{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T23:09:35Z","timestamp":1761347375814,"version":"build-2065373602"},"reference-count":24,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":3097,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,4,7]]},"abstract":"<jats:title>Background<\/jats:title>\n                  <jats:p>Increasing the frequency of HIV testing is crucial for effective HIV prevention and care. The aim of the present study was to determine whether there has been a change in HIV testing among men who have sex with men (MSM) at the South Australia Specialist Sexual Health (SASSH) clinic over the past two decades. Methods: Computerised medical records of MSM who attended the SASSH at their first visit between 1994 and 2015 were used to determine whether HIV testing had changed among MSM. First HIV tests in each calendar year and return tests within 12 months were analysed. Factors associated with recent HIV testing were also examined. Results: There were 24 036 HIV tests conducted among 8163 individual MSM over the study period. The proportion of newly registered MSM who reported ever being tested for HIV declined (Ptrend = 0.030), the proportion who reported recent HIV testing did not change (Ptrend = 0.955) and the proportion who have had current HIV testing increased (Ptrend = 0.008). The proportion of MSM who returned to the clinic for HIV testing within 12 months did not change (Ptrend &amp;gt;0.05), with less than 40% of MSM returning for HIV testing. Factors independently associated with recent HIV testing included MSM aged =20 years, (odds ratio (OR) 1.79; 95% confidence interval (CI) 1.53\u20132.10), higher education (OR 1.28; 95% CI 1.12\u20131.45), non-Caucasian (African OR 1.68; 95% CI 1.30\u20132.17), having multiple sex partners (OR 1.47; 95% CI 1.29\u20131.69), having had sex interstate (OR 1.61; 95% CI 1.42\u20131.82) or overseas (OR 1.53; 95% CI 1.33\u20131.76) and injecting drug use (OR 1.56; 95% CI 1.29\u20131.88). Conclusions: HIV testing rate among MSM attending SASSH was suboptimal. New approaches are needed to increase the uptake and early detection of HIV infection among the high-priority MSM population.<\/jats:p>","DOI":"10.1071\/sh16091","type":"journal-article","created":{"date-parts":[[2016,11,10]],"date-time":"2016-11-10T18:48:12Z","timestamp":1478803692000},"page":"164-169","source":"Crossref","is-referenced-by-count":5,"title":["Trends and predictors of recent HIV testing over 22 years among a clinic sample of men who have sex with men in South Australia"],"prefix":"10.1071","volume":"14","author":[{"given":"Bin","family":"Li","sequence":"first","affiliation":[{"name":"ASchool of Public Health, The University of Adelaide, 178 North Terrace, Adelaide, SA 5000, Australia."},{"name":"BSouth Australia Specialist Sexual Health, Infectious Disease Unit, Royal Adelaide Hospital, 275 North Terrace, Adelaide, SA 5000, Australia."},{"name":"ECorresponding author. Email: Bin.Li@sa.gov.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peng","family":"Bi","sequence":"additional","affiliation":[{"name":"ASchool of Public Health, The University of Adelaide, 178 North Terrace, Adelaide, SA 5000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Ward","sequence":"additional","affiliation":[{"name":"BSouth Australia Specialist Sexual Health, Infectious Disease Unit, Royal Adelaide Hospital, 275 North Terrace, Adelaide, SA 5000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Bell","sequence":"additional","affiliation":[{"name":"BSouth Australia Specialist Sexual Health, Infectious Disease Unit, Royal Adelaide Hospital, 275 North Terrace, Adelaide, SA 5000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher K.","family":"Fairley","sequence":"additional","affiliation":[{"name":"CCentral Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, 89 Commercial Road, Melbourne, Vic. 3004, Australia."},{"name":"DMelbourne Sexual Health Centre, Alfred Health, 580 Swanston Street, Carlton, Vic. 3053, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2016,11,11]]},"reference":[{"key":"2025102419052496000_R1","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1016\/S0140-6736(12)60821-6","article-title":"Global epidemiology of HIV infection in men who have sex with men.","volume":"380","author":"Beyrer","year":"2012","journal-title":"Lancet"},{"key":"2025102419052496000_R2","doi-asserted-by":"publisher","first-page":"2412","DOI":"10.1001\/jama.298.20.2412","article-title":"The reemerging HIV\/AIDS epidemic in men who have sex with men.","volume":"298","author":"Jaffe","year":"2007","journal-title":"JAMA"},{"key":"2025102419052496000_R3","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1071\/SH07075","article-title":"Trends in HIV incidence in homosexual men in developed countries.","volume":"5","author":"Grulich","year":"2008","journal-title":"Sex Health"},{"key":"2025102419052496000_R4","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1016\/S0140-6736(12)60955-6","article-title":"Successes and challenges of HIV prevention in men who have sex with men.","volume":"380","author":"Sullivan","year":"2012","journal-title":"Lancet"},{"key":"2025102419052496000_R5","doi-asserted-by":"publisher","first-page":"e339","DOI":"10.1371\/journal.pmed.0040339","article-title":"Elevated risk for HIV infection among men who have sex with men in low- and middle-income countries 2000\u20132006: a systematic review.","volume":"4","author":"Baral","year":"2007","journal-title":"PLoS Med"},{"key":"2025102419052496000_R6","unstructured":"Department of Health. 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