Gay Community Periodic Survey Sydney 2013

Transcription

1 Gay Community Periodic Survey Sydney 0 Never Stand Still Faculty of Arts and Social Sciences National Centre in HIV Social Research Peter Hull Limin Mao Shih-Chi Kao Barry Edwards Garrett Prestage Iryna Zablotska John de Wit Martin Holt National Centre in HIV Social Research ACON NSW Ministry of Health The Kirby Institute

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3 Gay Community Periodic Survey SYDNEY 0 Peter Hull Limin Mao Shih-Chi Kao Barry Edwards Garrett Prestage Iryna Zablotska John de Wit Martin Holt National Centre in HIV Social Research ACON NSW Ministry of Health The Kirby Institute National Centre in HIV Social Research Faculty of Arts and Social Sciences The University of New South Wales

4 National Centre in HIV Social Research Level, John Goodsell Building University of New South Wales Sydney NSW 05 Australia Telephone: Fax: Website: National Centre in HIV Social Research 0 ISBN Cover photograph Bigstock/purmar, reproduced under licence Design and layout by Judi Rainbow The National Centre in HIV Social Research is partially funded by the Australian Government Department of Health and Ageing and is located within Arts and Social Sciences at the University of New South Wales. Suggested citation: Hull, P., Mao, L., Kao, S.-C., Edwards, B., Prestage, G., Zablotska, I., de Wit, J., & Holt., M. (0). Gay Community Periodic Survey: Sydney 0. Sydney: National Centre in HIV Social Research, University of New South Wales. Available at

5 Contents Acknowledgments List of tables Glossary ii iii v Executive summary Key points Demographic profile HIV status and testing Sexual partnerships and practices Regular male partners Casual male partners Sexual health Drug use Knowledge and use of PEP and PrEP Findings 5 Reporting 5 Tables 5 Appendix A Gay Community Periodic Survey: Sydney 0 i

6 Acknowledgments We acknowledge the following individuals and organisations for contributing to the success of this project: NSW Ministry of Health who funded the project ACON for ongoing support of the study and assistance in data collection Survey coordinator Shih-Chi Kao Recruiters who successfully recruited participants at venues and events Survey participants The,56 men who contributed their time to complete the survey Venues The management and staff of the various gay community venues, gyms and clinics who gave permission for the survey to be administered on their premises National Centre in HIV Social Research Judi Rainbow ii Gay Community Periodic Survey: Sydney 0

7 List of tables Table : Recruitment venue 6 Table : Age 6 Table : HIV testing 6 Table : HIV test result 7 Table 5: Use of combination antiretroviral treatment among HIV-positive men at the time of the survey 7 Table 6: Undetectable viral load and CD count among HIV-positive men at the time of the survey, by treatment status 7 Table 7: Relationships with men at the time of the survey 7 Table 8: Agreements with regular male partners about sex within the relationship 8 Table 9: Agreements with regular male partners about sex outside the relationship 8 Table 0: Match of HIV status between regular partners 9 Table : Anal intercourse and condom use with regular partners 9 Table : Unprotected anal intercourse with regular partners, by match of HIV status 0 Table : HIV-negative men who engaged in UAIR and always used riskreduction strategies with partners who were not concordant 0 Table : Anal intercourse and condom use with casual partners 0 Table 5: Any unprotected anal intercourse with casual partners, by HIV status of participants Table 6: Disclosure of HIV status to or from casual partners, by HIV status of participants Table 7: Consistent disclosure of HIV status to casual partners among men who engaged in unprotected anal intercourse, by HIV status of participants Table 8: Positioning in unprotected anal intercourse with casual male partners, by HIV status of participants Table 9: Men who always used risk-reduction strategies when engaging in unprotected anal intercourse with casual partners in the six months prior to the survey, by HIV status of participants Table 0: Where men met their male sex partners in the six months prior to the survey Table : Knowledge about syphilis Table : STI testing among HIV-positive men in the months prior to the survey Gay Community Periodic Survey: Sydney 0 iii

8 Table : STI testing among HIV-negative men in the months prior to the survey Table : Recreational drug use among all men in the six months prior to the survey 5 Table 5: Recreational drug use among HIV-positive men in the six months prior to the survey 6 Table 6: Recreational drug use among HIV-negative men in the six months prior to the survey 6 Table 7: Injecting drug use in the six months prior to the survey, by HIV status of participants 7 Table 8: Party drug use and group sex among all men in the six months prior to the survey 7 Table 9: Knowledge that post-exposure prophylaxis is available 7 iv Gay Community Periodic Survey: Sydney 0

9 Glossary ART antiretroviral treatment HIV human immunodeficiency virus HIV-seroconcordant relationship a relationship in which both partners are of the same HIV status, either HIV-positive or HIV-negative HIV-serodiscordant relationship a relationship in which both partners are known (as a result of testing) to be of different HIV status, e.g. HIV-positive and HIVnegative HIV-serononconcordant relationship a relationship in which the HIV status of at least one partner in the relationship is not known, e.g. HIV-positive and untested, HIV-negative and untested, or both untested HIV status a person s antibody status established by HIV testing, e.g. HIV-negative, HIV-positive, or unknown (untested) PEP post-exposure prophylaxis PrEP pre-exposure prophylaxis STI sexually transmissible infection UAIC unprotected anal intercourse with casual partners UAIR unprotected anal intercourse with regular partners Gay Community Periodic Survey: Sydney 0 v

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11 Executive summary The Sydney Gay Community Periodic Survey is a cross-sectional survey of gay and homosexually active men recruited at a range of gay community sites in Sydney. Since 996 the project has been funded by the NSW Ministry of Health and supported by ACON and Positive Life NSW. The major aim of the survey is to provide data on sexual, drug use and testing practices related to the transmission of HIV and other sexually transmissible infections (STIs) among gay men in Sydney. The data presented in this report are from the period 009 to 0. In February 0,,56 men were recruited at data collection sites which included gay social venues (bars and gyms), sex-on-premises venues, sexual health clinics and Fair Day (part of the Sydney Gay and Lesbian Mardi Gras). The response rate was 7.%. In the February 0 round there was a slight though significant increase in the proportion of men recruited from sex-on-premises venues, and a corresponding decrease in men recruited from social venues. These changes should be borne in mind when interpreting the results. Key points The proportion of men reporting having ever been tested for HIV has been quite stable over time (89% in 0). The proportion of non-hiv-positive men reporting a recent HIV test in the months prior to the survey is relatively stable and was 7% in 0. The proportion of HIV-positive men on antiretroviral treatment has increased over time, although there was no change between 0 and 0 (from 87% to 88%). The majority (89%) of the men on treatment reported having an undetectable viral load in 0. There is a continued switch from the use of physical venues and locations to meet male sex partners to online and mobile platforms. In 0, the most commonly used ways to meet male partners were the internet, mobile applications, gay saunas and gay bars. The proportion of men reporting any unprotected anal intercourse with their regular partners (UAIR) has declined slightly over time (50% in 0). Over time, UAIR has become more likely to be reported by HIV-negative men with seroconcordant partners. The proportion of men reporting any unprotected anal intercourse with casual partners (UAIC) increased between 0 and 0 to 6%, although the trend is stable over time. The increase in UAIC between 0 and 0 appears to be among HIV-negative men (from 9% to %). In general, drug use appears to be declining in the sample over time. HIV-positive men remain disproportionately likely to report injecting drug use compared with HIV-negative men (7% vs % in 0). Demographic profile As in previous surveys, the men in the sample were primarily of Anglo-Australian background, lived in the metropolitan Sydney area, were well educated and in full-time employment. Although there was no change in the age distribution between 0 and 0, since 009 there have been slight though significant increases in the proportions of men aged 5 9 years and older than 50 and corresponding decreases in the proportions of men aged under 5 and in their thirties. Gay Community Periodic Survey: Sydney 0

