A5005111378- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Sex work and related issues
- Adolescent Sexual and Reproductive Health
- Hepatitis C virus research
- LGBTQ Health, Identity, and Policy
- Sexuality, Behavior, and Technology
- HIV Research and Treatment
- Hepatitis B Virus Studies
- Hepatitis Viruses Studies and Epidemiology
- Homelessness and Social Issues
- Marriage and Sexual Relationships
- Tourism, Volunteerism, and Development
- Migration, Health and Trauma
- HIV/AIDS Impact and Responses
- Food Security and Health in Diverse Populations
- HIV-related health complications and treatments
- COVID-19 Pandemic Impacts
- COVID-19 Impact on Reproduction
- Reproductive Health and Technologies
- Personality Disorders and Psychopathology
- Mental Health and Psychiatry
- Syphilis Diagnosis and Treatment
- Youth Education and Societal Dynamics
- Data Analysis and Archiving
La Trobe University
2014-2024
UNSW Sydney
2013-2023
Australian Centre for Sexual Health
2016-2023
National Centre for Social research
2003-2023
Monash University
2021-2022
Alfred Health
2021-2022
Burnet Institute
2021-2022
Peter Doherty Institute
2022
National Centre for Clinical Research on Emerging Drugs
2003-2012
Introduction: In March 2020, Australian state and federal governments introduced physical distancing measures alongside widespread testing to combat COVID-19. These may decrease people's sexual contacts thus reduce the transmission of HIV other sexually transmissible infections (STIs). We investigated impact due COVID-19 on behavior gay bisexual men in Australia. Methods: Between April 4, 29, 940 participants an ongoing cohort study responded questions measure changes behaviors during...
Objectives To investigate willingness to use HIV pre-exposure prophylaxis (PrEP) and the likelihood of decreased condom among Australian gay bisexual men. Methods A national, online cross-sectional survey was conducted in April May 2011. Bivariate relationships were assessed with χ 2 or Fisher's exact test. Multivariate logistic regression analysis performed assess independent primary outcome variables. Results Responses from 1161 HIV-negative untested men analysed. Prior antiretroviral...
This paper examines future thinking in a group of disenfranchised young Australians. We draw on literature about individualisation and choice biographies to understand participants' narratives. Participants that managed narrate expressed strong desires be 'normal', articulating futures marked by traditional indicators: job, home family. Yet, their narratives were specific the minimal opportunity structures available them – prioritising paid employment with little concern type work done, was...
In response to the novel coronavirus disease (COVID-19) pandemic, Australia introduced public health and physical distancing restrictions in late March 2020. We investigated impact of these on HIV preexposure prophylaxis (PrEP) use among Australian gay bisexual men (GBM).Participants an ongoing online cohort study previously reported PrEP from 2014 2019. April 2020, 847 HIV-negative untested participants completed questionnaires assessing changes as a result COVID-19 measures. Binary...
Abstract Introduction In 2018, following government policy changes to Australia’s national electronic health record system, ‘My Health Record’, consumer advocates—including organisations representing people living with HIV, who use drugs and sex workers—raised concerns about privacy data security. Responding these controversies, this study explores the practical, ethical political complexities of engaging stigmatised communities digital systems. Methods We conducted 16 qualitative...
Despite the potential for HIV treatments to transform health needs of people living with HIV, receiving a positive diagnosis can be difficult experience and feelings shock, distress concerns future are commonly reported. Drawing on Michael Bury’s conceptualisation ‘biographical disruption’, we utilised semi-structured interviews explore experiences diagnoses among 34 diagnosed between 2016 2020 in Australia. Interviews were conducted January 2018 August 2021. significant advances biomedical...
Universal access to the hepatitis C direct acting antiviral (DAAs) regimens presents a unique opportunity eliminate in Australia. Large numbers of Australians have already been cured using these treatments, however, presenting for treatment begun plateau. This study explored how people experienced and understood being C, with aim informing interventions increase uptake DAA among C.This qualitative used semi-structured interviews explore experiences taking DAAs accessing both hospital...
Objective(s): To assess trends in HIV prevention strategies among Australian gay and bisexual men (GBM) since the introduction of preexposure prophylaxis (PrEP), level net coverage (the use safe strategies), characteristics HIV-negative untested GBM who remain at risk HIV. Design: Repeated behavioural surveillance recruited from venues, events online seven states territories. Methods: Participants with casual male partners were included. Trends sexual practices, strategies, ‘at risk’...
