Article Text

Download PDFPDF
Original article
Factors associated with recent previous HIV testing among a sample of recently HIV-diagnosed gay men in Australia: a cross-sectional study
  1. Ian Down1,2,
  2. Jeanne Ellard1,2,
  3. Kathy Triffitt1,
  4. Graham Brown2,
  5. Garrett Prestage1,2
  1. 1The Kirby Institute, University of New South Wales, Sydney, New South Wales, Australia
  2. 2Australian Research Centre in Sex Health and Society, La Trobe University, Melbourne, Victoria, Australia
  1. Correspondence to Ian Down, The Kirby Institute, University of New South Wales, Sydney NSW 2052, Australia; Australian Research Centre in Sex Health and Society, La Trobe University, 215 Franklin Street, Melbourne, VIC 3000, Australia; idown{at}


Objective Timely HIV testing among recently HIV-infected gay men may enable earlier access to clinical care and changes in behaviour that will reduce onward transmission. We investigated the testing practices of men recently diagnosed with HIV to identify factors associated with recent testing.

Methods In an online survey of men in Australia recently diagnosed with HIV, participants were asked about their HIV testing history, perceived impediments to testing prior to diagnosis, motivation for testing at the time of diagnosis and a range of demographic and behavioural characteristics. Descriptive statistics were used to compare those men who reported recent HIV testing with those men who had not tested for HIV in the 12 months before their diagnosis.

Results Of 187 men who provided information about their testing history and social connectedness, 6.4% were previously untested for HIV, whereas 65.8% had last tested within the 12 months prior to their diagnosis. Factors associated with having tested more recently were being more socially engaged with other gay men (OR 1.34; 95% CI 1.10 to 1.63; p=0.003) and having greater optimism about HIV health (OR 1.13; 95% CI 1.00 to 1.27; p=0.047). In multivariate analysis, only level of social engagement with other gay men remained independently associated (adjusted OR 1.30; 95% CI 1.07 to 1.59; p=0.003).

Conclusions Gay community plays a key role in the response to HIV in Australia. Building a sense of community through programmes that support social engagement between gay men may support earlier and more frequent testing.

  • HIV

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.