{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T11:18:14Z","timestamp":1788347894393,"version":"build-2803163510"},"reference-count":29,"publisher":"BMJ","issue":"4","funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1091226"],"award-info":[{"award-number":["GNT1091226"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2019,12,12]]},"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>In 2017, there was an outbreak of invasive meningococcal disease (IMD) serogroup C among men who have sex with men (MSM) in Victoria, Australia. A government-funded free meningococcal (MenACWY) vaccination programme targeting all MSM living in Victoria was launched between December 2017 and December 2018. The aim of this study was to examine the vaccine uptake among MSM attending a sexual health clinic in Melbourne.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective clinical audit of MSM attending the Melbourne Sexual Health Centre (MSHC) during the vaccination programme. We calculated the proportion of MSM who received the meningococcal vaccine on their first visit and at any time during the programme. We performed univariable and multivariable logistic regression to identify the factors associated with the vaccine uptake on the first visit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 10\u2009370 MSM who attended MSHC, 55.5% received the vaccine on their first visit and 67.4% at any time during the programme. MSM had higher odds of receiving the vaccine on the first visit if they were aged 16\u201325 years (adjusted OR (aOR) 1.21; 95%\u2009CI 1.08 to 1.35) or 26\u201335 years (aOR 1.17; 95% CI 1.07 to 1.29) in comparison with MSM older than 35 years; were HIV-negative and not on pre-exposure prophylaxis (aOR 1.80; 95%\u2009CI 1.56 to 2.09); had more than four\u2009male partners in the last 12 months (aOR 1.16; 95%\u2009CI 1.06 to 1.27); had male partners only (aOR 2.24; 95%\u2009CI 1.96 to 2.55); or were born overseas (aOR 1.11; 95%\u2009CI 1.03 to 1.21).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Two-thirds of the MSM attending a sexual health clinic received at least one dose of meningococcal vaccine. The vaccination programme coincided temporally with a dramatic reduction in the incidence of IMD. Vaccination should be further promoted among MSM and men who have sex with both men and women.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2019-054318","type":"journal-article","created":{"date-parts":[[2020,1,9]],"date-time":"2020-01-09T22:25:25Z","timestamp":1578608725000},"page":"246-250","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["Meningococcal vaccine uptake among men who have sex with men in response to an invasive meningococcal C disease outbreak in Melbourne, Australia"],"prefix":"10.1136","volume":"96","author":[{"given":"Mario","family":"Mart\u00edn-S\u00e1nchez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher K","family":"Fairley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catriona S","family":"Bradshaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus Y","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1766-0657","authenticated-orcid":false,"given":"Eric P F","family":"Chow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,1,9]]},"reference":[{"key":"2024092304052132000_96.4.246.1","unstructured":"Centers for Disease Control and Prevention . Epidemiology and Prevention of Vaccine-Preventable Diseases - Meningococcal Disease. 13th edn. Washington DC: Public Health Foundation, 2015."},{"key":"2024092304052132000_96.4.246.2","doi-asserted-by":"publisher","DOI":"10.1111\/1469-0691.12647"},{"key":"2024092304052132000_96.4.246.3","unstructured":"Australian Government. Department of Health . Invasive meningococcal disease national surveillance report, 2018. Australian Government. Department of Health. Available: https:\/\/www1.health.gov.au\/internet\/main\/publishing.nsf\/Content\/5FEABC4B495BDEC1CA25807D001327FA\/$File\/QTR-2-IMD-Surveillance-report-30Jun18.pdf [Accessed 25\/09\/2019]."},{"key":"2024092304052132000_96.4.246.4","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.41.9.4411-4414.2003"},{"key":"2024092304052132000_96.4.246.5","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.01190-07"},{"key":"2024092304052132000_96.4.246.6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2807\/1560-7917.ES2013.18.28.20523","article-title":"A cluster of invasive meningococcal disease in young men who have sex with men in Berlin, October 2012 to may 2013","volume":"18","author":"Marcus","year":"2013","journal-title":"Eurosurveillance"},{"key":"2024092304052132000_96.4.246.7","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-159-4-201308200-00674"},{"key":"2024092304052132000_96.4.246.8","first-page":"1","article-title":"Serogroup C invasive meningococcal disease among men who have sex with men and in gay-oriented social venues in the Paris region: July 2013 to December 2014","volume":"20","author":"du Ch\u00e2telet","year":"2015","journal-title":"Eurosurveillance"},{"key":"2024092304052132000_96.4.246.9","doi-asserted-by":"crossref","first-page":"939","DOI":"10.15585\/mmwr.mm6535e1","article-title":"Outbreak of serogroup C meningococcal disease primarily affecting men who have sex with men \u2014 southern California, 2016","volume":"65","author":"Nanduri","year":"2016","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2024092304052132000_96.4.246.10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2807\/1560-7917.ES.2018.23.34.1700636","article-title":"Interconnected clusters of invasive meningococcal disease due to Neisseria meningitidis serogroup C ST-11 (cc11), involving bisexuals and men who have sex with men, with discos and gay-venues hotspots of transmission, Tuscany, Italy, 2015 to 2016","volume":"23","author":"Miglietta","year":"2018","journal-title":"Eurosurveillance"},{"key":"2024092304052132000_96.4.246.11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0162755"},{"key":"2024092304052132000_96.4.246.12","unstructured":"Sutton B . Outbreak of invasive meningococcal C disease in men who have sex with men (MSM). 