Rev. Stephen Pieters, HIV survivor and gay activist, di at 70

Contents:

• WHAT I LEARNED OM TTG MEN FOR HIV AT GAY BATHHO
• GAY SNAS AND THE RISKS OF HIV AND SYPHILIS TRANSMISSNS CHA--RULTS OF A META-ANALYSIS
• HIV TRANSMISSN RISK AT A GAY BATHHOE
• GAY SNAS AND THE RISKS OF HIV AND SYPHILIS TRANSMISSNS CHA—RULTS OF A META‐ANALYSIS
• GAY SNA AND HIV RISK
• VIS TO GAY SNA
• REV. STEPHEN PIETERS, HIV SURVIVOR AND GAY ACTIVIST, DI AT 70
• THE TTH ABOUT GAY SNAS AND HIV/AIDS
• ESTIMATG THE NUMBER OF HIV-FECTED GAY SNA PATRONS TAIPEI AREA
• ANTHONY FCI VISED GAY SNAS AND BARS TO HELP UNRSTAND HOW AIDS WAS SPREADG
• RISK FACTORS FOR HIV-1 SERONVERSN AMONG TAIWANE MEN VISG GAY SNAS WHO HAVE SEX WH MEN
• GAY SNA FIGHTS HIV WH TT VENDG MACHE
• HIV TRANSMISSN RISK AT A GAY BATHHOE

WHAT I LEARNED OM TTG MEN FOR HIV AT GAY BATHHO

The aim of this study was to vtigate the associatns between HIV/syphilis prevalence and the typ of venu, namely snas, parks, gay bars, and the Inter, which are mostly ed for sourcg male sex partners by MSM Cha. The rults of this study suggt that those sourcg partners maly om gay snas have higher prevalence of HIV/syphilis when pared wh those dog so via the Inter or gay bars. We nducted a two-stage probabily sample of men exg a gay bathhoe, and foced our analysis on whether the partnerg patterns of the men who engaged UAI prent such a risk.

GAY SNAS AND THE RISKS OF HIV AND SYPHILIS TRANSMISSNS CHA--RULTS OF A META-ANALYSIS

Prence of an HIV Ttg Program Lowers the Prevalence of Unprotected Insertive Anal Interurse si a Gay Bathhoe among HIV-negative and HIV-unknown Patrons. AimsThe aim of this study was to vtigate the associatns between HIV/syphilis prevalence and the typ of venu, namely snas, parks, gay bars, and the Inter, which are mostly ed for sourcg male sex partners by MSM Cha.

HIV TRANSMISSN RISK AT A GAY BATHHOE

ConclnsThe rults of this study suggt that those sourcg partners maly om gay snas have higher prevalence of HIV/syphilis when pared wh those dog so via the Inter or gay bars. Keywords: Men Who Have Sex wh Men (MSM), Gay Sna, Syphilis, HIV, Meta‐Analysis, ChaIntroductnThe human immunoficiency vis (HIV) prevalence among men who have sex wh men (MSM) Cha has been creasg sharply [1]. The lack of social space for datg among MSM may force them to rec male sex partners om venu such as gay bars, gay snas, or via gay webs 8, 9.

Paradoxilly, such venu also provi a platform for offerg stctured venue‐based HIV terventns targetg MSM [10] of the surveys targetg MSM llected data om gay venu or via the Inter 11, 12, 13, 14, 15, 16, 17.

GAY SNAS AND THE RISKS OF HIV AND SYPHILIS TRANSMISSNS CHA—RULTS OF A META‐ANALYSIS

For stance, prev studi that were nducted Hong Kong and the Uned Kgdom showed that participants reced via the Inter had higher prevalence of risk behavrs such as unprotected anal terurse (UAI) and multiple partnerships, as pared wh those reced om other gay venu 18, 19. Other studi showed that participants reced om some venu, such as gay snas, had higher prevalence of HIV/sexually transmted disease (STD), as pared wh participants reced om other sourc 20, 21.

Some untri, excludg Cha, have tablished polici erng gay snas or have hoe l wh snas to rce the chance of havg high‐risk behavrs occurrg on‐se [22]. There are fact two different typ of studi regardg gay venu—those vtigatg variatns by se of partner sourcg and those vtigatg variatns by se of data llectn.

Regardg the latter, a rponnt reced om a bar, for stance, may also go to snas or other gay venu so that the terpretatn is ls specific than sounds. It is important to fd out whether havg gay sna and/or other gay venu as the ma s for sourcg sex partners is gog to talyze HIV/STD transmissns Cha. The rults have important policy and programmg the 2008 natnal survey nducted Cha [2], a qutn asked about the type of venue where the MSM rponnts mostly sourced their sex partners (gay snas, gay bars, Inter, and parks).

GAY SNA AND HIV RISK

DiscsnThe rults of this study suggt that those sourcg male sex partners mostly om snas the 10 ci Cha were at higher risk of ntractg HIV and syphilis, as pared wh those om gay bars or the Inter.

