HIV Prevention Conference Talks

posted: 11/04/2011

The presentations, from all the speakers at the national CHAPS gay and other men who have sex with men’s (MSM) HIV prevention conference, are now available online. This CHAPS conference was held in Manchester, in March.

The full programme here tells you who the speakers were and more about each talk  
 

Here’s what’s available - the presentations are PowerPoint files. 

If you need a programme to view PowerPoint presentations download the PowerPoint Viewer programme here 
 

Session 1

• Work with prisons
• Advice services for PLHIV
• Advice services for PLHIV 2
• HIV prevention with the over 50s
• Asian MSM
• Sexual health services in the community
• Online initiatives
• Online initiatives 2 - social media
   

Session 2 

• The role of fear in HIV prevention
• Re-engaging the community
• South London HIV Prevention (SLHP) model of HIV prevention 1
• SLHP model of HIV prevention 2
• SLHP model of HIV prevention 3
• SLHP model of HIV prevention 4
• SLHP model of HIV prevention 5
• SLHP model of HIV prevention 6
• European MSM Internet Sex Survey (EMIS)
• Treatment as prevention 1
• Treatment as prevention 2

 Session 3 

• Targeted working
• Transmen 1
• Transmen 2
• Sex workers 1
• Sex workers 2
• Blood donations
• Partner numbers and patterns

Session 4 

• Undiagnosed infection - partner notification
• Undiagnosed infection - MSM
• National LGB Drugs and Alcohol Database
• The role of fear in HIV prevention
• Sexual orientation monitoring
• European MSM Internet Sex Survey - Differences in STI testing
• The changing sexual behaviours of MSM

Session 5 

• Measuring outcomes 1
• Measuring outcomes 2
• Measuring outcomes 3
• Treatment as prevention 1
• Treatment as prevention 2
• Just gay men?
• Condom and lube distribution 1
• Condom and lube distribution 2
• Pornography and gay men's attitudes towards sex, risk and pleasure
• Telling partners about HIV status 1
• Telling partners about HIV status 2

Session 6 

• Re-engaging the community
• HIV and ageing
• Young people and homophobia
• Crystal Meth
• Testing times 1
• Testing times 2

Fresh Gay Men’s HIV Prevention

posted: 16/03/2011

HIV prevention work for gay and bi men in England has been freshened up in the latest edition of Making it Count. Making it Count is the HIV prevention framework used in England by gay men’s and other HIV prevention organisations.
 

Making it Count first appeared in 1998 and the new edition describes how to do HIV prevention and education with gay and bisexual men. It’s been totally rewritten and is available here. It's produced by the CHAPS gay men's HIV prevention and sexual health partnership.

George House Trust is not part of CHAPS but we play a lively and active role. At the CHAPS conference last week we made two conference presentations based on our experience of the sexual health and HIV support needs of HIV+ gay and bi men.

George House Trust also made detailed comments and suggestions for improving the latest Making It Count.

Risky Choices

The new edition of Making It Count considers the various choices facing men who have sex with men that make a difference to HIV transmission, and puts more emphasis on what motivates and drives men in making these critical decisions on sexual risks.

Making It Count brings education and empowerment together in HIV prevention, in a way that values and respects gay and bi men, including men with HIV. It includes using social norms to influence men’s sexual behaviour.

Best Sex with Least Harm
Making It Count aims to promote the best sex with the least harm among gay men and bisexual men.

Making It Count Briefing Sheets

Making It Count Briefing Sheets are also available. These are handy summaries of the evidence on important HIV prevention and sexual health issues.

Making It Count Briefing Sheets already available are 

• Using fear in HIV prevention
• Herpes
• LGV
• Gonorrhoea, chlamydia and non-gonococcal urethritis (NGU)
• Hepatitis C
• Social marketing.

Future Briefings will soon be added for

• Poppers
• Microbicides
• PEP
• Undiagnosed HIV infection.

Making It Count Briefing Sheets

Making It Count from Sigma Research

Talking and Telling about HIV

posted: 28/02/2011

There’s a lot of fuss made about how important it is for gay and bi men diagnosed with HIV to tell their sexual partners about HIV, before any sex takes place – which is known as ‘disclosure’.

Telling people whether or not you have an STI / HIV is your choice.

We think it is smarter if every  person in the UK were to talk about HIV and discuss their and partners’ HIV and STI status and risks before sex. But telling others about having HIV is always a choice.

One-sided talking

One major problem is that undiagnosed people, including gay and bi men, rarely ever talk about their own HIV status, but instead expect diagnosed people to always reveal their HIV status.

Some undiagnosed men then decide not to have sex, or decide on less risky sex after the partner says they have HIV.

Conference debates

George House Trust has critically examined the evidence for and against relying on being told HIV status as a way of avoiding getting HIV. Chris Morley, George House Trust's HIV policy expert, issued a challenge to gay men's HIV prevention workers when he gave a detailed presentation at the CHAPS conference last week for England's sexual health and HIV prevention organisations.