12 Executive summary Over three-fifths of the sample (6.%) were born in Australia. Over time, there has been a steady increase in the ethnic diversity of the sample. Since 009 the proportion of Anglo-Australian men has declined significantly. HIV status and testing In 0, the majority of men in the sample reported having ever been tested for HIV (88.9%). The proportion of men that reported being tested for HIV has decreased slightly but significantly since 009 (from 9.0% to 88.9%). In 0, over two-thirds of the non-hiv-positive participants (7.%) reported having an HIV test in the months prior to survey. This proportion has been stable during the last five years. Among participants who had been tested, most men reported that they were HIVnegative (86.%) with smaller proportions reporting that they were HIV-positive (.8%) or did not know their test results (.7%). Between 009 and 0, there was a significant upward trend in the proportion of HIV-positive men who reported being on antiretroviral treatment. In 0, 87.8% of HIV-positive men said they were receiving combination treatment for HIV. In 0, most of the HIV-positive men on treatment (88.8%) reported an undetectable viral load. Sexual partnerships and practices In 0, over a quarter of men reported being in a monogamous relationship with a regular male partner (9.%) at the time of the survey. A similar proportion reported having both regular and casual partners (8.6%), and a quarter had only casual partners (5.7%). Seventeen percent of men surveyed reported no sexual relationships with men at the time of the survey. These proportions have been stable since 009. In 0, over a third of men (6.%) said they had met male sex partners through the internet in the six months prior to the survey. Since 009, this has been the most common way that men met male sex partners. However, there has been a rapid increase in the use of mobile applications to meet partners, and mobile applications are now the second most common way to meet partners (reported by 6.% of men in 0). Other commonly reported ways to meet male sex partners were gay saunas (0.%), gay bars (7.7%) and travelling overseas (0.9%). It is noticeable that in general the use of physical venues and locations to meet partners has decreased over time; there appears to have been a gradual switch to mobile and online platforms to meet partners. Regular male partners Among men with regular partners in 0, 6.0% reported having an agreement with their regular partner about sex within the relationship and a smaller proportion (5.7%) reported having an agreement about sex outside the relationship. In 0, the most commonly held agreements about sex within a relationship specified that anal intercourse could occur without a condom (.%) or that condoms must always be used for anal intercourse (.%). The most commonly held agreements about sex outside a relationship specified that no sex with casual partners was allowed (.6%) or that condoms must always be used for anal intercourse with casual partners (.0%). Over the reporting period the proportions of men who have relationship agreements about sex within the relationship have increased slightly while the pattern of agreements about sex outside relationships has been relatively stable. In 0, 0.% of HIV-positive men with regular partners reported being in a seroconcordant relationship, 5.% in a serodiscordant relationship, and.% in a serononconcordant relationship. Over the reporting period there was a significant increase in the proportion of HIV-positive men in seroconcordant relationships and a corresponding decrease among those in serononconcordant relationships. However, after consecutive falls in the proportion of HIV-positive men with serononconcordant partners between 009 and 0, in 0 there was a significant increase to the level reported in 00. Gay Community Periodic Survey: Sydney 0

13 Executive summary In 0, just under three-quarters of HIV-negative men with regular partners reported being in a seroconcordant relationship (7.0%), with considerably smaller proportions in serononconcordant (.0%) and serodiscordant relationships (5.0%). While there was a significant fall in the proportion of HIV-negative men in seroconcordant relationships between 0 and 0, since 009 there has been an upward trend in this proportion. Conversely, the proportion of men in serononconcordant relationships has declined over time although there was a slight though significant increase in the 0 survey. In terms of sex with regular partners, half the men with regular partners (50.%) reported some unprotected anal intercourse with their regular partner (UAIR) in the six months prior to the survey, while a quarter (5.7%) reported always using condoms for anal intercourse. In 0, almost a quarter of men with regular partners (.0%) reported having no anal intercourse with their regular partner. Since 009 there has been a significant increase in the proportion of men reporting no anal intercourse with their regular partners. At the same time, there have been slight but significant falls in the proportions of men always using condoms with regular partners and those that report UAIR. However, these proportions were virtually unchanged from the 0 survey. Rates of UAIR typically vary according to the HIV status of regular partners. In 0 among HIV-positive men with regular partners, those with seroconcordant partners (0.8%) were much more likely to report any UAIR than men with partners who were not concordant (.%). Almost half of HIV-positive men in relationships (8.%) avoided UAIR. Among HIV-negative men with regular partners, nearly half (.%) reported UAIR with a seroconcordant partner, and about one in ten (9.9%) reported UAIR that was not concordant. Nearly half (8.0%) of HIV-negative men with a regular partner avoided UAIR. Since 009, there has been a slight significant increase in the proportion of HIV-negative men who engage in seroconcordant UAIR, and a significant decrease in the proportion of HIV-negative men who report UAIR that is not seroconcordant. Casual male partners Use of condoms for anal intercourse remains more common with casual partners than with regular partners. In 0, under half of men with casual partners reported always using condoms for anal intercourse (.%), while a third (6.%) reported any unprotected anal intercourse with casual partners (UAIC). The rate of UAIC was relatively stable between 009 and 0, although it increased significantly between 0 and 0. Consistent condom use has declined slightly since 009 while the proportion reporting no anal intercourse with casual partners has increased moderately over the same period. In 0, HIV-positive men with casual partners remained more likely to report any UAIC (68.%) than HIV-negative men with casual partners (.7%). Since 009, the proportion of HIV-positive men reporting UAIC has increased significantly, while the proportion of HIV-negative men reporting UAIC has remained stable. However, there was a small but significant increase in the proportion of HIV-negative men reporting UAIC between 0 and 0 (from 9.% to.7%). In 0, HIV-positive men remained much more likely to report disclosing their HIV status before sex to casual partners compared with HIV-negative men (8.% vs 59.0%). However, both HIV-negative men and HIV-positive men have become much more likely to report disclosure of HIV status to casual partners over time. This pattern is similar when looking at men who reported UAIC and consistent disclosure. Among men who reported any UAIC, a greater proportion of HIV-positive men (7.0%) consistently disclosed their HIV status to all casual partners compared with HIV-negative men (0.8%). Over time, both HIV-negative men and HIV-positive men who engage in UAIC have become significantly more likely to disclose their HIV status to all casual partners. In 0, new questions about non-condom-based risk reduction practices were added to the questionnaire. Among HIV-positive men who reported UAIC in the six months prior to the 0 survey, over a third (8.8%) said they knew they had an undetectable viral load before they had UAIC, and a third (.5%) said they only had UAIC when Gay Community Periodic Survey: Sydney 0