2017:2017-2020. Available: https:\/\/www2.health.vic.gov.au\/about\/news-and-events\/healthalerts\/alert-meningococcal-c-december-2017"},{"key":"2024092304052132000_96.4.246.13","unstructured":"Communicable Diseases Section . Number of doses of meningococcal C vaccine distributed as part of a time-limited vaccination program - Immunisation Distribution Warehouse Dataset, 2019. Health Protection Branch, Victorian Government Department of Health and Human Services [Accessed 7 Jan 2019]."},{"key":"2024092304052132000_96.4.246.14","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1071\/SH17182","article-title":"Access to sexual health services after the rapid roll out of the launch of pre-exposure prophylaxis for HIV in Melbourne, Australia: a retrospective cross-sectional analysis","volume":"15","author":"Needleman","year":"2018","journal-title":"Sex Health"},{"key":"2024092304052132000_96.4.246.15","unstructured":"Victoria State Government Department of Health and Human Services . Meningococcal ACWY secondary school vaccine program \u2013 FAQs, 2017. Available: http:\/\/www.mwsc.vic.edu.au\/assets\/uploads\/2017\/05\/FAQs-Meningococcal-ACWY-vaccine.pdf"},{"key":"2024092304052132000_96.4.246.16","unstructured":"Communicable Diseases Section . Notified cases of invasive meningococcal disease (confirmed and probable cases) - Public Health Events Surveillance System (PHESS), 2019. Health protection branch, Victorian government department of health and human services [Accessed 25 Sep 2019]."},{"key":"2024092304052132000_96.4.246.17","first-page":"1048","article-title":"Notes from the field: serogroup C invasive meningococcal disease among men who have sex with men \u2014 New York City, 2010-2012","volume":"61","author":"Weiss","year":"2013","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2024092304052132000_96.4.246.18","doi-asserted-by":"crossref","unstructured":"Chicago Department of Public Health . Communicable disease program. health alert: invasive meningococcal disease in men who have sex with men.doi:10.7326\/0003-4819-159-4-201308200-00674","DOI":"10.7326\/0003-4819-159-4-201308200-00674"},{"key":"2024092304052132000_96.4.246.19","doi-asserted-by":"crossref","first-page":"2013","DOI":"10.2807\/1560-7917.ES.2016.21.5.30122","article-title":"Evaluation of a temporary vaccination recommendation in response to an outbreak of invasive meningococcal serogroup C disease in men who have sex with men in Berlin, 2013\u20132014","volume":"21","author":"Koch","year":"2016","journal-title":"Eurosurveillance"},{"key":"2024092304052132000_96.4.246.20","doi-asserted-by":"crossref","first-page":"S418","DOI":"10.1093\/ofid\/ofx163.1046","article-title":"Vaccination response to an ongoing meningitis outbreak: uptake and attitudes among men who have sex with men in Los Angeles, Ca","volume":"4","author":"Holloway","year":"2017","journal-title":"Open Forum Infect Dis"},{"key":"2024092304052132000_96.4.246.21","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cix438"},{"key":"2024092304052132000_96.4.246.22","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2018-053896"},{"key":"2024092304052132000_96.4.246.23","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2011.02438.x"},{"key":"2024092304052132000_96.4.246.24","unstructured":"Australian Government, Department of Health . Meningococcal immunisation service, 2019. Available: https:\/\/www.health.gov.au\/health-topics\/immunisation\/immunisation-services\/meningococcal-immunisation-service [Accessed 12 Sep 2019]."},{"key":"2024092304052132000_96.4.246.25","doi-asserted-by":"crossref","first-page":"e73","DOI":"10.1097\/QAI.0000000000002047","article-title":"HIV pre-exposure prophylaxis (PrEP) uptake among gay and bisexual men in Australia and factors associated with the nonuse of PrEP among eligible men: results from a prospective cohort study","volume":"81","author":"Hammoud","year":"2019","journal-title":"J Acquir Immune Defic Syndr"},{"key":"2024092304052132000_96.4.246.26","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2018-053619"},{"key":"2024092304052132000_96.4.246.27","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2019-054132"},{"key":"2024092304052132000_96.4.246.28","doi-asserted-by":"publisher","DOI":"10.1071\/SH07080"},{"key":"2024092304052132000_96.4.246.29","doi-asserted-by":"publisher","DOI":"10.1071\/SH18024"}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2019-054318","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T11:05:54Z","timestamp":1727089554000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2019-054318"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,9]]},"references-count":29,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,5,17]]},"published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1136\/sextrans-2019-054318"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2019-054318","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"value":"1368-4973","type":"print"},{"value":"1472-3263","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,9]]}}}