The challenge is to tell undiagnosed men that relying on being told by people with HIV is a seriously flawed way to try to avoid HIV. The HIV risk run by men expecting disclosure is simply too high. The challenge was also to help undiagnosed men be more respectful to anyone who does disclose having HIV. Some disclosing men with HIV are then shamed, abused, rejected, or worse.

Talking about HIV happens very unevenly and the expectations of disclosure put an unbalanced burden on people with HIV.

Dysfunctional Disclosure

The far bigger problem however, is that relying on being told, and being told accurately, is a highly risky way to manage anyone's HIV risks.

Only men diagnosed with HIV have HIV status information that is at all reliable.

Depending on men to tell you they have HIV puts you at a big HIV risk. Disclosure doesn't work at all well as a way of staying HIV negative. 

• 1 in 3 gay and bi men have never had a HIV tested - so untested, can't tell anyone anything useful about their own HIV status
• Men who have been tested usually only have information that is past its sell-by date
• Many men have had condomless anal sex since they had their last negative HIV test. An MOT certificate saying your car was roadworthy is no guarantee of future safety after you have had a crash. In the same way, a negative HIV test result becomes worthless once you have had unprotected sex.
• The only dependable information is from men who have been diagnosed with HIV to tell you this; but not all diagnosed men disclose in all situations; for example disclosure by diagnosed HIV+ men is less common in gay saunas and clubs.

George House Trust is also making a second presentation, about cuts in legal advice and representation for people with HIV. 

HIV Legal Advice Services
Among the hundreds of cuts, one cut would remove most legal aid for advice and representation at courts and tribunals. £450 million is to be slashed from budgets for advice, such as provided by Citizens Advice, Manchester Advice, Law Centres and other organisations, for immigration and asylum, welfare benefits, housing, employment and most discrimination cases.
 

This will affect millions of people a year, and you can tell things will become really bad, because even the Judges’ Council has gone public with its objections.

HIV Talking and Telling - George House Trust discussion for CHAPS-14 conference, Manchester  

HIV Advice Services - George House Trust discussion for CHAPS-14 Conference, Manchester

CHAPS-14 Conference, Manchester, March 9-11th

Image - Let's Talk HIV - Swedish language HIV site
 

Last Chance to Join Gay Panel

posted: 10/02/2011

Gay and Bi men have a last chance (until midday on Friday 11 February) to join a national panel of over 3000 men to  help steer the future of HIV prevention and better sexual health services in England for gay and bi men.
 

This Sigma Panel is community-based research with gay and bi men. There’s a survey to do when you sign up, then (if you join in the rest of the research), short surveys every month, for a year. Your answers stay anonymous.
 

The research asks about relationships, sex life, risks and precautions, and use of health services.

They are keen to find out what influences the choices men make during sex.

Each month you’ll find out what men said in previous months' surveys.

They’ll ask you if you have any questions for the other gay and bi men on the panel to answer.
 

Sigma Research has been carrying out community-based HIV research for over 20 years, including men and women living with HIV who use George House Trust services.
 

Want to take part?
If you would like to be involved improving the health of gay and bisexual men by taking part in this research or to get more information please visit the sigmapanel before midday, Friday 11 February.

Positive Talk About Testing

posted: 20/01/2011

Positive gay men talking about the HIV test are a feature of a new website that encourages undiagnosed gay and bi men to take a HIV test every year. HIV testing is rising among gay and bisexual men; seven out of ten men have now taken a HIV test (and four in ten men took a HIV test last year). But 10,000 men do not know they already have HIV. All undiagnosed gay and bi men are now advised to have an annual HIV test.

I Did It campaign

A national testing campaign is now running across England using outdoor, online and gay press adverts. The I Did It campaign believes men are more likely to take a HIV test if they hear positive things from other men about testing, whatever the result.

The new website is to inspire and encourage men through other men’s test stories. It has a handy local clinic finder, and the men can later tell their own HIV test story.

Clips of positive men talking
Aside from men’s HIV test stories and the clinic finder, the website will have key facts about HIV tests, a discussion forum for men to talk about testing, videos of positive men talking about receiving a positive test result, and information on the support available for men who test HIV positive.

Manchester test-bed
Untested men in Manchester and London gave feedback on the I-Did-It campaign, which runs until March. There will be advertising on Gaydar radio, and it’ll be pushed on social media with Facebook and Twitter and a personal message to 50,000 men on Gaydar.

Three themes – handy, protecting, habit
There are three ads, about the convenience of testing, about testing to protect partners, and about making testing an annual habit. HIV tests give undiagnosed men certainty, or peace of mind.

The ‘I Did It’ campaign is one of a series in 2011 that encourage gay and bi men to talk about the ten things that cut the spread of HIV.

Details and publicity materials

For more details, the three A4 campaign posters, or online banner ads, please contact Richard Scholey at Terrence Higgins Trust on 020 7812 1782 or email him