14 Executive summary they knew their partners were seroconcordant (serosorting). The proportions of HIVpositive men who reported consistently using strategic positioning or withdrawal during UAIC were relatively small (less than 0%). It is quite likely that the proportion reporting use of undetectable viral load as a deliberate strategy is exaggerated. While the vast majority of HIV-positive men in the survey reported an undetectable viral load, other research suggests continuing scepticism among HIV-positive men about relying on undetectable viral load to prevent transmission. Among HIV-negative men who engaged in UAIC, a third (.5%) said they only had UAIC with casual partners who they knew were seroconcordant (serosorting), with smaller proportions (around one in ten) reporting consistent strategic positioning or withdrawal before ejaculation. Sexual health As in previous surveys, in 0 a higher proportion of HIV-positive men (86.9%) reported having any sexual health test (including blood tests) compared with HIV-negative men (7.0%). Since 009, there have been significant increases in the proportions of both HIV-positive and HIV-negative men reporting any STI test (excluding blood tests). In 0, 76.8% of HIV-positive men and 6.6% of HIV-negative men reported a blood test for syphilis. Almost three-quarters of all men were aware that syphilis can be symptomless (7.5%) and that it is transmissible through oral sex (7.8%). There has been a small but significant decline in knowledge about syphilis between 00 and 0. In 0,.5% of the whole sample reported having been diagnosed with an STI in the months prior to the survey. This proportion has not changed significantly since 0, when a question about STI diagnoses was added to the questionnaire. Drug use Recreational drug use remains common within the sample, although over time the proportion of men who say they haven t used any drugs in the previous six months has increased significantly (to 8.0% of all men in 0). Correspondingly, the proportions of men who say they have used drugs for sex or engaged in group sex during or after drug use have both decreased significantly since 009. In 0, the most frequently used drugs in the six months prior to the survey were amyl/poppers (.8%), marijuana (0.%), ecstasy (8.8%), Viagra (.7%), cocaine (9.0%) and GHB (.%). Since 009, there have been significant decreases in the use of ecstasy, marijuana, amphetamine/speed, cocaine and ketamine. Crystal methamphetamine use has increased slightly over time, and there was a small but significant increase in the use of GHB between 0 and 0. In general, HIV-positive men are more likely than HIV-negative men to report using drugs (77.5% vs 6.% in 0). HIV-positive men are disproportionately likely to report injecting any drugs compared with HIV-negative men (7.6% vs.% in 0). Knowledge and use of PEP and PrEP In 0, over half the men (60.6%) reported knowing post-exposure prophylaxis (PEP) was available (no significant change from 0). In 0, new questions about the use of PEP and pre-exposure prophylaxis (PrEP) were added to the questionnaire. Seventythree men (.%) said they had used PEP and, of these men, reported having been prescribed more than one course of PEP treatment. Twenty-eight men (.%) said they had used anti-hiv drugs as PrEP, but of these men said they had been taking drugs that were prescribed, suggesting confusion with PEP (given that PrEP is not currently available through the Australian health system). Holt, M., Murphy, D.A., Callander, D.J., Ellard, J., Rosengarten, M., Kippax, S.C., & de Wit, J. (0). HIV-negative and HIV-positive gay men s attitudes to medicines, HIV treatments and antiretroviral-based prevention. AIDS & Behavior, 6(6), Gay Community Periodic Survey: Sydney 0

15 Findings Reporting Data are shown for the period Each table includes the statistical significance, if any, of the change between 0 and 0 and the trend over time (009 0). An alpha level of 0.05 was used for all statistical tests. Changes between 0 and 0 were assessed with logistic regression (comparing one category with all the others). In tables where there are mutually exclusive categories (shown on separate rows), the p-value of the logistic regression test (if shown) indicates a statistically significant change within that category compared with all the others. For statistically significant trends over time, tested with logistic regression, the direction of the change (an increase or decrease) is indicated. Where there is no significant change, ns (non-significant) is shown. Where there are low frequencies or data over time are not comparable, tests have not been performed and are marked NA (not applicable). Please exercise caution when interpreting results where there are low frequencies. When data are missing or were not collected in a given year, this is indicated in the table by a dash ( ). Tables The findings of the survey are presented in tables to 9 below. Gay Community Periodic Survey: Sydney 0 5

16 Findings Table : Recruitment venue Change from 0 Fair Day 88 (5.9) 69 (60.5) 6 (5.8) 7 (9.6) 076 (.) ns Decrease p <.00 Sexual health clinics 6 (.) 5 (5.6) 7 (0.) 8 (.) 67 (0.5) ns Increase p <.0 Sex-on-premises venues 09 (8.9) 99 (.0) (0.5) 69 (.0) 78 (.9) Increase p <.05 Increase p <.00 Gay social venues 588 (5.) 60 (.9) 069 (.5) 09 (6.) 85 (.) Decrease p <.0 Increase p <.00 Total,6 (00),70 (00),9 (00),8 (00),56 (00) Table : Age Change from 0 Under 5 08 (.8) 8 (0.) 56 (.) 86 (0.) 88 (.) ns Decrease p < (.0) 96 (.6) 5 (7.) 7 (5.) 6 (6.) ns Increase p < (.6) 880 (.5) 97 (0.6) 866 (0.6) 757 (9.9) ns Decrease p < (5.0) 758 (8.0) 8 (6.5) 765 (7.) 60 (.9) ns ns 50 and over 06 (.7) 9 (.5) 60 (.5) 8 (7.) 0 (7.) ns Increase p <.00 Total,0 (00),707 (00),76 (00),88 (00),5 (00) Table : HIV testing Change from 0 All men Ever tested for HIV, (9.0),50 (9.),860 (89.5),50 (88.0),6 (88.9) ns Decrease p <.00 Total,6 (00),79 (00),9 (00),8 (00),56 (00) Non-HIV-positive men Tested for HIV in previous months,9 (7.8),6 (66.7),790 (7.9),500 (69.), (7.) ns ns Total,86 (00),9 (00),90 (00),7 (00),977 (00) 6 Gay Community Periodic Survey: Sydney 0

