Insights from MISI 2015: HIV and STI Testing among MSM in Ireland
MSM population in Ireland, particularly affected by HIV and STIs per MISI 2015 survey. Online survey with 3,090 responses on testing, infection, sexual behavior, and prevention strategies. Key findings include respondents' demographics, sexual identity, outness, and sexual behavior patterns. Additionally, education level, employment status, and testing rates for HIV and STIs highlighted.
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Findings from MISI 2015 (with a focus on HIV and STI testing) Kate O Donnell, Margaret Fitzgerald, Peter Barrett, Mick Quinlan, Derval Igoe
Background Men who have sex with men (MSM) are the population most affected by HIV and STIs in Ireland MISI 2015 Online survey of adult MSM living in Ireland Live from March to May 2015 Questions about HIV/STI testing and infection, sexual behaviour, alcohol, drug and tobacco use, knowledge and prevention strategies
MISI respondents 3,090 valid responses Aged 18-80 years Median age: 30 years 200 Number of respondents 150 100 50 0 18 23 28 33 38 Age (years) 43 48 53 58 63 68 73 78 Respondents from all 26 counties 51% living in Dublin with a further 20% from Cork, Limerick and Galway 86% Irish born, 14% born outside Ireland
Sexual Identity Sexual Attraction Other 6% To men and women 25% Straight 2% Bisexual 13% Only to women 1% Only to men 74% Gay 79%
Outness Relationship status All or almost all 51% None 9% Few 16% With a man 39% Less than half 9% Single 53% With a woman 8% More than half 15%
Sexual behaviour : Steady partners 55% of men had sex with one or more steady partners in last 12 months
Sexual behaviour : Non-Steady partners 61% of men had sex with one or more non-steady partners in last 12 months
HIV and STI testing and infection HIV STIs Never tested 37% 38% Did not have test in previous 12 months 61% 61% Not confident accessing future test 12% 11% HIV positive 5% - HIV positive (among those who tested) 8% STI diagnosis in previous 12 months - 9% STI diagnosis (among those who tested) - 21%
Never tested for HIV: univariate analysis Never tested for HIV % never tested 84.1 42.8 22.8 20.9 28.3 26.5 48.8 28.2 43.6 60.1 31.1 Variable Odds Ratio 7.1 Ref 0.40 0.35 0.53 Ref 2.6 Ref 2.0 3.8 Ref 95% CI 5.0-10 Ref 0.32-0.49 0.27-0.46 0.41-0.69 Ref 2.3-3.1 Ref 1.5-2.6 3.2-4.6 Ref 18-19 20s 30s 40s 50+ High Age Group Education Level Medium/Low Employed Unemployed Student Gay Employment Sexual Identity Bisexual/Straight/Other 57.3 3.0 2.5-3.6
Never tested for HIV: univariate analysis Never tested for HIV % never tested 84.1 42.8 22.8 20.9 28.3 26.5 48.8 28.2 43.6 60.1 31.1 Variable Odds Ratio 7.1 Ref 0.40 0.35 0.53 Ref 2.6 Ref 2.0 3.8 Ref 95% CI 5.0-10 Ref 0.32-0.49 0.27-0.46 0.41-0.69 Ref 2.3-3.1 Ref 1.5-2.6 3.2-4.6 Ref 18-19 20s 30s 40s 50+ High Age Group Education Level Medium/Low Employed Unemployed Student Gay Employment Sexual Identity Bisexual/Straight/Other 57.3 3.0 2.5-3.6
Never tested for HIV: univariate analysis Never tested for HIV % never tested 84.1 42.8 22.8 20.9 28.3 26.5 48.8 28.2 43.6 60.1 31.1 Variable Odds Ratio 7.1 Ref 0.40 0.35 0.53 Ref 2.6 Ref 2.0 3.8 Ref 95% CI 5.0-10 Ref 0.32-0.49 0.27-0.46 0.41-0.69 Ref 2.3-3.1 Ref 1.5-2.6 3.2-4.6 Ref 18-19 20s 30s 40s 50+ High Age Group Education Level Medium/Low Employed Unemployed Student Gay Employment Sexual Identity Bisexual/Straight/Other 57.3 3.0 2.5-3.6
Never tested for HIV: univariate analysis Never tested for HIV % never tested 84.1 42.8 22.8 20.9 28.3 26.5 48.8 28.2 43.6 60.1 31.1 Variable Odds Ratio 7.1 Ref 0.40 0.35 0.53 Ref 2.6 Ref 2.0 3.8 Ref 95% CI 5.0-10 Ref 0.32-0.49 0.27-0.46 0.41-0.69 Ref 2.3-3.1 Ref 1.5-2.6 3.2-4.6 Ref 18-19 20s 30s 40s 50+ High Age Group Education Level Medium/Low Employed Unemployed Student Gay Employment Sexual Identity Bisexual/Straight/Other 57.3 3.0 2.5-3.6
Never tested for HIV: univariate analysis Never tested for HIV % never tested 84.1 42.8 22.8 20.9 28.3 26.5 48.8 28.2 43.6 60.1 31.1 Variable Odds Ratio 7.1 Ref 0.40 0.35 0.53 Ref 2.6 Ref 2.0 3.8 Ref 95% CI 5.0-10 Ref 0.32-0.49 0.27-0.46 0.41-0.69 Ref 2.3-3.1 Ref 1.5-2.6 3.2-4.6 Ref 18-19 20s 30s 40s 50+ High Age Group Education Level Medium/Low Employed Unemployed Student Gay Employment Sexual Identity Bisexual/Straight/Other 57.3 3.0 2.5-3.6
Settings for HIV testing 60 53 Last test Future test - previous neg Future test - never tested 50 41 Percentage 40 30 30 23 18 20 17 16 15 15 14 13 10 10 10 7 5 5 3 2 0 Hospital or sexual health clinic GP Dr in private practice Community testing Home sampling Other
HIV positive men (n=152) 99% linked to care (n=150) 93% retained in care (n=141) 79% currently on ART (n=120) 91% virally suppressed (of those on ART) (n=109)
STI testing details of samples/tests (self-reported) STI Clinic GP 96 93 100 91 Site of STI testing (of those who had an STI test in the last year) 85 83 80 79 74 80 67 Percentage 56 55 60 50 47 46 40 68% - STI clinic 29% - GP 3% - used other services 20 0 Samples/Tests
Limitations of MISI 2015 Online survey English version only Self reported subject to bias Not a representative sample Length of survey average 14 minutes to complete
Conclusions Largest survey of MSM ever carried out in Ireland Provides useful data for a wide variety of stakeholders, including the MSM community, policy makers and those planning and delivering HIV and STI interventions for MSM Provides useful information on patterns of HIV and STI testing and setting for future testing
Thank you to.. All of the men who completed MISI 2015 The MISI Steering Group Derval Igoe (Chair) Peter Barrett Mick Quinlan Daniel McCartney Axel J Schmidt Coralie Giese (left Jan 2015) Margaret Fitzgerald Maeve O Brien Ford Hickson Peter Keogh Marzena Sekular (Jun 2015-Mar 2016)
