National trends in sexual health indicators among gay and bisexual men disaggregated by ethnicity: repeated cross-sectional behavioural surveillance in New Zealand
| dc.contributor.author | Lachowsky, Nathan J. | |
| dc.contributor.author | Saxton, Peter J. W. | |
| dc.contributor.author | Dickson, Nigel Patrick | |
| dc.contributor.author | Hughes, Anthony J. | |
| dc.contributor.author | Summerlee, Alastair J. S. | |
| dc.contributor.author | Dewey, Cate E. | |
| dc.date.accessioned | 2022-03-08T19:10:11Z | |
| dc.date.available | 2022-03-08T19:10:11Z | |
| dc.date.copyright | 2020 | en_US |
| dc.date.issued | 2020 | |
| dc.description.abstract | Objectives: To assess trends in sexual health outcomes among men who have sex with men (MSM) disaggregated by ethnicity. Design: Repeated cross-sectional. Setting: Behavioural surveillance data from 2006, 2008, 2011 and 2014 were collected in-person and online across Aotearoa New Zealand. Participants: Eligible participants were self-identified men aged 16 years or older who reported sex with another man in the past 5 years. We classified 10 525 participants’ ethnicities: Asian (n=1003, 9.8%), Māori (Indigenous people of Aotearoa New Zealand, n=1058, 10.3%), Pacific (n=424, 4.1%) and European (n=7867, 76.8%). Outcome measures: The sexual health outcomes examined were >20 recent (past 6 months) male sexual partners, past-year sexually transmitted infection (STI) testing, past-year STI diagnosis, lifetime and past-year HIV testing, lifetime HIV-positive diagnosis and any recent (past 6 months) condomless anal intercourse with casual or regular partners. Results: When disaggregated, Indigenous and ethnic minority groups reported sexual health trends that diverged from the European MSM and each other. For example, Asian MSM increased lifetime HIV testing (adjusted OR, AOR=1.31 per survey cycle, 95% CI 1.17 to 1.47) and recent HIV testing (AOR=1.14, 95% CI 1.02 to 1.28) with no changes among Māori MSM or Pacific MSM. Condomless anal intercourse with casual partners increased among Māori MSM (AOR=1.13, 95% CI 1.01 to 1.28) with no changes for Asian or Pacific MSM. Condomless anal intercourse with regular partners decreased among Pacific MSM (AOR=0.83, 95% CI 0.69 to 0.99) with no changes for Asian or Māori MSM. Conclusions: Population-level trends were driven by European MSM, masking important differences for Indigenous and ethnic minority sub-groups. Surveillance data disaggregated by ethnicity highlight inequities in sexual health service access and prevention uptake. Future research should collect, analyse and report disaggregated data by ethnicity to advance health equity. | en_US |
| dc.description.reviewstatus | Reviewed | en_US |
| dc.description.scholarlevel | Faculty | en_US |
| dc.description.sponsorship | NJL was supported by a Canadian Institutes of Health Research (CIHR) Vanier Canada Graduate Scholarship, a CIHR Michael Smith Foreign Study Supplement, a University of Guelph OVC Dean’s Doctoral Scholarship, and a Rotary International Ambassadorial Scholarship. The Gay Auckland Periodic Sex Survey and Gay men’s Online Sex Survey were supported by the New Zealand Ministry of Health, the New Zealand AIDS Foundation, the University of Otago, and the University of Auckland. | en_US |
| dc.identifier.citation | Lachowsky, N. J., Saxton. P. J. W., Dickson, N. P., Hughes, A. J., Summerlee, A. J. S., & Dewey, C. E. (2020). “National trends in sexual health indicators among gay and bisexual men disaggregated by ethnicity: repeated cross-sectional behavioural surveillance in New Zealand.” BMJ Open,10, e039896. DOI: https://doi.org/10.1136/bmjopen-2020-039896 | en_US |
| dc.identifier.uri | https://doi.org/10.1136/bmjopen-2020-039896 | |
| dc.identifier.uri | http://hdl.handle.net/1828/13791 | |
| dc.language.iso | en | en_US |
| dc.publisher | BMJ Open | en_US |
| dc.subject.department | School of Public Health and Social Policy | |
| dc.title | National trends in sexual health indicators among gay and bisexual men disaggregated by ethnicity: repeated cross-sectional behavioural surveillance in New Zealand | en_US |
| dc.type | Article | en_US |