{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T03:47:47Z","timestamp":1752551267805,"version":"3.41.2"},"reference-count":27,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005564","name":"Gilead Sciences","doi-asserted-by":"publisher","award":["RG203102"],"award-info":[{"award-number":["RG203102"]}],"id":[{"id":"10.13039\/100005564","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Gay, bisexual and other men who have sex with men are disproportionately affected by HIV and other sexually transmitted infections (STIs). This study explores preferences for different models of sexual health services among gay, bisexual and other men who have sex with men in Australia, using discrete choice experiments (DCEs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional online survey was conducted from November 2022 to February 2023, targeting three groups: (1) gay, bisexual and other men who have sex with men living with HIV; (2) pre\u2010exposure prophylaxis (PrEP) users; and (3) non\u2010PrEP users. Participants were recruited through paid advertisements, sexual health clinics and community networks. The survey included demographic questions, sexual behaviour inquiries and three tailored DCEs to quantify preferences for service delivery attributes such as cost, type of clinic, appointment type, appointment frequency, extra services and where samples are taken for HIV\/STI testing. We used latent class analyses to identify subgroups of people with similar preferences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We recruited 1422 participants. The median age was 41 (interquartile range [IQR]: 32\u201354) for gay, bisexual and other men who have sex with men living with HIV (<jats:italic>N<\/jats:italic> = 396), 35 (IQR: 29\u201345) for PrEP users (<jats:italic>N<\/jats:italic> = 436) and 33 (IQR: 26\u201344) for non\u2010PrEP users (<jats:italic>N<\/jats:italic> = 590). In our latent class analyses, gay, bisexual and other men who have sex with men living with HIV preferred sexual health services to be delivered via sexual health clinics (46.2%), general practitioners (GP) with expertise in lesbian, gay, bisexual, trans, queer and others (LGBTQ+) health (33.0%) or were happy to go anywhere and to pay (20.7%). PrEP users preferred either PrEP\u2010only clinics or GP with expertise in LGBTQ+ health (75.2%) and GP with expertise in LGBTQ+ health only (24.8%). Non\u2010PrEP users preferred GP with expertise in LGBTQ+ health (44.7%) or any free service (22.8%); some did not want to test (22.2%) or were unsure of their preferences (10.2%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>To align service models with client needs, investment in specialist sexual health clinics and LGBTQ+ competent GPs is important, though this may depend on local resources and infrastructure. Future research should focus on addressing financial barriers, evaluating telehealth and digital health interventions, and understanding testing reluctance among non\u2010PrEP users.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jia2.26482","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T10:30:41Z","timestamp":1751884241000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Preferences for models of sexual health service delivery among gay, bisexual and other men who have sex with men in Australia: a discrete choice experiment"],"prefix":"10.1002","volume":"28","author":[{"given":"Jason J.","family":"Ong","sequence":"first","affiliation":[{"name":"School of Translational Medicine Monash University  Melbourne Victoria Australia"},{"name":"Melbourne Sexual Health Centre Alfred Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doug","family":"Fraser","sequence":"additional","affiliation":[{"name":"The Kirby Institute University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Bourne","sequence":"additional","affiliation":[{"name":"The Kirby Institute University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Grulich","sequence":"additional","affiliation":[{"name":"The Kirby Institute University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5834-8278","authenticated-orcid":false,"given":"Benjamin R.","family":"Bavinton","sequence":"additional","affiliation":[{"name":"The Kirby Institute University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,7]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"UNAIDS.2024 Global AIDS Report\u2014The urgency of now: AIDS at a crossroads. Accessed May 6 2025. Available from:https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/2024\u2010unaids\u2010global\u2010aids\u2010update_en.pdf."},{"key":"e_1_2_11_3_1","unstructured":"University of New South Wales. Kirby Institute.HIV viral hepatitis and sexually transmissible infections in Australia: Annual surveillance report. 2024. Accessed May 6 2025. Available from:https:\/\/www.kirby.unsw.edu.au\/research\/reports\/asr2024."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.18.223495"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1018983"},{"volume-title":"Updated recommendations on service delivery for the treatment and care of people living with HIV","year":"2021","key":"e_1_2_11_6_1"},{"key":"e_1_2_11_7_1","unstructured":"ArapaliTWS SmithAKJ KeenP Mac PhailC Dowell\u2010DayA ClackettS et\u00a0al.Innovative oral PrEP service delivery models and the policy legal and regulatory barriers to their implementation.2024. Accessed May 6 2025. Available from:https:\/\/www.kirby.unsw.edu.au\/research\/reports\/innovative\u2010oral\u2010prep\u2010service\u2010delivery\u2010models\u2010and\u2010policy\u2010legal\u2010and\u2010regulatory\u2010barriers\u2010their\u2010implementation."},{"issue":"4","key":"e_1_2_11_8_1","first-page":"255","article-title":"Accessible health care is critical to the effective control of sexually transmitted infections","volume":"19","author":"Fairley CK","year":"2022","journal-title":"Sex Health"},{"key":"e_1_2_11_9_1","unstructured":"Australasian Society for HIV VHaSHMA.HIV management in Australasia: a guide for clinical care.2020."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1071\/SH22134"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002851"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13178-022-00769-w"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.2196\/45695"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.13158"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-020-01336-1"},{"key":"e_1_2_11_16_1","unstructured":"IAS.Advances from COVID\u201019: innovative digital technologies to deliver HIV prevention and treatment.2021."},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1071\/SH22109"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511805271"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2016.04.004"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/13658816.2019.1709973"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101507"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2016-208141"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1071\/SH21250"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/13591053211027652"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/00918369.2022.2092804"},{"key":"e_1_2_11_26_1","unstructured":"Australian Bureau of Statistics.Patient experiences. Accessed May 6 2025. Available from:https:\/\/www.abs.gov.au\/statistics\/health\/health\u2010services\/patient\u2010experiences\/latest\u2010release#:~:text=Health%20service%20use%20either%20increased 83.6%25%20compared%20to%2082.4%25."},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0199891"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19073935"}],"container-title":["Journal of the International AIDS Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jia2.26482","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T04:44:34Z","timestamp":1752468274000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jia2.26482"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":27,"journal-issue":{"issue":"S3","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1002\/jia2.26482"],"URL":"https:\/\/doi.org\/10.1002\/jia2.26482","archive":["Portico"],"relation":{},"ISSN":["1758-2652","1758-2652"],"issn-type":[{"type":"print","value":"1758-2652"},{"type":"electronic","value":"1758-2652"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2024-11-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e26482"}}