VIS TO GAY SNA

18% of the sampled MSM sourced male sex partners mostly om gay snas, their ndom‐e behavrs would have a high impact onto the HIV epimic among MSM Cha, as their risk of ntractg HIV and syphilis was higher than those mostly sourcg sex partners om the Inter and om bars. Patrons of gay snas may vis gay snas equently and they may vis multiple snas wh the same time perd—large, tensive, and overlappg sexual works are therefore created by sna goers. Studi vtigatg the stcture of sexual works among MSM are warranted Cha 4, are reasons why gay snas Cha are nducive to HIV transmissns.

REV. STEPHEN PIETERS, HIV SURVIVOR AND GAY ACTIVIST, DI AT 70

Prev studi showed that factors cludg ndom availabily, lack of munitn, and physil settgs were associated wh UAI wh gay snas 24, 32, 33. This is, however, not the se regardg gay snas Cha, which have been shown to have a potentially important role HIV/STD transmissns. HIV workers may argue that closure of snas would make MSM even “harr‐to‐reach, ” as they approach MSM for HIV preventn maly through venu such as gay snas.

THE TTH ABOUT GAY SNAS AND HIV/AIDS

Therefore, even high verage of ttg may not be able to stop HIV transmissn gay ternatnal lerature, no siar meta‐analysis had been nducted.

ESTIMATG THE NUMBER OF HIV-FECTED GAY SNA PATRONS TAIPEI AREA

Some of the reported that participants sampled om gay snas have higher HIV prevalence as pared wh those sampled om other venu such as gay bars and gay clubs 21, 28. The rults are hence important but they may overreprent the larger ci sum, attentn should be paid to those MSM sourcg male partners om gay snas.

ANTHONY FCI VISED GAY SNAS AND BARS TO HELP UNRSTAND HOW AIDS WAS SPREADG

Informatn about the high risks volved UAI takg place gay snas, such as those obtaed om this meta‐analysis, should be dissemated to stakeholrs of the MSM muny Cha.

Fdgs om this study clearly show that those sourcg partners maly om gay snas have higher prevalence of HIV/syphilis as pared wh those dog so via the Inter or gay bars. HIV risk associated wh gay bathho and sex clubs: Fdgs om 2 Seattle surveys of factors related to HIV and sexually transmted fectns. Image ptn, Dan Harry om Coatbridge was a nttant on BBC Three's "I kissed a Boy"A nttant who appeared on the UK's first gay datg show is takg part a new HIV vacce trial.

RISK FACTORS FOR HIV-1 SERONVERSN AMONG TAIWANE MEN VISG GAY SNAS WHO HAVE SEX WH MEN

"The trial, EHVA PO1, is beg n by specialists London at the St Stephen's Centre and Wtmster Hospal as well as wh partner s source, Dan HarryImage ptn, Dan Harry marched wh Terrence Higgs tst at London pri this year to raise awarens of their work to end HIVMr Harry said that due to the lack of tn school he was left anx about HIV and left him sred to e out as gay.

"There is a misnceptn around HIV, still predomately affects gay men the UK but actually the implitns this vacce uld have is on a more global sle, " he said. “We n see the impact of preventn strategi like creasg HIV ttg, treatment as preventn, and pre-exposure prophylaxis particularly among gay and bisexual men, for whom new diagnos have been droppg signifintly sce 2014.

GAY SNA FIGHTS HIV WH TT VENDG MACHE

Atralia has achieved a remarkable 57 per cent rctn new HIV diagnos among gay and bisexual men sce 2013, showsg the succs of prehensive approach to HIV preventn wh this populatn. This report vtigat differenc risk behavrs among men who have sex wh men (MSM) who went to gay bathho, public cisg areas, or both.

HIV TRANSMISSN RISK AT A GAY BATHHOE

Targetg HIV preventn the bathho would reach the segment of men at greatt risk for HIV Humphreys' groundbreakg study1 of sex between men “tearooms” (public rtrooms wh a reputatn as a place where homosexual enunters occur), social scientists have vtigated the environments outsi the home where men who have sex wh men (MSM) meet other MSM for sual, ually anonymo, sex. 3 Generally speakg, gay baths provi relative physil safety for patrons (although police harassment of bathhoe and sex club patrons occurs, has been relatively rare). G., tearooms12) were surveyed about their recent sexual risk behavrs, or sampl of gay men were asked both about their sexual risk behavr and whether they vised any sex venue.

METHODSSampleThe data are om the Urban Men's Health Study, a telephone survey based on a probabily sample of men 18 years or olr who self-intified as gay or bisexual or who reported sexual ntact wh a man sce 14 years of age. In addn, multivenue ers were more likely than bathers or cisers to report engagg unprotected anal terurse a public settg and engagg group 2—Prevalence of Sexually Transmted Diseas (STDs), Dg Use, and Risky Sexual Practic Among Men Who Frequent Gay Sex Venu, by Venue Use: Urban Men's Health Study, 1997Cisers, % (n = 515)Bathers, % (n = 326)Multivenue Users, % (n = 481)STDs HIV posiveb13. None of the other teractns tted achieved statistil 3—Relatnship Between Characteristics of Men Who Frequent Gay Sex Venu and Engage Unprotected Anal Interurse a Public Settg: Urban Men's Health Study, 1997OR (95% CI)Venue e patterns Cisers1.