Increased targeted HIV testing and reduced undiagnosed HIV infections among gay and bisexual men

ObjectivesTo evaluate the impact of government HIV strategies that aimed to increase HIV testing uptake and frequency among gay and bisexual men (GBM) in New South Wales (NSW), Australia. Design We analysed HIV testing data from existing passive and sentinel surveillance systems between 2010 and 2018. Methods Six indicators were measured: (1) state‐wide total HIV laboratory tests; (2) number of GBM attending publicly‐funded clinics; (3) 12‐monthly testing uptake; (4) annual testing frequency; (5) HIV testing with a STI diagnosis; and (6) HIV positivity. Mathematical modelling was used to estimate (7) the proportion of men with undiagnosed HIV. Indicators were stratified by Australian vs. overseas‐born. Results Overall, 43,560 GBM attended participating clinics (22,662 Australian‐born, 20,834 overseas‐born) from 2010‐2018. Attendees increased from 5,186 in 2010 to 16,507 in 2018. There were increasing trends (p