The Undetectable=Untransmittable (U=U) message has been promoted since it was demonstrated that viral suppression through HIV treatment prevents sexual transmission between serodiscordant partners (HIV as prevention). Our study assessed familiarity with, perceived accuracy of, and willingness to rely on U=U in a national sample of gay bisexual men Australia.We conducted national, online cross-sectional survey April-June 2021. Eligible participants were gay, queer non-binary people who lived...
When viewed over time, many gay men's relationships are not static, or firmly fixed to monogamy non-monogamy. This paper uses in-depth interviews with 61 Australian men explore how and non-monogamy experienced expectations of what constitutes the norms regarding couples experience practices change. Although some may idealise monogamy, particularly at beginning a relationship, it is often as temporary. Non-monogamy seen likely prospect for owing social cultural that operate in communities....
Background: HIV prevention cascades can assist in monitoring the implementation of methods like preexposure prophylaxis (PrEP). We developed 2 PrEP for Australia's primary HIV-affected population, gay and bisexual men. Methods: Data were drawn from national, repeated, cross-sectional surveys (the Gay Community Periodic Surveys PrEPARE Project). One cascade had 3 steps, other 7 steps. Trends over time assessed using logistic regression. For most recent year, we identified biggest drop between...
Effective HIV treatments have transformed the medical needs of people living with (PLHIV) to a chronic condition. However, stigma, poorer mental health outcomes and social isolation remain significant challenges for many PLHIV. peer support programs assisted PLHIV in navigating clinical, emotional aspects HIV. We draw on semi-structured interviews 26 recently diagnosed Australia explore experiences services. Our thematic analysis identified three overarching themes. First, participants...
Minority groups may face additional barriers to vaccination. In April-June 2021, we assessed the level of COVID-19 vaccination and willingness be vaccinated in a national, online survey 1280 gay bisexual men Australia. Over quarter sample (28.0%) had been partially or fully vaccinated, 80.0% unvaccinated were willing vaccinated. Vaccination was independently associated with older age, being university educated, HIV status (with HIV-positive participants more likely untested less vaccinated)....
Abstract We examined depression and anxiety prior to during COVID-19 restrictions in Australian gay bisexual men (GBM). In an online cohort, a COVID-19-focused survey was conducted April 2020. During 2019 2020, 664 GBM completed the Patient Health Questionnaire (PHQ-9, measuring depression) Generalized Anxiety Disorder Assessment (GAD-7, anxiety). Increased were defined as ≥ 5 point increase on respective scales. Mean PHQ-9 GAD-7 scores increased between 2020 (PHQ-9: from 5.11 6.55 2020;...
This paper describes the accounts that homosexually active men give of their HIV seroconversion and interrogates these for risk discourses. In particular, this asks whether discourses researchers educators are present in men's narratives own seroconversion. Such make reference to 'unsafe' sex – particularly practice unprotected anal intercourse, numbers sexual partners or 'promiscuity', disinhibiting effect drugs alcohol. The data drawn from an ongoing case-series study which who had...
Treatment as prevention has mobilized new opportunities in preventing HIV transmission and led to bold UNAIDS targets testing, treatment coverage reduction. These will require not only an increase investment but also a deeper understanding of the dynamics combining behavioural, biomedical structural interventions. High-income countries are making substantial investments combination prevention, is this leading how combine interventions? The interventions involves complexity, with many...
<h3>Objective</h3> Assess willingness to use HIV pre-exposure prophylaxis (PrEP), support for others using it and have sex with partners PrEP among Australian gay bisexual men (GBM). <h3>Methods</h3> National, online cross-sectional surveys of GBM were conducted in 2011, 2013 2015. Scales measuring developed 2015 factor analysis. Trends associations key measures analysed multivariate logistic regression. <h3>Results</h3> During 2011–2015, 3850 completed by GBM. Willingness HIV-negative...
We assessed willingness to use HIV pre-exposure prophylaxis (PrEP) and current PrEP among gay bisexual men (GBM) in Australia.National, online cross-sectional surveys of GBM were conducted 2013, 2015, 2017, 2019. Willingness was measured on a previously validated scale. Trends associations with key measures analyzed using multivariate logistic regression.During 2013-2019, 4908 completed. Among HIV-negative untested not currently PrEP, increased from 23.0% 2013 36.5% 2017 (P < 0.001) but then...