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HIV or STI testing following a social marketing campaign among men who have sex with men
  1. Rebecca J Guy1,
  2. Jane L Goller2,
  3. David E Leslie3,
  4. Rachel D Thorpe4,
  5. Jeffrey W Grierson4,
  6. Colin G Batrouney5,
  7. Mike I Kennedy5,
  8. Jenny A Lewis2,
  9. Christopher Fairley6,
  10. Samitha Ginige7,
  11. Iryna B Zablotska8,
  12. Margaret E Hellard2
  1. 1 Macfarlane Burnet Institute for Medical Research/Department of Epidemiology and Preventive Medicine, Australia;
  2. 2 Macfarlane Burnet Institute for Medical Research and Public Health, Australia;
  3. 3 Victorian Infectious Diseases Reference Laboratory, Australia;
  4. 4 Australian Research Centre in Sex, Health and Society, La Trobe University, Australia;
  5. 5 Victorian AIDS Council, Australia;
  6. 6 Melbourne Sexual Health Centre/School of Population Health, University of Melbourne, Australia;
  7. 7 Melbourne Sexual Health Centre, Australia;
  8. 8 National Centre in HIV Social Research, Australia
  1. E-mail: rguy{at}nchecr.unsw.edu.au

Abstract

Background: A social marketing campaign ran in 2004 in the Victoria to increase rates of HIV/STI testing among men having sex with men (MSM).

Methods: To evaluate the initiative we analysed data from HIV sentinel surveillance, laboratory data on testing for HIV/STIs and STI/HIV testing uptake reported in annual surveys.

Results: The sentinel surveillance network showed no increase in the overall extent of HIV testing and no difference in the proportion of MSM reporting regular annual HIV testing during the campaign (43%) and post campaign (41%). The annual behavioural surveys showed that between 2004 and 2006 there was no significant increase in this overall proportion of MSM reporting having a HIV test in the last 12 months (p=0.96). The behavioural surveys also showed an increasing trend in the proportion reporting specific STI tests over time: anal swab (26% to 39%, p=<0.01) and urine test (42% to 50%, p=<0.01) and there was a steady increase in the amount of STI testing at the clinics detected through the laboratory reports: chlamydia (average increment of 6.4 tests per month, p<0.01), gonorrhoeae (6.5 tests per month, p=<0.01) and syphilis (4.0 tests per month, p=<0.01) but it began at least two years before the campaign and was not accelerated during the campaign.

Conclusion: Based on a range of indicators there was no evidence that the campaign increased HIV/STI testing. These findings highlight the importance of evaluating public health campaigns to assess their impact to ensure that they are modified if no impact is identified.

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