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Gay men: personal, community and health
services barriers to sexual health testing
A trial of incentive based promotion within
Sex On Premises Venue’s (SOPV’s)
2
Overview
SOPV’s in Queensland
SOPV Testing Project
Results
Current Research
Where to from here
2
3
SOPV Clinic’s in Queensland
SOPV Outreach Clinics commenced early 90’s
2 x Venues (2hrs p/w) - Bodyline & Wet Spa &
Sauna
Consultations – av.143 per year
Outreach Clinics cease in 2011
3
4
SOPV’s in Queensland
SOPV Testing Project formed partially in
response to closure of Outreach Clinics
Sustained increase in syphilis & newly
diagnosed HIV infections in Qld (2010)
Reported increase in men who had never
tested or had only tested 2yrs+ (GCPS 2010)
Healthy Communities, Queensland Health &
SOPV Operators Group initiative
4
5
Venues
5
Klub Kruise
The Den
Wet Spa & Sauna
Bodyline Spa & Sauna
6
Clinics & GP’s
Gladstone Road Medical Centre
Stonewall Medical Centre
Central Brunswick Medical
P.A.SH Clinic
BSHC
Kobi House (Ipswich)
Toowoomba SHC
7
Promotional Materials
7
Snowballing ejaculating into another guy’s mouth and spitting it back into his mouth while kissing Felching
ejaculating into a guy’s anus and sucking out the semen
Pearl Necklace ejaculating on a guys chest, neck and shoulders as a result of masturbating on his or thrusting on his
chest Dirty Sanchez a moustache made of faecal matter that ends up on a guy’s upper lip after anal sex. Whether
said excrement gets placed there directly from the penis or manually by finger is a matter of debate. Some people
insist that the act of drawing the moustache with the penis itself after anal intercourse should be referred to as a
Dirty Rodriguez
Cream pie When a man ejaculates in a guy’s anus without using a condom, it’s called a cream pie. This internal cum
shot is usually followed by watching the semen drip out
Daisy Chain group of more than two sexual partners, stimulating each other at the same time. While Partner A
performs oral sex on Partner B, Partner B performs oral sex on Partner C, who performs oral sex on Partner D and so
on, ultimately resulting in a chain where the last partner is pleasing the first partner
ATM stands for Ass-To-Mouth, which refers to the act of anally penetrating a guy and then putting your penis in his
mouth ie going down on you immediately following anal sex
Bukkake several men masturbating and ejaculating on a single guy. The number of men can vary from a few to many,
the object being to get as much ejaculate on the guy’s body as possible
Docking two men rubbing the heads of their dicks together, with one of the men's foreskin being stretched over the
head of his partner's dick until orgasm
BDSM erotic practice and expression involving the consensual use of restraint, intense sensory stimulation, and
fantasy power role-play
8
Clinic Cards
8
109
9
Carwash Cards
9
109
10
Expectations -
Commencement
Venues - concerns multiple entries, cease of
Clinic’s, cost of non bulk billing GP’s
Clinicians & GP’s - novel approach, limited
capacity of service, importance of outreach
clinics (GP’s), sexualised material (Clinics)
10
11
Results?
11
12
0
12
13
Promotional Materials #2
13
14
Results?
14
15
9 Cards Returned
244 clinic cards from SOPV’s
9 carwash cards from Clinics
3 return entries to SOPV’s
15
16
Looking at another Incentive
Based Promotion
16
17
'Show me the money': financial incentives increase chlamydia
screening rates among tertiary students: a pilot study.
Currie MJ, Schmidt M, Davis BK, Baynes AM, O'Keefe EJ, Bavinton TP, McNiven M, Martin SJ, Bowden FJ.
17
18
Phase 1. 2786 attended activities/events, 627
students (22.5%). chlamydia testing. Phase 2, the
dissemination of 866 text messages resulted in 392
students (45.3%).
Costs per test were AUD $175.11 in Phase 1 and
AUD $27.13 in Phase 2
18
Results
19
19
Points of Difference
SOPV Testing Project:
Testing not onsite
Accessibility of Sites
Complex Process remuneration
Reliance on venue Staff
Cost of the project < $200
20
STI Testing Survey for Gay Men & other MSM, Qld 2011
Rates: Last 12 months (68.5%), Last 6 months (53.1%),
Unsure/Never (11.6%), 2yrs+ (10.5%)
Motivators: General health checkup (38.9%), multiple
partners (20.7%), unsafe sex (19.3%)
Site: Doctor’s expertise (16.7%), Familiarity w site (15.6%),
Convenience (15.1%), Proximity (12.1%), Confidentiality
(11.8%), Gay friendly service ( 11.5%)
20
Concurrent Research
21
Conclusion
Success or failure?
Total cost of project <$200 ie $22 p/p
Would further promotion increase response?
21
22
Where to from here?
Advocate for Outreach Clinics to be
reinstated in the venues
SOPV Testing Project - continuation?