17 Findings Table : HIV test result Change from 0 HIV-positive 80 (.) 87 (.5) 5 (.) (.5) 67 (.8) ns ns HIV-negative,68 (79.),5 (85.9),8 (85.),5 (85.),950 (86.) ns Increase p <.00 Unknown status 6 (7.7) 6 (.6) 6 (.) 59 (.) 9 (.7) ns Decrease p <.00 Total,5 (00),96 (00),85 (00),97 (00),56 (00) Note: This table only includes data from men who have been tested for HIV. Table 5: Use of combination antiretroviral treatment among HIV-positive men at the time of the survey Change from 0 On treatment (77.) 5 (77.6) 70 (80.6) 6 (86.6) (87.8) ns Increase p <.00 Total 75 (00) 77 (00) 5 (00) 05 (00) 55 (00) Table 6: Undetectable viral load and CD count among HIV-positive men at the time of the survey, by treatment status Change from 0 Men using ART Undetectable viral load 8 (86.) 97 (9.6) 56 (9.8) 9 (9.) 99 (88.8) Decrease p <.05 ns CD count > (56.) 08 (8.) ns Total (00) 5 (00) 70 (00) 6 (00) (00) Men not using ART Undetectable viral load 0 (5.9) 0 (.) (0.) (9.) 9 (9.0) ns ns CD count > (9.0) (5.5) ns Total 6 (00) 60 (00) 6 (00) (00) (00) Table 7: Relationships with men at the time of the survey Change from 0 None 70 (6.8) 6 (.8) 6 (6.) 98 (6.6) ns ns Casual only 5 (.) 70 (.6) 665 (.9) 66 (5.7) ns ns Regular plus casual 659 (9.9) 897 (9.8) 8 (0.) 687 (8.6) ns ns Regular only (monogamous) 6 (9.) 96 (0.8) 758 (8.) 698 (9.) ns ns Total,0 (00),009 (00),67 (00),99 (00) Note: Reliable data not available for 00. Gay Community Periodic Survey: Sydney 0 7

18 Findings Table 8: Agreements with regular male partners about sex within the relationship Change from 0 No agreement about sex within the relationship 695 (0.9) 79 (9.6) 7 (.) 670 (5.9) 6 (7.0) ns Decrease p <.0 No sex at all 7 (.0) 7 (.) 56 (.0) 6 (.8) ns Decrease p <.05 No anal intercourse permitted 88 (5.) 5 (.9) 69 (.) 78 (.) 5 (.7) Decrease p <.05 Decrease p <.05 Anal intercourse permitted only with a condom 99 (.5) (.0) 56 (6.0) 60 (.7) 97 (.) ns ns Anal intercourse permitted without a condom 57 (0.) 55 (9.6) 76 (.) 60 (.) 55 (.) ns Increase p <.05 Total,699 (00),8 (00),6 (00),865 (00),650 (00) Note: This table only includes data from men who reported having a regular male partner in the six months prior to the survey. Table 9: Agreements with regular male partners about sex outside the relationship Change from 0 No agreement about casual sex 80 (7.) 789 (.8) 90 (.) 8 (.) 78 (5.) ns ns No sex with casual partners permitted 9 (.) 87 (6.) 56 (6.) 67 (5.0) 06 (.6) ns ns No anal intercourse with casual partners permitted 6 (.8) 7 (.0) 6 (.8) 5 (.8) 6 (.8) ns Decrease p <.05 Anal intercourse with casual partners permitted only with a condom 9 (.) 0 (.9) 57 (6.) 76 (5.5) 96 (.0) ns ns Anal intercourse with casual partners permitted without a condom 7 (.8) 5 (.9) 55 (.5) 7 (.5) 5 (.) ns ns Total,699 (00),8 (00),6 (00),865 (00),650 (00) Note: This table only includes data from men who reported having a regular male partner in the six months prior to the survey. 8 Gay Community Periodic Survey: Sydney 0

19 Findings Table 0: Match of HIV status between regular partners Change from 0 HIV-positive men Seroconcordant 67 (.) 69 (9.7) 79 (7.8) 95 (9.5) 6 (0.) ns Increase p <.05 Serodiscordant 76 (9.0) 65 (7.) 9 (5.0) 77 (0.) 55 (5.) ns ns Serononconcordant 5 (6.7) 0 (.0) 6 (7.) 0 (0.) 8 (.) Increase p.00 Decrease p <.05 Total 95 (00) 7 (00) 09 (00) 9 (00) 56 (00) HIV-negative men Seroconcordant 79 (6.) 76 (5.5) 0 (7.),9 (76.) 967 (7.0) Decrease p.0 Increase p <.00 Serodiscordant 6 (5.) (.9) 00 (5.7) 67 (.6) 67 (5.0) ns ns Serononconcordant 78 (0.6) 676 (5.6) 8 (9.9) 8 (9.) 09 (.0) Increase p <.05 Decrease p <.00 Total,5 (00),8 (00),75 (00),67 (00), (00) Note: This table only includes data from men who reported having a regular male partner in the six months prior to the survey. Table : Anal intercourse and condom use with regular partners Change from 0 No anal intercourse 75 (6.) 8 (9.9) 9 (.9) 8 (.0) 96 (.0) ns Increase p <.00 Always uses a condom 50 (0.0) 56 (9.6) 60 (7.9) 60 (.7) (5.7) ns Decrease p <.00 Sometimes does not use a condom 9 (5.8), (60.),065 (9.) 957 (5.) 80 (50.) ns Decrease p <.00 Total,699 (00),8 (00),6 (00),865 (00),650 (00) Note: This table only includes data from men who reported having a regular male partner in the six months prior to the survey. Gay Community Periodic Survey: Sydney 0 9

