The Effects of Community-Based Sexual Health Testing and Health Promotion on Gay Men's Sexual Risk-Taking Behaviour

Abstract

This research aimed to evaluate an intervention to increase sexual health awareness and encourage testing for STIs within a community setting (a sauna), in an attempt to reduce sexual risk behaviours within MSM (men who have sex with men). Men were provided with sexual health information and offered sexual health testing monthly in the sauna. Questionnaires were administered over three time points to measure sexual risk behaviours and use of sexual health services. 539 questionnaires were completed; there was a high reported incidence of sexual risk behaviours, and low use of sexual health services, although the men were receptive to testing services within community settings. Health promotion appears to have impacted upon anal sex, with a consistent decrease in unprotected intercourse compared to very little change observed nationally during this period. Reported intentions to use community testing services are promising, suggesting this may be an effective way of encouraging high-risk groups to engage with their sexual health.