Formative Research results

Transcription

1 FRR Annex 5: Presentation of the FR results in the project meeting, Berlin, Formative Research results Sandra Dudareva Vizule, Ulrich Marcus Robert Koch Institute 11 February 2013

2 Content Background Methodology Results Previous experience with studies among MSM Prevention MSM Population Venues Venues in countries Recency of visiting venues Who is reached in venues and who is not? 13 SIALON II countries Background Preselected: Study area Mainly large cities together with surrounding areas Recruitment methodology Time Location Sampling (TLS) 9 countries Respondent Driven Sampling (RDS) 4 countries Sample size 400

3 Information source FR questionnaires Filled out by each study country Information on: study site, previous experience with different study methodologies and target groups, gay friendly commercial and non commercial sites, prevention activities, HIV, STIs, HBV, and HCV testing and therapy, legislation and stigmatization EMIS data demographic characteristics, behaviour, gay venue attendance, and HIV and STI history by study area SIALON II study areas Country Study area Abbreviation N of EMIS records for respective area Belgium Brussels city centre BE 1,044 Bulgaria Sofia BG 485 Italy Verona IT 314 Germany Hamburg DE 2,569 Spain Barcelona ES 1,732 Lithuania Vilnius LT 274 Poland Warsaw PL 928 Portugal Lisbon and Setubal regions PT 2,448 Romania Bucharest RO 651 Sweden Stockholm SE 1,362 Slovenia Ljubljana SI 402 Slovakia Bratislava SK 252 United Kingdom Brighton and Hove UK 290

4 Previous experience with studies among MSM Experience with Planning Country TLS RDS Other BE MSM FSW MSM BG MSM DE IDU MSM PL IDU MSM TLS PT IDU, DU MSM SI MSM MSM ES MSM Youth MSM SE IDU MSM UK MSM MSM MSM IT MSM MSM RDS LT IDU MSM RO MSM MSM SK MSM MSM Prevention activities and outreach work in the study area in the last 12 months Country Outreach work Prevention activities Evaluation of prevention activities BE Y Y Y BG Y Y N DE Y Y Y IT Y Y N LT.. Y PL Y Y N PT Y Y N RO Y Y N SK N Y. SL Y Y N ES Y Y Y SE Y Y Y UK Y Y Y

5 Major types of prevention activities Information campaigns Distribution of condoms and lubricants in gay venues Websites Consultation (and testing) services for MSM Outreach work and mobile medical units Telephone, online and Skype consultations Peer education Advocacy Activities for communities of PLWHIV Characterisation of the target population

6 Q1 IQR Q2 Age distribution Q3 p value (Kurskal Wallis)<0.001 Outness Homosexuality legal since Recognised partnership 1967 P M (2015) A 1792 P M A 1944 P MA 1979 P M A 1969 P 1991 P 1932 H 1974 P 1982 P M 1887 H 1990 H 1993 H 2002 H H Homosexuality legal but same sex unions not recognised P Other type of official partnership possible M Marriage performed A Adoption possible

7 Gay friends Positivity rate of HIV and recent STI

8 Proportion of MSM tested for HIV during the last 12m and who know their results* *excluding those tested HIV+ more than 12m ago Percentage of MSM who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions about HIV transmission Average 41%

9 Gay friendly venues Commercial venues by study site Study Sexual contact Prevention Outreach Total, N Condoms, % site facilitated, N leaflets, % worker, % ES % 77% 15% DE % 97% 100% BE % 88% 73% PT % 100% 96% SE % 36% 28% UK % 100% 92% PL % 69% 56% IT % 0% 25% BG % 100% 100% LT % 14% 14% SI % 83% 100% RO % 100% 0% SK % 0% 25%

10 Study site Non commercial venues by study site Total, N Community centre, N Cruising site, N Other, N Sexual contact facilitate d, N Condoms, % Prevention leaflets, % Outreach worker, % SE % 83% 42% BG % 100% 100% ES % 70% 90% PL % 29% 0% UK % 71% 86% DE % 33% 100% RO % 20% 20% PT % 25% 100% IT % 33% 33% LT % 33% 33% BE % 50% 100% SI % 0% 0% SK Recency of visiting any gay social venue in the country of residence

11 Who is reached in the venues and who is not? EMIS data for TLS Countries MSM who are out about being attracted to men Outness Venue All or almost all Some Few or none p value Bars, pubs, or cafes 82.0% 74.6% 41.0% Community centre, organisation or social group 29.0% 21.4% 10.1% Saunas 26.9% 26.4% 26.1% Gay disco or night club 68.9% 65.0% 35.1% Backroom, sex club, sex party 30.0% 23.3% 15.7% Cruising sites 30.0% 26.4% 26.1% 0.725

12 HIV+ MSM HIV status Venue HIV HIV+ p value* Bars, pubs, or cafes 68.0% 80.8% Community centre, organisation or social group 21.3% 27.2% Saunas 24.7% 43.6% Gay disco or night club 58.3% 65.7% Backroom, sex club, sex party 21.9% 46.2% Cruising sites 24.7% 43.6% In venues we will potentially reach proportionally more HIV+ MSM (than we would reach in a population representative sample) Recently tested positive for STI STI (in last 12 months) Venue STI STI+ p value* Bars, pubs, or cafes 67.7% 82.0% Community centre, organisation or social group 21.2% 26.9% Saunas 25.1% 38.6% Gay disco or night club 57.3% 73.7% Backroom, sex club, sex party 22.2% 41.7% Cruising sites 25.1% 38.6% In venues we will reach proportionally more recently tested positive for STI MSM (than we would reach in a population representative sample)

13 Younger or older? Age visited Age did not visit Venue Median (IQR) Median (IQR) p value Bars, pubs, or cafes 33 (26 41) 32 (25 42) Community centre, organisation or social group Saunas Gay disco or night club Backroom, sex club, sex party Cruising sites Number of different types of venues for MSM that have been visited in the last 12 months Study area Median IQR ES BE DE UK SE PL PT IT BG LT SK RO SI Type of venues: Bars, pubs and cafés Community centres, organisations or social groups Gay saunas Gay disco or night club Sex club, sex party Cruising sites

14 Formative Research Report Study site specific results Information on: Characterisation of the target population Legislative background in SIALON II countries Gay/gay friendly commercial and non commercial sites Characterisation of the MSM population in venues The prevention activities HIV, Syphilis and Viral hepatitis B (HBV) and C (HCV), testing and therapy Information about the experience with study methodology and studies among MSM Formative Research Results Better planning of the sampling To timely avoid potential risks Information on venues (Annex 4 and 5) TLS sampling Information on HIV testing and counseling and fact sheets Prevention activities Interpretation of study results

15 Acknowledgement: Ulrich Marcus SIALON II partners Thank you!