20 Findings Table : Unprotected anal intercourse with regular partners, by match of HIV status Change from 0 HIV-positive men Seroconcordant UAIR 50 (5.) 6 (5.) 9 (.) 69 (5.9) 8 (0.8) ns ns Not concordant UAIR 60 (0.) 7 (7.0) 55 (6.) 8 (9.8) (.) ns Decrease p <.05 No UAIR 88 (.) 66 (7.9) 05 (50.) 85 (.) 75 (8.) ns ns Total 98 (00) 7 (00) 09 (00) 9 (00) 56 (00) HIV-negative men Seroconcordant UAIR 97 (9.8) 5 (5.0) 70 (.) 66 (.0) 565 (.) ns Increase p.00 Not concordant UAIR 87 (5.0) 9 (6.) 60 (9.) 0 (8.9) (9.9) ns Decrease p <.00 No UAIR 56 (5.) 577 (8.7) 85 (8.6) 69 (7.) 65 (8.0) ns Increase p <.00 Total,8 (00),90 (00),75 (00),67 (00), (00) Note: This table only includes data from men who reported having a regular male partner in the six months prior to the survey. Table : HIV-negative men who engaged in UAIR and always used risk-reduction strategies with partners who were not concordant Change from 0 Took insertive position during UAIR 65 (.8) (8.6) 5 (.5) 0 (0.8) 6 (7.) ns ns Partner withdrew before ejaculation when participant was receptive (8.) 8 (.) 6 (8.8) 7 (0.8) (.8) ns ns Total (not mutually exclusive) Note: This table only includes data from men who reported having UAIR in the six months prior to the survey. Table : Anal intercourse and condom use with casual partners Change from 0 No anal intercourse 5 (6.0) 6 (5.5) 99 (0.0) 6 (9.5) 00 (9.) ns Increase p.00 Always uses a condom 7 (7.) 850 (50.) 97 (6.9) 8 (6.5) 695 (.) ns Decrease p <.05 Sometimes does not use a condom 58 (6.9) 585 (.5) 660 (.) 60 (.0) 570 (6.) Increase p <.05 ns Total,578 (00),698 (00),996 (00),77 (00),565 (00) Note: This table only includes data from men who reported having a casual male partner in the six months prior to the survey. 0 Gay Community Periodic Survey: Sydney 0

21 Findings Table 5: Any unprotected anal intercourse with casual partners, by HIV status of participants Change from 0 HIV-negative men 6 (.) 9 (.) 6 (9.8) 9 (9.) 06 (.7) Increase p <.05 ns Total,9 (00),9 (00),55 (00),5 (00),0 (00) HIV-positive men 7 (6.) 7 (59.6) (56.) 5 (69.) 6 (68.) ns Increase p <.05 Total 08 (00) (00) 5 (00) (00) 70 (00) Untested/unknown status men 9 (8.6) 9 (8.7) 57 (9.) 5 (7.8) 8 (.0) ns ns Total (00) 6 (00) 9 (00) 9 (00) 55 (00) Note: This table only includes data from men who reported having casual male partners in the six months prior to the survey. Untested and unknown status includes men who have never been tested for HIV and men who have been tested but do not know their results. Table 6: Disclosure of HIV status to or from casual partners, by HIV status of participants Change from 0 HIV-positive men Told casual partners 60 (76.9) 6 (77.0) 9 (76.) 8 (8.6) (8.) ns Increase p <.05 Told by casual partners 7 (6.) (67.) 65 (65.7) 55 (69.5) (78.) Increase p <.05 Increase p.00 Total (not mutually exclusive) HIV-negative men Told casual partners 555 (9.) 70 (5.) 80 (5.9) 75 (55.5) 7 (59.0) ns Increase p <.00 Told by casual partners 556 (9.) 70 (5.9) 87 (5.0) 760 (56.) 7 (59.) ns Increase p <.00 Total (not mutually exclusive),9,9,55,5,0 Note: This table only includes data from men who reported having casual male partners in the six months prior to the survey. Table 7: Consistent disclosure of HIV status to casual partners among men who engaged in unprotected anal intercourse, by HIV status of participants Disclosed to all Change from 0 HIV-positive men 9 (8.9) 5 (5.) 5 (6.9) 75 (8.7) 5 (7.0) ns Increase p <.05 Total 6 (00) 7 (00) (00) 5 (00) 5 (00) HIV-negative men 99 (8.7) 0 (5.) 68 (7.) 7 (5.5) 6 (0.8) ns Increase p <.00 Total 5 (00) 5 (00) 5 (00) 86 (00) 97 (00) Note: This table only includes data from men who reported having UAIC in the six months prior to the survey. Gay Community Periodic Survey: Sydney 0

22 Findings Table 8: Positioning in unprotected anal intercourse with casual male partners, by HIV status of participants Change from 0 HIV-positive men Receptive only UAIC (8.7) (.) (5.6) 6 (.) 8 (.) ns Increase p <.0 Total 7 (00) 7 (00) (00) 5 (00) 6 (00) HIV-negative men Insertive only UAIC 0 (.) 8 (5.) 6 (5.) (5.8) 8 (.0) ns ns Total 6 (00) 9 (00) 6 (00) 9 (00) 06 (00) Note: This table only includes data from men who reported having UAIC in the six months prior to the survey. Table 9: Men who always used risk-reduction strategies when engaging in unprotected anal intercourse with casual partners in the six months prior to the survey, by HIV status of participants Change from 0 HIV-positive men Ensured partners were seroconcordant before UAIC (serosorting) 5 (6.9) 6 (.6) 0 (.5) ns ns Took receptive position during UAIC when partners were not concordant 7 (5.0) 8 (5.) 6 (5.) NA NA Participant withdrew before ejaculation when he was insertive 6 (.) (8.) 9 (7.8) NA NA Participant ensured he had an undetectable viral load before having sex 5 (8.8) NA Total (not mutually exclusive) 5 6 HIV-negative men Ensured partners were seroconcordant before UAIC (serosorting) 50 (.5) 6 (.0) 0 (.5) ns ns Took insertive position during UAIC when partners were not concordant 9 (0.6) 9 (.) 6 (8.9) ns ns Partner withdrew before ejaculation when participant was receptive 50 (0.8) (0.6) 5 (.) ns ns Ensured HIV-positive partner had an undetectable viral load before having sex 9 (7.) NA Participant took anti-hiv medication before sex 6 (.5) NA NA Participant took anti-hiv medication after sex 0 (.5) NA NA Total (not mutually exclusive) Note: This table only includes data from men who reported having UAIC in the six months prior to the survey. Gay Community Periodic Survey: Sydney 0

