Does the frequency of HIV and STI testing0 among men who have sex with men in primary care adhere with Australian guidelines?

Rebecca Guy, Jane L Goller, T. Spelman, C. El-Hayek, J. Gold, M. Lim, D. Leslie, Ban Kiem Tee, Norman Roth, J. Anderson, C. K. Fairley, John Kaldor, M. Hellard

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59 Citations (Scopus)

Abstract

Objectives: Australian guidelines recommend annual testing for HIV and sexually transmitted infections (STIs) for all men who have sex with men (MSM) and 3-6 monthly testing for those at higher risk as defined by behavioural criteria. We assessed HIV/STI re-testing rates among MSM attending primary care clinics. Methods: We conducted a retrospective follow-up of HIV negative MSM tested for HIV or STIs (chlamydia or syphilis) at four primary care clinics in the 9-month period: April to December 2006. Re-testing rates for these infections were calculated over 18 months. Logistic regression was undertaken to identify predictors of guideline adherence. Results: Of the MSM requiring annual HIV testing according to the guidelines, the re-testing rates at 1 y were 35% (762/2163). Among the higher risk MSM, 6-monthly HIV re-testing rates were 15% (283/1862). Within the subgroup who reported 11 or more male sexual partners within the past 6 months, HIV re-testing rates within 6 months were 19%. Independent predictors of HIV re-testing within 6 months in higher-risk MSM were reporting 11 or more male sexual partners in the last 6 months (AOR 3.1, 95% CI 1.8 to 4.8); being born overseas (AOR 2.0, 95% CI 1.2 to 3.4); and previous HIV testing more than 12 months earlier (AOR 3.3, 95% CI 1.9 to 5.5). Conclusion: There is poor adherence to national guidelines that recommend regular re-testing of MSM for STIs, particularly among those at higher risk who require more frequent testing. Clinical strategies are urgently needed to encourage more frequent HIV/STI testing among MSM, especially in the higher risk subgroup.

Original languageEnglish
Pages (from-to)371-376
Number of pages6
JournalSexually Transmitted Infections
Volume86
Issue number5
DOIs
Publication statusPublished - Oct 2010
Externally publishedYes

Cite this

Guy, Rebecca ; Goller, Jane L ; Spelman, T. ; El-Hayek, C. ; Gold, J. ; Lim, M. ; Leslie, D. ; Tee, Ban Kiem ; Roth, Norman ; Anderson, J. ; Fairley, C. K. ; Kaldor, John ; Hellard, M. / Does the frequency of HIV and STI testing0 among men who have sex with men in primary care adhere with Australian guidelines?. In: Sexually Transmitted Infections. 2010 ; Vol. 86, No. 5. pp. 371-376.
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title = "Does the frequency of HIV and STI testing0 among men who have sex with men in primary care adhere with Australian guidelines?",
abstract = "Objectives: Australian guidelines recommend annual testing for HIV and sexually transmitted infections (STIs) for all men who have sex with men (MSM) and 3-6 monthly testing for those at higher risk as defined by behavioural criteria. We assessed HIV/STI re-testing rates among MSM attending primary care clinics. Methods: We conducted a retrospective follow-up of HIV negative MSM tested for HIV or STIs (chlamydia or syphilis) at four primary care clinics in the 9-month period: April to December 2006. Re-testing rates for these infections were calculated over 18 months. Logistic regression was undertaken to identify predictors of guideline adherence. Results: Of the MSM requiring annual HIV testing according to the guidelines, the re-testing rates at 1 y were 35{\%} (762/2163). Among the higher risk MSM, 6-monthly HIV re-testing rates were 15{\%} (283/1862). Within the subgroup who reported 11 or more male sexual partners within the past 6 months, HIV re-testing rates within 6 months were 19{\%}. Independent predictors of HIV re-testing within 6 months in higher-risk MSM were reporting 11 or more male sexual partners in the last 6 months (AOR 3.1, 95{\%} CI 1.8 to 4.8); being born overseas (AOR 2.0, 95{\%} CI 1.2 to 3.4); and previous HIV testing more than 12 months earlier (AOR 3.3, 95{\%} CI 1.9 to 5.5). Conclusion: There is poor adherence to national guidelines that recommend regular re-testing of MSM for STIs, particularly among those at higher risk who require more frequent testing. Clinical strategies are urgently needed to encourage more frequent HIV/STI testing among MSM, especially in the higher risk subgroup.",
author = "Rebecca Guy and Goller, {Jane L} and T. Spelman and C. El-Hayek and J. Gold and M. Lim and D. Leslie and Tee, {Ban Kiem} and Norman Roth and J. Anderson and Fairley, {C. K.} and John Kaldor and M. Hellard",
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Does the frequency of HIV and STI testing0 among men who have sex with men in primary care adhere with Australian guidelines? / Guy, Rebecca; Goller, Jane L; Spelman, T.; El-Hayek, C.; Gold, J.; Lim, M.; Leslie, D.; Tee, Ban Kiem; Roth, Norman; Anderson, J.; Fairley, C. K.; Kaldor, John; Hellard, M.