Commencing SOPV Outreach Service
Rapid Testing in Venues
22

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Gay men: personal, community and health services barriers to sexual health testing

  • 1. 1 Gay men: personal, community and health services barriers to sexual health testing A trial of incentive based promotion within Sex On Premises Venue’s (SOPV’s)
  • 2. 2 Overview SOPV’s in Queensland SOPV Testing Project Results Current Research Where to from here 2
  • 3. 3 SOPV Clinic’s in Queensland SOPV Outreach Clinics commenced early 90’s 2 x Venues (2hrs p/w) - Bodyline & Wet Spa & Sauna Consultations – av.143 per year Outreach Clinics cease in 2011 3
  • 4. 4 SOPV’s in Queensland SOPV Testing Project formed partially in response to closure of Outreach Clinics Sustained increase in syphilis & newly diagnosed HIV infections in Qld (2010) Reported increase in men who had never tested or had only tested 2yrs+ (GCPS 2010) Healthy Communities, Queensland Health & SOPV Operators Group initiative 4
  • 5. 5 Venues 5 Klub Kruise The Den Wet Spa & Sauna Bodyline Spa & Sauna
  • 6. 6 Clinics & GP’s Gladstone Road Medical Centre Stonewall Medical Centre Central Brunswick Medical P.A.SH Clinic BSHC Kobi House (Ipswich) Toowoomba SHC
  • 7. 7 Promotional Materials 7 Snowballing ejaculating into another guy’s mouth and spitting it back into his mouth while kissing Felching ejaculating into a guy’s anus and sucking out the semen Pearl Necklace ejaculating on a guys chest, neck and shoulders as a result of masturbating on his or thrusting on his chest Dirty Sanchez a moustache made of faecal matter that ends up on a guy’s upper lip after anal sex. Whether said excrement gets placed there directly from the penis or manually by finger is a matter of debate. Some people insist that the act of drawing the moustache with the penis itself after anal intercourse should be referred to as a Dirty Rodriguez Cream pie When a man ejaculates in a guy’s anus without using a condom, it’s called a cream pie. This internal cum shot is usually followed by watching the semen drip out Daisy Chain group of more than two sexual partners, stimulating each other at the same time. While Partner A performs oral sex on Partner B, Partner B performs oral sex on Partner C, who performs oral sex on Partner D and so on, ultimately resulting in a chain where the last partner is pleasing the first partner ATM stands for Ass-To-Mouth, which refers to the act of anally penetrating a guy and then putting your penis in his mouth ie going down on you immediately following anal sex Bukkake several men masturbating and ejaculating on a single guy. The number of men can vary from a few to many, the object being to get as much ejaculate on the guy’s body as possible Docking two men rubbing the heads of their dicks together, with one of the men's foreskin being stretched over the head of his partner's dick until orgasm BDSM erotic practice and expression involving the consensual use of restraint, intense sensory stimulation, and fantasy power role-play
  • 10. 10 Expectations - Commencement Venues - concerns multiple entries, cease of Clinic’s, cost of non bulk billing GP’s Clinicians & GP’s - novel approach, limited capacity of service, importance of outreach clinics (GP’s), sexualised material (Clinics) 10
  • 15. 15 9 Cards Returned 244 clinic cards from SOPV’s 9 carwash cards from Clinics 3 return entries to SOPV’s 15
  • 16. 16 Looking at another Incentive Based Promotion 16
  • 17. 17 'Show me the money': financial incentives increase chlamydia screening rates among tertiary students: a pilot study. Currie MJ, Schmidt M, Davis BK, Baynes AM, O'Keefe EJ, Bavinton TP, McNiven M, Martin SJ, Bowden FJ. 17
  • 18. 18 Phase 1. 2786 attended activities/events, 627 students (22.5%). chlamydia testing. Phase 2, the dissemination of 866 text messages resulted in 392 students (45.3%). Costs per test were AUD $175.11 in Phase 1 and AUD $27.13 in Phase 2 18 Results
  • 19. 19 19 Points of Difference SOPV Testing Project: Testing not onsite Accessibility of Sites Complex Process remuneration Reliance on venue Staff Cost of the project < $200
  • 20. 20 STI Testing Survey for Gay Men & other MSM, Qld 2011 Rates: Last 12 months (68.5%), Last 6 months (53.1%), Unsure/Never (11.6%), 2yrs+ (10.5%) Motivators: General health checkup (38.9%), multiple partners (20.7%), unsafe sex (19.3%) Site: Doctor’s expertise (16.7%), Familiarity w site (15.6%), Convenience (15.1%), Proximity (12.1%), Confidentiality (11.8%), Gay friendly service ( 11.5%) 20 Concurrent Research
  • 21. 21 Conclusion Success or failure? Total cost of project <$200 ie $22 p/p Would further promotion increase response? 21
  • 22. 22 Where to from here? Advocate for Outreach Clinics to be reinstated in the venues SOPV Testing Project - continuation? Commencing SOPV Outreach Service Rapid Testing in Venues 22