A 'test and treat' prevention strategy in Australia requires innovative HIV testing models: a cohort study of repeat testing among 'high-risk' men who have sex with men

Sexually Transmitted Infections
Anna L WilkinsonMark Stoové

Abstract

HIV diagnoses among men who have sex with men (MSM) in several high-income countries, including Australia, have increased substantially over recent years. Australia, in line with global prevention strategies, has emphasised a 'test and treat' HIV prevention strategy which relies on timely detection of HIV through frequent testing by those at risk. We examined trends in repeat testing among MSM defined as 'high-risk' according to Australian testing guidelines. HIV test records from MSM attending high caseload clinics in Melbourne 2007-2013 and classified as high-risk were analysed. Binary outcomes of 'test within 3 months' and 'test within 6 months' were assigned to tests within individuals' panel of records. Negative binomial regressions assessed trends in overall HIV testing and returning within 3 and 6 months. Annualised proportions of return tests (2007-2012) were compared using two-sample z tests. Across 18 538 tests among 7117 high-risk MSM attending primary care clinics in Melbourne (2007-2013), the number of annual HIV tests increased (p<0.01). Between 2007 and 2012 annualised proportions of tests with a subsequent test within 3 and 6 months also increased (p<0.01); however, by 2012 only 36.4% and 15.1% of tests were fol...Continue Reading

References

May 9, 2012·Sexually Transmitted Infections·David A KatzJoanne D Stekler
Jul 24, 2012·Lancet·Chris BeyrerRon Brookmeyer
Feb 6, 2013·Sexual Health·Garrett PrestagePhillip Keen

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Citations

Jul 28, 2017·Australian and New Zealand Journal of Public Health·Mark StoovéMartin Holt
Nov 4, 2017·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Nick ScottMargaret E Hellard
Apr 12, 2018·Journal of the International AIDS Society·Richard T GrayMartin Holt
May 30, 2019·Australian and New Zealand Journal of Public Health·Kathleen E RyanMark Stoové
Oct 30, 2019·Open Forum Infectious Diseases·Brendan L HarneyMark Stoové
Dec 21, 2017·AIDS and Behavior·Muhammad S JamilUNKNOWN ACCESS and NSW Partnership Project Steering Committees
Oct 12, 2017·BMC Health Services Research·Kathleen E RyanMark Stoové

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