23 Findings Table 0: Where men met their male sex partners in the six months prior to the survey Change from 0 Internet 87 (7.),08 (8.5), (8.6),08 (6.5) 97 (6.) ns ns Mobile app e.g. Grindr 70 (.9) 896 (.5) 98 (6.) Increase p <.00 Increase p <.00 Gay bar 857 (6.5) 97 (5.7) 968 (0.) 776 (7.) 70 (7.7) ns Decrease p <.00 Dance party 58 (.9) 577 (.) 50 (5.8) (.8) (7.0) Increase p <.05 Decrease p <.00 Beat 0 (7.) 5 (5.6) (.9) 7 (.) (.) ns Decrease p <.00 Gay saunas 85 (5.6) 98 (6.) 995 (.) 87 (0.7) 770 (0.) ns Decrease p <.00 Other sex-on-premises venues 80 (0.5) 70 (7.) 7 (.8) 0 (.) 6 (.) ns Decrease p <.00 Sex workers 77 (.8) 95 (.0) 9 (.) 9 (.6) ns ns In other Australian cities 6 (.5) 587 (8.) 90 (7.) 9 (6.5) ns Decrease p <.00 Elsewhere in Australia 7 (5.) 90 (.) (.0) 0 (.0) ns Decrease p <.05 Private sex parties 58 (.0) 5 (9.0) 0 (6.6) 0 (7.) 9 (7.6) ns Decrease p <.00 Gym 5 (0.) 65 (9.8) 97 (9.) (8.5) 0 (8.) ns Decrease p <.0 Overseas 5 (.9) 690 (5.) 67 (.0) 597 (.0) 5 (0.9) ns Decrease p.0 Total (not mutually exclusive),6,79,9,8,56 Table : Knowledge about syphilis Change from 0 Aware that syphilis can have no physical symptoms,5 (79.),06 (7.),086 (7.),870 (7.5) ns Decrease p <.00 Aware that syphilis can be transmitted through oral sex,0 (7.0),0 (70.),975 (69.5),87 (7.8) ns Decrease p <.05 Total (not mutually exclusive),79,9,8,56 Note: Data only available from 00 onwards. Gay Community Periodic Survey: Sydney 0

24 Findings Table : STI testing among HIV-positive men in the months prior to the survey Change from 0 Anal swab 5 (5.9) 75 (6.0) 0 (6.5) 90 (60.5) 6 (6.) ns ns Throat swab 58 (56.) 76 (6.) 0 (6.5) 99 (6.) 69 (6.) ns ns Penile swab 5 (.) (6.7) 55 (.0) 9 (.) (.7) ns ns Urine sample 75 (6.5) 9 (66.9) 5 (7.6) 5 (7.8) 98 (7.) ns Increase p <.00 Blood test other than for HIV 0 (78.6) 96 (68.) 75 (78.) 5 (7.8) 9 (7.) ns ns Blood test for syphilis (80.0) 0 (76.7) 80 (79.6) 7 (78.7) 05 (76.8) ns ns Any STI test (excluding blood tests) 97 (70.) 06 (7.8) 69 (76.) 7 (78.7) 06 (77.) ns Increase p <.05 Any STI test (including blood tests) 5 (90.0) 9 (86.7) 0 (90.9) 80 (89.) (86.9) ns ns Total (not mutually exclusive) Table : STI testing among HIV-negative men in the months prior to the survey Change from 0 Anal swab 778 (6.) 95 (.),8 (8.) 996 (6.7),00 (5.) Increase p <.0 Increase p <.00 Throat swab 80 (9.),0 (7.6),5 (50.9)),07 (50.),059 (5.0) Increase p <.05 Increase p <.00 Penile swab 66 (7.7) 789 (6.7) 9 (8.5) 790 (7.0) 709 (6.) ns ns Urine sample 957 (56.7),0 (56.), (58.9),6 (59.),8 (60.) ns Increase p <.0 Blood test other than for HIV 96 (57.0),89 (55.),8 (5.9),8 (55.),0 (5.) ns ns Blood test for syphilis,00 (6.0),7 (59.),8 (60.7),0 (6.0),08 (6.6) ns ns Any STI test (excluding blood tests),0 (60.5),78 (59.),57 (6.0), (6.5),55 (6.0) ns Increase p <.0 Any STI test (including blood tests),99 (7.0),5 (7.),7 (7.),50 (7.7), (7.0) ns ns Total (not mutually exclusive),689,5,5,,960 Gay Community Periodic Survey: Sydney 0

25 Findings Table : Recreational drug use among all men in the six months prior to the survey Change from 0 Marijuana 767 (.7) 90 (.) 89 (7.9) 89 (8.8) 775 (0.) ns Decrease p <.0 Amyl,08 (.8),0 (.),9 (0.),6 (0.9),090 (.8) ns ns Ecstasy 9 (9.8) 975 (5.9) 95 (9.8) 766 (6.9) 7 (8.8) ns Decrease p <.00 Amphetamine (speed) 7 (5.9) 86 (.) 6 (.) (0.9) 70 (0.6) ns Decrease p <.00 Crystal methamphetamine 9 (.5) 7 (.7) 55 (.) 9 (.8) 5 (.9) ns Increase p <.05 Viagra 50 (.) 59 (.8) 68 (.) 60 (.5) 579 (.7) ns ns Cocaine 9 (.0) 598 (.0) 659 (.6) 56 (9.) 8 (9.0) ns Decrease p <.0 Ketamine (special K) 0 (.8) 8 (0.5) 06 (9.6) (8.) 8 (8.6) ns Decrease p <.00 GHB 6 (.9) 56 (.) (.) 0 (.6) (.) Increase p <.05 ns Heroin (.) 5 (0.6) 7 (0.9) (0.8) 8 (.) ns ns Mephedrone (meow meow) 69 (.) 50 (.8) 58 (.) ns ns Other drugs 9 (5.5) 8 (5.) 08 (6.5) 97 (6.9) 7 (6.8) ns Increase p <.0 Total (not mutually exclusive),6,79,9,8,56 Number of drugs used None 777 (.) 97 (.),6 (9.0),0 (8.8) 968 (8.0) ns Increase p <.00 One or two drugs 75 (0.5) 88 (0.8) 98 (9.7) 86 (0.) 758 (9.8) ns ns More than two drugs 85 (6.) 95 (5.),000 (.) 876 (0.8) 80 (.) ns Decrease p <.00 Total,6 (00),79 (00),9 (00),8 (00),56 (00) Gay Community Periodic Survey: Sydney 0 5

