSM) are at risk of HIV and are an important population to monitor and ameliorate combination prevention efforts. Aim: To estimate HIV prevalence and identify factors associated with frequent HIV testing (= 2 HIV tests in the last year) and pre-exposure prophylaxis (PrEP) use among MSM in London. Methods: For this cross-sectional study, MSM recruited from 22 social venues provided oral-fluid samples for anonymous HIV antibody (Ab) testing and completed a questionnaire. Factors associated with frequent HIV testing and PrEP use were identified through logistic regression. Results: Of 767 men recruited, 545 provided an eligible oral specimen. Among these, 38 MSM (7.0%) were anti-HIV positive including five (13.2%; 5/38) who reported their status as negative. Condomless anal sex within the previous 3 months was reported by 60.1% (412/685) men. Frequent HIV testing was associated with, in the past year, a reported sexually transmitted infection (adjusted odds ratio (AOR): 5.05; 95% confidence interval (CI): 2.66-9.58) or = 2 casual condomless partners (AOR 2-4 partners: 3.65 (95% CI: 1.87-7.10); AOR 5-10 partners: 3.34 (95% CI: 1.32-8.49). Age = 35 years was related to less frequent HIV testing (AOR 35-44 years: 0.34 (95% CI: 0.16-0.72); AOR = 45 years: 0.29 (95% CI: 0.12-0.69). PrEP use in the past year was reported by 6.2% (46/744) of MSM and associated with = 2 casual condomless sex partners (AOR: 2.86; 95% CI: 1.17-6.98) or chemsex (AOR: 2.31; 95% CI: 1.09-4.91). Conclusion: This bio-behavioural study of MSM found high rates of behaviours associated with increased risk of HIV transmission. Combination prevention, including frequent HIV testing and use of PrEP, remains crucial in London.

Original language	English
Article number	1800312.
Journal	Eurosurveillance
Volume	24
Issue number	25
DOIs	https://doi.org/10.2807/1560-7917.ES.2019.24.25.1800312
Publication status	Published - 20 Jun 2019

Bibliographical note

Funding Information:
Many thanks go to all the venues that allowed us to conduct the survey in their premises, to all the fieldworkers who collected the data and the men who took the time to participate. Thank you Iman Scarlett and Friha Zafar for conducting the laboratory testing of the oral fluid specimens and thank you also to Dr Andrea Marongiu who facilitated the fieldworker training. Funding statement: This study is funded by the National Institute for Health Research (NIHR) School for Public Health Research (Grant Reference Number PD - SPH- 2015). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.

Funding Information:
Funding statement: This study is funded by the National Institute for Health Research (NIHR) School for Public Health Research (Grant Reference Number PD – SPH-2015).

Publisher Copyright:
© 2019, European Centre for Disease Prevention and Control (ECDC). All rights reserved.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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10.2807/1560-7917.ES.2019.24.25.1800312

Cite this

@article{ad611a14a8f649f8a157321c727c2a2e,

title = "Combination prevention and HIV: A cross-sectional community survey of gay and bisexual men in London, october to december 2016",