In: Sexually Transmitted Infections, Vol. 86, No. 5, 10.2010, p. 371-376.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Does the frequency of HIV and STI testing0 among men who have sex with men in primary care adhere with Australian guidelines?

AU - Guy, Rebecca

AU - Goller, Jane L

AU - Spelman, T.

AU - El-Hayek, C.

AU - Gold, J.

AU - Lim, M.

AU - Leslie, D.

AU - Tee, Ban Kiem

AU - Roth, Norman

AU - Anderson, J.

AU - Fairley, C. K.

AU - Kaldor, John

AU - Hellard, M.

PY - 2010/10

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N2 - Objectives: Australian guidelines recommend annual testing for HIV and sexually transmitted infections (STIs) for all men who have sex with men (MSM) and 3-6 monthly testing for those at higher risk as defined by behavioural criteria. We assessed HIV/STI re-testing rates among MSM attending primary care clinics. Methods: We conducted a retrospective follow-up of HIV negative MSM tested for HIV or STIs (chlamydia or syphilis) at four primary care clinics in the 9-month period: April to December 2006. Re-testing rates for these infections were calculated over 18 months. Logistic regression was undertaken to identify predictors of guideline adherence. Results: Of the MSM requiring annual HIV testing according to the guidelines, the re-testing rates at 1 y were 35% (762/2163). Among the higher risk MSM, 6-monthly HIV re-testing rates were 15% (283/1862). Within the subgroup who reported 11 or more male sexual partners within the past 6 months, HIV re-testing rates within 6 months were 19%. Independent predictors of HIV re-testing within 6 months in higher-risk MSM were reporting 11 or more male sexual partners in the last 6 months (AOR 3.1, 95% CI 1.8 to 4.8); being born overseas (AOR 2.0, 95% CI 1.2 to 3.4); and previous HIV testing more than 12 months earlier (AOR 3.3, 95% CI 1.9 to 5.5). Conclusion: There is poor adherence to national guidelines that recommend regular re-testing of MSM for STIs, particularly among those at higher risk who require more frequent testing. Clinical strategies are urgently needed to encourage more frequent HIV/STI testing among MSM, especially in the higher risk subgroup.

AB - Objectives: Australian guidelines recommend annual testing for HIV and sexually transmitted infections (STIs) for all men who have sex with men (MSM) and 3-6 monthly testing for those at higher risk as defined by behavioural criteria. We assessed HIV/STI re-testing rates among MSM attending primary care clinics. Methods: We conducted a retrospective follow-up of HIV negative MSM tested for HIV or STIs (chlamydia or syphilis) at four primary care clinics in the 9-month period: April to December 2006. Re-testing rates for these infections were calculated over 18 months. Logistic regression was undertaken to identify predictors of guideline adherence. Results: Of the MSM requiring annual HIV testing according to the guidelines, the re-testing rates at 1 y were 35% (762/2163). Among the higher risk MSM, 6-monthly HIV re-testing rates were 15% (283/1862). Within the subgroup who reported 11 or more male sexual partners within the past 6 months, HIV re-testing rates within 6 months were 19%. Independent predictors of HIV re-testing within 6 months in higher-risk MSM were reporting 11 or more male sexual partners in the last 6 months (AOR 3.1, 95% CI 1.8 to 4.8); being born overseas (AOR 2.0, 95% CI 1.2 to 3.4); and previous HIV testing more than 12 months earlier (AOR 3.3, 95% CI 1.9 to 5.5). Conclusion: There is poor adherence to national guidelines that recommend regular re-testing of MSM for STIs, particularly among those at higher risk who require more frequent testing. Clinical strategies are urgently needed to encourage more frequent HIV/STI testing among MSM, especially in the higher risk subgroup.

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