The TAXI-KAB Study: Thinking About eXposure to Infection

This study was developed against a backdrop of major changes in the HIV prevention landscape. The emergence of new prevention approaches and technologies offers the potential to profoundly impact prevention engagement with Australian gay men but relatively little is known about the level of knowledge and hence preparedness of gay communities to engage with this new prevention paradigm. These fundamental shifts in HIV prevention responses and in treatment methods will profoundly affect HIV prevention education within gay communities.

Key findings
  • The men in this study were broadly similar to what has been found in other studies of Australian gay men. This was also true of their sexual behaviour.
  • For the most part, the men in this sample were fairly cautious in their beliefs about condom use, safe sex, and risk reduction; those who did not complete the survey were perhaps even more cautious.
  • Most men had been tested for HIV, with a somewhat higher proportion being HIV-positive than is generally found in Australian samples of gay men. Those who did not complete the survey were less likely to have been tested.
  • Most of the HIV-positive men in the sample were on treatments, and had undetectable viral load and high CD4 counts.
  • Few men reported use of either PEP or PrEP, but knowledge of either was fairly low, and it was particularly notable that many men remained unaware of the evidence for either, particularly among those who had not completed the survey.