26 Findings Table 5: Recreational drug use among HIV-positive men in the six months prior to the survey Change from 0 Marijuana 5 (5.9) (9.) 5 (.) (.7) 06 (9.7) ns Decrease p <.00 Amyl nitrite (poppers) 5 (5.6) 69 (58.9) 8 (5.) 65 (5.6) 9 (55.8) ns ns Ecstasy 0 (9.) (.) (.) 96 (0.6) 8 (0.) ns Decrease p.00 Amphetamine (speed) 5 (9.) 5 (8.5) 5 (.8) 6 (.7) 0 (.) ns Decrease p <.0 Crystal methamphetamine 80 (8.6) 7 (5.8) 97 (7.6) 05 (.) 90 (.7) ns Increase p <.05 Viagra (.) 7 (0.8) (0.6) (9.5) 05 (9.) ns ns Total (not mutually exclusive) Number of drugs used None (.6) 50 (7.) 77 (.9) 78 (.8) 60 (.5) ns Increase p <.0 One or two drugs 97 (.6) 88 (0.7) 0 (.) 88 (8.0) 8 (.) ns ns More than two drugs (50.7) 9 (5.9) 55 (.0) 8 (7.) (6.) ns ns Total 80 (00) 87 (00) 5 (00) (00) 67 (00) Table 6: Recreational drug use among HIV-negative men in the six months prior to the survey Change from 0 Marijuana 59 (0.7) 678 (.5) 657 (6.9) 600 (8.) 60 (0.8) ns ns Amyl nitrite (poppers) 755 (.7) 9 (.8),05 (.9) 99 (.) 87 (.) ns ns Ecstasy 707 (.9) 778 (6.) 776 (.7) 608 (8.5) 607 (.0) ns Decrease p <.00 Amphetamine (speed) 67 (5.8) 0 (.0) 85 (.7) (.) 0 (.) ns Decrease p <.00 Crystal methamphetamine 85 (.0) (0.8) 5 (9.6) 6 (.) 8 (.) ns ns Viagra 5 (9.8) 5 (.0) 505 (0.7) 5 (.) 5 (.) ns ns Total (not mutually exclusive),689,5,5,,960 Number of drugs used None 56 (.) 70 (.) 9 (7.7) 78 (6.7) 70 (5.8) ns Increase p <.05 One or two drugs 5 (0.) 668 (.) 7 (0.) 685 (.) 67 (.5) ns ns More than two drugs 6 (6.) 7 (.5) 78 (.0) 665 (.) 6 (.8) ns Decrease p <.00 Total,689 (00),5 (00),5 (00), (00),960 (00) 6 Gay Community Periodic Survey: Sydney 0

27 Findings Table 7: Injecting drug use in the six months prior to the survey, by HIV status of participants Change from 0 All men 5 (6.) 6 (.6) 6 (.9) (.7) (.5) ns Decrease p <.0 Total,6 (00),79 (00),9 (00),8 (00),56 (00) HIV-positive men 57 (0.) 7 (6.) 50 (.) 57 (8.) 7 (7.6) ns ns Total 80 (00) 87 (00) 5 (00) (00) 67 (00) HIV-negative men 68 (.0) 7 (.) 65 (.7) 6 (.9) 60 (.) ns ns Total,689 (00),5 (00),5 (00), (00),960 (00) Table 8: Party drug use and group sex among all men in the six months prior to the survey Change from 0 Used party drugs for sex 579 (.7) 676 (.9) 669 (.0) 578 (0.) 59 (0.8) ns Decrease p <.00 Engaged in group sex during or after drug use 50 (.7) 77 (.9) 0 (.6) (.7) 0 (.) ns Decrease p <.00 Total (not mutually exclusive),6,79,9,8,56 Table 9: Knowledge that post-exposure prophylaxis is available Change from 0 All men,690 (6.),80 (57.0),655 (58.),5 (60.6) ns ns Total,79 (00),9 (00),8 (00),56 (00) Non-HIV-positive men,55 (59.8),5 (5.),99 (55.),7 (57.8) ns ns Total, (00),8 (00),59 (00),79 (00) Note: Data only available from 00 onwards. Gay Community Periodic Survey: Sydney 0 7

28 Appendix Sydney Gay Community Periodic Survey 0 Conducted by This is a survey of sexual practices of men who have had sex with another man in the last five years. This survey is completely anonymous please do not write your name on the questionnaire. Your responses are very important, they provide valuable information that assists in HIV health promotion efforts. PLEASE COMPLETE THE SURVEY ONCE ONLY. Section A About you. How many of your friends are gay or homosexual men? None A few Some. How much of your free time is spent with gay or homosexual men? None A little. Do you think of yourself as: Gay/Homosexual Some Bisexual Most A lot 5 All Heterosexual Other (please specify). How old are you? Years 5. Are you of Aboriginal or Torres Strait Islander origin? No Yes 6. What is your ethnic background? (e.g. Dutch, Greek, Vietnamese, Lebanese) Anglo-Australian 7. Where were you born? Australia 8. Where do you live? Postcode Suburb/Town 9. Are you: Employed full-time Other Overseas OR A student Section B Your sex partners In this survey we distinguish between REGULAR (boyfriend/lover) and CASUAL partners. Do you currently have sex with casual male partners? No Yes. Do you currently have sex with a regular male partner? No Yes. How would you describe your sexual relationship with your current regular male partner? (choose one) We are monogamous neither of us has casual sex Both my partner and I have casual sex with other men I have casual sex with other men but my partner does not My partner has casual sex with other men but I do not 5 I have several regular male partners 6 No current regular male partner Go to Section C 5. If you are in a regular relationship with a man, for how long has it been? Less than 6 months 6 months years More than years 5 Not in a regular relationship with a man 6. Do you have a clear (spoken) agreement with your regular partner about anal sex (fucking) within your relationship? No agreement Agreement: No sex at all Employed part-time On pension/social security 5 Unemployed 6 Other Agreement: No anal sex at all Agreement: All anal sex is with a condom 0. What is your occupation? (e.g. bartender, teacher, welder) (specify). What is the highest level of education you have completed? Up to Year 0 Year / HSC / QCE / SACE / VCE / WACE Tertiary diploma or trade certificate / TAFE University degree Go to section B Page 5 Agreement: Anal sex can be without a condom 7. Do you have a clear (spoken) agreement with your regular partner about sex with casual partners? No agreement Agreement: No sex at all Agreement: No anal sex at all Agreement: All anal sex is with a condom 5 Agreement: Anal sex can be without a condom Go to section C SGCPS 0/ _ Gay Community Periodic Survey: Sydney 0 A

