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Clinical round-up
Clinical round-up
  1. Sophie Herbert1,
  2. Emily Chung2
  1. 1 Department of Genitourinary Medicine, Northamptonshire Integrated Sexual Health, Kettering, UK
  2. 2 Department of Sexual Health and HIV, Mortimer Market Centre, London, UK
  1. Correspondence to Dr Sophie Herbert, Department of Genitourinary Medicine, Northamptonshire Integrated Sexual Health, Kettering NN15 7PW, UK; sophieherbert{at}nhs.net

https://doi.org/10.1136/sextrans-2018-053900

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    Reduction in HIV incidence in Australia

    An epidemiological flavour to this month’s round-up. First is a paper from Melbourne1 showing a reduction in HIV incidence in Australian men who have sex with men (MSM), which had reduced from 0.83% in 2014 to 0.38% in 2017 (p=0.001). However, a similar decrease was not seen in Asian MSM entering the country within the last 5 years (HIV incidence from 1.18% in 2014 to 1.56% in 2017, p=0.76). This echoes the decrease in diagnoses seen in London reported elsewhere, and adds further indication that early treatment (recommended from 2015) and Pre-Exposure Prophylaxis (PrEP) (from 2016 in Australia) have been powerful in this change.

    Self-efficacy in MSM in relation to condomless sex

    This next paper by Safren et al 2 looks at self-efficacy in men who have sex with men (MSM). Previous research has looked at syndemics, which are defined as co-occurring psychosocial problems and have been shown to have an additive effect on HIV risk behaviour and subsequent infection. The group hypothesised that instead of a direct association, syndemics may disrupt psychological variables at an individual level and …

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    Footnotes

    • Handling editor Jackie A Cassell

    • Contributors SH wrote the manuscript. EC reviewed.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Commissioned; internally peer reviewed.