{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T12:44:49Z","timestamp":1793623489673,"version":"4.5.0"},"reference-count":21,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":2005,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,4,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Gay and other men who have sex with men of Asian background (GAM) have been identified as a key population in efforts to eradicate HIV in New South Wales. The aims of the present study were to evaluate current levels of engagement with HIV and sexually transmissible infection (STI) testing services, assess knowledge of pre- and post-exposure prophylaxis and to identify factors associated with service engagement in this group. Methods: A survey of 604 GAM residing in Sydney and Melbourne was undertaken. Results: The data identified that a significant proportion of non-HIV-positive men (i.e. HIV-negative men and men whose HIV status was unknown) surveyed (n = 567; 93.9%) had engaged in frequent HIV testing and comprehensive STI testing in the 12 months prior to the survey (n = 180; 31.7%). There were significant differences (P &amp;lt; 0.05) in sexual practices at the bivariate level between those who reported frequent and comprehensive HIV\/STI testing and those who did not. Those who tested regularly were substantially more sexually active, were more likely to have multiple partners (P = 0.001) and were more likely to engage in condomless anal intercourse with both casual (P &amp;lt; 0.001) and regular (P = 0.002) partners. Those who engaged with testing initiatives were more likely to discuss HIV status with both regular (P = 0.008) and casual (P &amp;lt; 0.001) partners, and identified more reasons to test than their counterparts (P &amp;lt; 0.001). The data also highlighted key service venues, with gay men most likely to have used public sexual health clinics (46.9%) as their most recent testing venue. Conclusions: The data demonstrate an association between high levels of male-to-male sexual activity and engagement in frequent and comprehensive HIV and STI testing. This likely derives from both self-perceived notions of risk and current reliance on established gay community organisations to convey information around testing. Increasing engagement with testing initiatives beyond GAM who self-identify as being at high HIV and STI risk will require the use of novel routes by which to disseminate this information.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh18216","type":"journal-article","created":{"date-parts":[[2020,3,2]],"date-time":"2020-03-02T18:02:37Z","timestamp":1583172157000},"page":"121-128","source":"Crossref","is-referenced-by-count":13,"title":["High levels of engagement with testing for HIV and sexually transmissible infection among gay Asian men in Sydney and Melbourne: an observational study"],"prefix":"10.1071","volume":"17","author":[{"given":"Danielle","family":"Murray","sequence":"first","affiliation":[{"name":"AKingston Hospital, Kingston upon Thames, KT2 7QB, UK."},{"name":"NCorresponding author. Email: danielle.murray9@nhs.net"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Limin","family":"Mao","sequence":"additional","affiliation":[{"name":"BCentre for Social Research in Health, Level 3, John Goodsell Building, UNSW Sydney, NSW 2052, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.-H. (Horas)","family":"Wong","sequence":"additional","affiliation":[{"name":"BCentre for Social Research in Health, Level 3, John Goodsell Building, UNSW Sydney, NSW 2052, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Chen","sequence":"additional","affiliation":[{"name":"CACON, 414 Elizabeth Street, Surry Hills, NSW 2010, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brent","family":"Mackie","sequence":"additional","affiliation":[{"name":"CACON, 414 Elizabeth Street, Surry Hills, NSW 2010, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shih-Chi","family":"Kao","sequence":"additional","affiliation":[{"name":"DPozhet NSW (Heterosexual HIV Service), Sydney Local Health District Population Health, 18 Marsden Street, Camperdown, NSW 2050, Australia."