29 Section C Sex in the last 6 months 8. How many different men have you had sex with in the last 6 months? None One 5 men 6 0 men 5 0 men 6-50 men 7 More than 50 men 9. In the last 6 months how often have you had sex with men you met at or through: Never Occasionally Often Internet Mobile app e.g. Grindr Gay bar Dance party Gym Beat Gay sauna Other sex venue Sex workers Private sex parties In other Australian cities Elsewhere in Australia Overseas 0. In the last 6 months, how often did you have group sex involving at least two other men? 8. I fucked him without a condom but pulled out before I came. Never In this survey we Occasionally distinguish between Often REGULAR (boyfriend/lover) and CASUAL partners He fucked me without a condom but pulled out before he came. Never Occasionally Often 0. I fucked him without a condom and came inside. Never Occasionally Often. He fucked me without a condom and came inside. Never Occasionally Often Section E Casual male partners last 6 months. Have you had any sex with any casual male partner/s in the last 6 months? Yes No Go to section F In the last 6 MONTHS which of the following have you done with any of your CASUAL male partner/s? Oral sex casual partner/s:. I sucked his cock but he did NOT come in my mouth. Never Occasionally Often. He sucked my cock but I did NOT come in his mouth. Never Occasionally Often Every Week Monthly Once / A few times Never Go to section D 5. I sucked his cock and he came in my mouth. Never Occasionally Often Section D Regular male partners last 6 months. Have you had sex with regular male partner/s in the last 6 months? Yes Page No Go to section E In the last 6 MONTHS which of the following have you done with any of your REGULAR male partner/s? Oral sex regular partner/s:. I sucked his cock but he did NOT come in my mouth. Never Occasionally Often. He sucked my cock but I did NOT come in his mouth. Never Occasionally Often. I sucked his cock and he came in my mouth. Never Occasionally Often 5. He sucked my cock and I came in his mouth. Never Occasionally Anal sex regular partner/s: 6. I fucked him with a condom. Never Occasionally 7. He fucked me with a condom. Never Occasionally Often Often Often 6. He sucked my cock and I came in his mouth. Never Occasionally Anal sex casual partner/s: 7. I fucked him with a condom. Never Occasionally 8. He fucked me with a condom. Never Occasionally Often Often Often 9. I fucked him without a condom but pulled out before I came. Never Occasionally Often 0. He fucked me without a condom but pulled out before he came. Never Occasionally Often. I fucked him without a condom and came inside. Never Occasionally Often. He fucked me without a condom and came inside. Never Occasionally Often HIV disclosure casual partner/s. How many of your casual partners did you tell your HIV status before sex? None Some All. How many of your casual partners told you their HIV status before sex? None Some All SGCPS 0/ _ A Gay Community Periodic Survey: Sydney 0

30 The following questions are for men who have had any anal sex without a condom with casual male partner(s) in the last 6 months. If you have not had any anal sex without a condom with casual male partners, go to section F 5. In the last 6 months, if you had anal sex without a condom with any casual male partner(s), did you do any of the following to avoid getting or passing on HIV? I made sure we were the same HIV status before we fucked without a condom I chose to take the top role (I fucked him) because his HIV status was different or unknown to me I chose to take the bottom role (he fucked me) because his HIV status was different or unknown to me When I fucked him, I chose to pull out before cumming because his HIV status was different or unknown to me When he fucked me, I made sure he pulled out before cumming because his HIV status was different or unknown to me Never Never Never Never Never Occasionally Occasionally Occasionally Occasionally Occasionally Often Often Often Often Often Always Always Always Always Always I took anti-hiv medication before sex Never Occasionally Often Always I took anti-hiv medication after sex Never Occasionally Often Always When my partner was HIV-positive, I checked he had an undetectable viral load before we had sex Never Occasionally Often Always I knew I had an undetectable viral load before we had sex Never Occasionally Often Always Go to section F Section F HIV testing and HIV status 6. Have you ever had an HIV antibody test? No Yes 7. When were you last tested for HIV antibodies? Never tested Less than a week ago weeks ago 6 months ago 5 7 months ago 6 years ago 7 years ago 8 More than years ago 8. Based on the results of your HIV antibody tests, what is your HIV status? No test/don t know Negative Positive 9. Where did you have your last HIV test? No test/don t know Gay bar/club/sex venue If you are HIV-positive please complete the next four questions. If not, go to section G 5. When were you first diagnosed as HIV-positive? Year 5. Are you on combination antiretroviral therapy? Yes No 55. What was your last viral load test? Undetectable Detectable Don t know/unsure 56. What was your last CD count? < >500 5 Don t know/unsure GP 5 At home Clinic/hospital 6 Somewhere else Go to section G 50. How many HIV tests have you had in the last months? None (no tests) One test - tests 5 5 or more tests Two tests 5. If you have a regular partner, do you know the result of his HIV antibody test? Positive I don t know/he hasn t had a test Survey continues on next page Negative No regular partner 5. If your regular partner is HIV positive, what was his last viral load test? Undetectable Don t know/unsure Detectable No HIV-positive partner Page SGCPS 0/ _ Gay Community Periodic Survey: Sydney 0 A

31 Section G STI testing 57. Which of these sexual health tests have you had in the last months? None Once Twice or more Anal swab Throat swab Penile swab Urine sample Blood test for HIV Blood test for syphilis Other blood test 58. Where did you go the last time you had a syphilis test? My regular GP Another GP Sexual health clinic HIV clinic 5 Never tested 59. Were you aware that someone could have syphilis without any physical symptoms? Yes, I was aware No, I wasn't aware 60. Were you aware you could get syphilis through oral sex? Yes, I was aware No, I wasn't aware 6. Have you ever been tested for hepatitis C? Yes No 6. What is your hepatitis C status? Negative Positive Don t know Don t know 6. Were you diagnosed with any sexually transmitted infection (other than HIV) in the last months? Yes No 6. If you were diagnosed with a sexually transmitted infection in the last months, how many of your sex partners did you tell about your diagnosis? None A few Some All 5 Not been diagnosed with an STI in the last months Go to section H Section H HIV medication to prevent HIV 65. What do you know about post-exposure prophylaxis (PEP)? It s readily available now 67. In the last 6 months, did you take any anti-hiv medication to reduce your chance of getting HIV during any sex you might have? No Yes, I was prescribed anti-hiv medication to take every day Yes, I took anti-hiv medication that was not prescribed Section I Drug use Go to section I 68. How often have you used these drugs in the last 6 months? Once/ At least Every Never twice monthly week Amyl/poppers Marijuana Viagra/Cialis etc Ecstasy Speed Cocaine Crystal meth GHB Ketamine (special K) Heroin Meow meow (mephedrone) Any other drug 69. How often have you injected drugs in the last 6 months? Every week At least monthly 70. Have you ever injected drugs? Yes Once or twice Never No 7. In the last 6 months, how often have you used party drugs for the purpose of sex? Every week At least monthly Once or twice Never 7. In the last 6 months, how often have you had group sex after or while using party drugs? Every week At least monthly Once or twice Never It will be available in the future I ve never heard about it If you are HIV-positive you can skip the next two questions and go to section I 66. In the last 6 months, did you take a prescribed course (8 days) of anti-hiv medication (PEP) because you were exposed to HIV? No Yes, once Yes, more than once The survey concludes here. Thank you for your time. As this survey is anonymous, feedback cannot be provided directly. Please check the NCHSR and ACON websites for the results of this survey. Questions continue Page SGCPS 0/ _ A Gay Community Periodic Survey: Sydney 0