abstract = "Background: Men who have sex with men (MSM) are at risk of HIV and are an important population to monitor and ameliorate combination prevention efforts. Aim: To estimate HIV prevalence and identify factors associated with frequent HIV testing (= 2 HIV tests in the last year) and pre-exposure prophylaxis (PrEP) use among MSM in London. Methods: For this cross-sectional study, MSM recruited from 22 social venues provided oral-fluid samples for anonymous HIV antibody (Ab) testing and completed a questionnaire. Factors associated with frequent HIV testing and PrEP use were identified through logistic regression. Results: Of 767 men recruited, 545 provided an eligible oral specimen. Among these, 38 MSM (7.0\%) were anti-HIV positive including five (13.2\%; 5/38) who reported their status as negative. Condomless anal sex within the previous 3 months was reported by 60.1\% (412/685) men. Frequent HIV testing was associated with, in the past year, a reported sexually transmitted infection (adjusted odds ratio (AOR): 5.05; 95\% confidence interval (CI): 2.66-9.58) or = 2 casual condomless partners (AOR 2-4 partners: 3.65 (95\% CI: 1.87-7.10); AOR 5-10 partners: 3.34 (95\% CI: 1.32-8.49). Age = 35 years was related to less frequent HIV testing (AOR 35-44 years: 0.34 (95\% CI: 0.16-0.72); AOR = 45 years: 0.29 (95\% CI: 0.12-0.69). PrEP use in the past year was reported by 6.2\% (46/744) of MSM and associated with = 2 casual condomless sex partners (AOR: 2.86; 95\% CI: 1.17-6.98) or chemsex (AOR: 2.31; 95\% CI: 1.09-4.91). Conclusion: This bio-behavioural study of MSM found high rates of behaviours associated with increased risk of HIV transmission. Combination prevention, including frequent HIV testing and use of PrEP, remains crucial in London.",

author = "Louise Logan and Ibidun Fakoya and Alison Howarth and Gary Murphy and Johnson, \{Anne M.\} and Rodger, \{Alison J.\} and Fiona Burns and Anthony Nardone",

note = "Funding Information: Many thanks go to all the venues that allowed us to conduct the survey in their premises, to all the fieldworkers who collected the data and the men who took the time to participate. Thank you Iman Scarlett and Friha Zafar for conducting the laboratory testing of the oral fluid specimens and thank you also to Dr Andrea Marongiu who facilitated the fieldworker training. Funding statement: This study is funded by the National Institute for Health Research (NIHR) School for Public Health Research (Grant Reference Number PD - SPH- 2015). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Funding Information: Funding statement: This study is funded by the National Institute for Health Research (NIHR) School for Public Health Research (Grant Reference Number PD – SPH-2015). Publisher Copyright: {\textcopyright} 2019, European Centre for Disease Prevention and Control (ECDC). All rights reserved.",

year = "2019",

month = jun,

day = "20",

doi = "10.2807/1560-7917.ES.2019.24.25.1800312",

language = "English",

volume = "24",

journal = "Eurosurveillance",

issn = "1025-496X",

publisher = "European Centre for Disease Prevention and Control (ECDC)",

number = "25",

}

TY - JOUR

T1 - Combination prevention and HIV

T2 - A cross-sectional community survey of gay and bisexual men in London, october to december 2016

AU - Logan, Louise

AU - Fakoya, Ibidun

AU - Howarth, Alison

AU - Murphy, Gary

AU - Johnson, Anne M.

AU - Rodger, Alison J.

AU - Burns, Fiona

AU - Nardone, Anthony

N1 - Funding Information: Many thanks go to all the venues that allowed us to conduct the survey in their premises, to all the fieldworkers who collected the data and the men who took the time to participate. Thank you Iman Scarlett and Friha Zafar for conducting the laboratory testing of the oral fluid specimens and thank you also to Dr Andrea Marongiu who facilitated the fieldworker training. Funding statement: This study is funded by the National Institute for Health Research (NIHR) School for Public Health Research (Grant Reference Number PD - SPH- 2015). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Funding Information: Funding statement: This study is funded by the National Institute for Health Research (NIHR) School for Public Health Research (Grant Reference Number PD – SPH-2015). Publisher Copyright: © 2019, European Centre for Disease Prevention and Control (ECDC). All rights reserved.