},{"name":"EHIV and Related Programs Unit, South Eastern Sydney Local Health District, 301 Forbes Street, Darlinghurst, NSW 2010, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azizul Haque","family":"Mahee","sequence":"additional","affiliation":[{"name":"FHIV and Related Programs Health Promotion Service, South Western Sydney Local Health District, Waranara Building, Eastern Campus, Locked Mail Bag 7279, Liverpool BC NSW 1871, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Dabbhadatta","sequence":"additional","affiliation":[{"name":"GHIV and Related Programs, Western Sydney Local Health District, Level 3, Jeffrey House, 162 Marsden Street, Parramatta, NSW 2150, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyadi","family":"Prihaswan","sequence":"additional","affiliation":[{"name":"EHIV and Related Programs Unit, South Eastern Sydney Local Health District, 301 Forbes Street, Darlinghurst, NSW 2010, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle","family":"Stackpool","sequence":"additional","affiliation":[{"name":"HMulticultural HIV and Hepatitis Service, Level 2, 18 Marsden Street, Camperdown, NSW 2050, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Brooks","sequence":"additional","affiliation":[{"name":"IHIV and Related Programs, Population Health, South Western Sydney Local Health District, Bangala Building, Eastern Campus, Liverpool Hospital, Locked Mail Bag 7279, Liverpool BC NSW 1871, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"Brown","sequence":"additional","affiliation":[{"name":"JAustralian Research Centre in Sex, Health and Society, La Trobe University, Building NR6, Bundoora, Vic. 3086, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Lewis","sequence":"additional","affiliation":[{"name":"KWestern Sydney Sexual Health Centre, Level 4, Jeffrey House, 162 Marsden Street, Parramatta, NSW 2150, Australia."},{"name":"LUniversity of Sydney, Westmead Clinical School, Faculty of Medicine and Health, Westmead Hospital, Hawkesbury Road, Westmead, NSW 2145, Australia."},{"name":"MMarie Bashir Institute for Infectious Diseases and Biosecurity, University of Sydney, Westmead Institute for Medical Research, 176 Hawkesbury Road, Westmead, NSW 2145, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2020,3,3]]},"reference":[{"key":"2025102616580959600_R1","unstructured":"NSW Health. NSW HIV Strategy 2016\u20132020. Quarter 4 & annual 2017 data report. 2017. Available online at: https:\/\/www.health.nsw.gov.au\/endinghiv\/Publications\/q4-2017-and-annual-hiv-data-report.pdf [verified 11 November 2019]."},{"key":"2025102616580959600_R2","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25109","article-title":"The 2016 HIV diagnosis and care cascade in New South Wales, Australia: meeting the UNAIDS 90\u201390\u201390 targets.","volume":"21","author":"Keen","year":"2018","journal-title":"J Int AIDS Soc"},{"key":"2025102616580959600_R3"},{"key":"2025102616580959600_R4","unstructured":"NSW Health. NSW HIV Strategy 2016\u20132020: quarter 1 2018 data report. 2018. Available online at: https:\/\/www.health.nsw.gov.au\/endinghiv\/Publications\/q1-hiv-2018-hiv-data-report.pdf [verified 11 November 2019]."},{"key":"2025102616580959600_R5","doi-asserted-by":"publisher","first-page":"1059","DOI":"10.1080\/13691058.2015.1031181","article-title":"Contesting heteronormativity: the fight for lesbian, gay, bisexual and transgender recognition in India and Vietnam.","volume":"17","author":"Horton","year":"2015","journal-title":"Cult Health Sex"},{"key":"2025102616580959600_R6"},{"key":"2025102616580959600_R7","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0126658","article-title":"Young, online and in the dark: scaling up HIV testing among MSM in ASEAN.","volume":"10","author":"Guadamuz","year":"2015","journal-title":"PLoS One"},{"key":"2025102616580959600_R8","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0102812","article-title":"Home-based HIV testing for men who have sex with men in China: a novel community-based partnership to complement government programs.","volume":"9","author":"Tao","year":"2014","journal-title":"PLoS One"},{"key":"2025102616580959600_R9","unstructured":"UNSW Sydney, Centre for Social Research in Health. Gay community periodic surveys. 2018. 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Double trouble? The health needs of culturally diverse MSM. Melbourne: Centre for Culture, Ethnicity and Health; 2010. Available online at: https:\/\/www.ceh.org.au\/double-trouble-the-health-needs-of-culturally-diverse-men-who-have-sex-with-men\/ [verified 11 November 2019]."},{"key":"2025102616580959600_R18","unstructured":"Guy R, Wabe N, Watchirs-Smith L, Schmidt H, Amin J, Oglivie E, et al. Who is the EPIC\u2013NSW program reaching? A comparison of EPIC\u2013NSW participants and HIV notifications. Presented at the 2017 Australasian HIV and AIDS Conference; 6\u20138 November 2017; Canberra, ACT, Australia. 2017. Available online at: https:\/\/az659834.vo.msecnd.net\/eventsairaueprod\/production-ashm-public\/5a885dc790814a32b9d5aa755bf15993 [verified 20 November 2019]."},{"key":"2025102616580959600_R19","unstructured":"Global Commission on HIV and the Law. Risks, rights & health. New York: United Nations Development Programme HIV\/AIDs Group; 2012. 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