Publications by authors named "Adrian H Ludlam"

Article Synopsis
  • Gay and bisexual men (GBM) represent a significantly higher percentage of HIV, syphilis, and gonorrhoea cases in New Zealand, with rates calculated for the first time by sexual orientation.
  • In 2019, GBM accounted for 76.3% of HIV, 65.7% of syphilis, and 39.4% of gonorrhoea notifications, showing stark disparities in case rates compared to heterosexual individuals.
  • The study highlights serious inequities in STIs among GBM in New Zealand, emphasizing the need for targeted surveillance and interventions based on sexual orientation.
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Aim: To demonstrate the differences between objective and operational knowledges of HIV transmission and care in Black African migrants, and how these differences may be managed in a clinical interview.

Method: This two phase national New Zealand study first estimated the resident Black African migrant population and HIV seroprevalence. The second phase collected surveys (n=703); focus groups (n=131 people) amplified the survey data.

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Background: Respondent-driven sampling (RDS) is a method of approximating random sampling of populations that are difficult to locate and engage in research such as gay, bisexual and other men who have sex with men (GBM). However, its effectiveness among established urban gay communities in high-income countries is largely unexplored outside North America. We conducted a pilot study of RDS among urban GBM in Auckland, New Zealand to assess its local applicability for sexual health research.

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Introduction: General practitioners (GPs) can improve HIV and sexually transmitted infection (STI) screening, vaccination and wellbeing among gay, bisexual and other men who have sex with men (GBM) if they are aware of a patient's sexual orientation.

Aim: To estimate GP awareness of their GBM patients' sexual orientation and examine whether HIV and STI screening was associated with this.

Methods: We analysed anonymous, self-completed data from 3168 GBM who participated in the community-based Gay Auckland Periodic Sex Survey (GAPSS) and Internet-based Gay men's Online Sex Survey (GOSS) in 2014.

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