Publications by authors named "G P Prestage"

Condoms continue to be used by many gay, bisexual, and other men who have sex with men (GBM) to reduce the risk of HIV transmission. However this is impacted by condom failure events, defined here as condom breakage and slippage. In a prospective, observational cohort study of 343 HIV serodiscordant male couples recruited through high HIV caseload clinics and hospitals between 2012 and 2016 in Australia, Brazil, and Thailand, condom failure rates and associated factors were analysed, including with the study partner versus other sexual partners.

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Background: Strategies pertaining to HIV and sexual health for gay, bisexual, and other men who have sex with men (GBMSM) have shifted focus towards underrepresented subgroups within some developed Western countries. Although emerging research exists on some subgroups, limited attention has been given to the needs of Arab GBMSM in these contexts. Considering they are part of a large diaspora, understanding their access to services is crucial.

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Article Synopsis
  • - New Zealand's drug market is distinctive, particularly among gay and bisexual men (GBM), yet there's limited research on how drug use impacts sexual behavior, especially with biomedical HIV prevention.
  • - A study involving 739 GBM identified three groups based on sexual practices: those not recently sexually active, those who were, and those who used drugs during sex, revealing that sexualized drug use is notably common.
  • - Results show that sexualized drug users are typically more connected to the gay community, frequently test for HIV, and often use preventive measures like PrEP, indicating a need for targeted prevention strategies for those with less intense sexual behaviors.
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  • * It found a significant decrease in "frequent comprehensive testing" among HIV-negative GBM using PrEP, dropping from 71.7% in 2017 to 58.6% in 2021, with similar declines in non-PrEP users and HIV-positive participants.
  • * The research suggests many GBM are not adhering to Australian STI testing guidelines of quarterly testing, prompting a call for further evaluation of the guidelines' relevance and necessity.
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  • GHB is frequently used in sexuality and gender diverse communities, leading to a significant risk of overdose, which can be fatal; recent studies indicate a rise in GHB-related deaths.
  • A qualitative study interviewed 31 individuals who use GHB, exploring their actions and decisions when witnessing someone else's overdose, often occurring in private, sexualized settings.
  • Findings revealed a lack of consensus on what constitutes a GHB overdose and highlighted unsafe response practices, underscoring the need for targeted education programs on overdose prevention and first aid response, including proper EMS contact procedures.
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