PY - 2019/6/20

Y1 - 2019/6/20

N2 - Background: Men who have sex with men (MSM) are at risk of HIV and are an important population to monitor and ameliorate combination prevention efforts. Aim: To estimate HIV prevalence and identify factors associated with frequent HIV testing (= 2 HIV tests in the last year) and pre-exposure prophylaxis (PrEP) use among MSM in London. Methods: For this cross-sectional study, MSM recruited from 22 social venues provided oral-fluid samples for anonymous HIV antibody (Ab) testing and completed a questionnaire. Factors associated with frequent HIV testing and PrEP use were identified through logistic regression. Results: Of 767 men recruited, 545 provided an eligible oral specimen. Among these, 38 MSM (7.0%) were anti-HIV positive including five (13.2%; 5/38) who reported their status as negative. Condomless anal sex within the previous 3 months was reported by 60.1% (412/685) men. Frequent HIV testing was associated with, in the past year, a reported sexually transmitted infection (adjusted odds ratio (AOR): 5.05; 95% confidence interval (CI): 2.66-9.58) or = 2 casual condomless partners (AOR 2-4 partners: 3.65 (95% CI: 1.87-7.10); AOR 5-10 partners: 3.34 (95% CI: 1.32-8.49). Age = 35 years was related to less frequent HIV testing (AOR 35-44 years: 0.34 (95% CI: 0.16-0.72); AOR = 45 years: 0.29 (95% CI: 0.12-0.69). PrEP use in the past year was reported by 6.2% (46/744) of MSM and associated with = 2 casual condomless sex partners (AOR: 2.86; 95% CI: 1.17-6.98) or chemsex (AOR: 2.31; 95% CI: 1.09-4.91). Conclusion: This bio-behavioural study of MSM found high rates of behaviours associated with increased risk of HIV transmission. Combination prevention, including frequent HIV testing and use of PrEP, remains crucial in London.

AB - Background: Men who have sex with men (MSM) are at risk of HIV and are an important population to monitor and ameliorate combination prevention efforts. Aim: To estimate HIV prevalence and identify factors associated with frequent HIV testing (= 2 HIV tests in the last year) and pre-exposure prophylaxis (PrEP) use among MSM in London. Methods: For this cross-sectional study, MSM recruited from 22 social venues provided oral-fluid samples for anonymous HIV antibody (Ab) testing and completed a questionnaire. Factors associated with frequent HIV testing and PrEP use were identified through logistic regression. Results: Of 767 men recruited, 545 provided an eligible oral specimen. Among these, 38 MSM (7.0%) were anti-HIV positive including five (13.2%; 5/38) who reported their status as negative. Condomless anal sex within the previous 3 months was reported by 60.1% (412/685) men. Frequent HIV testing was associated with, in the past year, a reported sexually transmitted infection (adjusted odds ratio (AOR): 5.05; 95% confidence interval (CI): 2.66-9.58) or = 2 casual condomless partners (AOR 2-4 partners: 3.65 (95% CI: 1.87-7.10); AOR 5-10 partners: 3.34 (95% CI: 1.32-8.49). Age = 35 years was related to less frequent HIV testing (AOR 35-44 years: 0.34 (95% CI: 0.16-0.72); AOR = 45 years: 0.29 (95% CI: 0.12-0.69). PrEP use in the past year was reported by 6.2% (46/744) of MSM and associated with = 2 casual condomless sex partners (AOR: 2.86; 95% CI: 1.17-6.98) or chemsex (AOR: 2.31; 95% CI: 1.09-4.91). Conclusion: This bio-behavioural study of MSM found high rates of behaviours associated with increased risk of HIV transmission. Combination prevention, including frequent HIV testing and use of PrEP, remains crucial in London.

UR - https://www.scopus.com/pages/publications/85068872255

U2 - 10.2807/1560-7917.ES.2019.24.25.1800312

DO - 10.2807/1560-7917.ES.2019.24.25.1800312

M3 - Article

C2 - 31241039

AN - SCOPUS:85068872255

SN - 1025-496X

VL - 24

JO - Eurosurveillance

JF - Eurosurveillance

IS - 25

M1 - 1800312.

ER -

Combination prevention and HIV: A cross-sectional community survey of gay and bisexual men in London, october to december 2016

Abstract

Bibliographical note

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