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RESEARCH ARTICLE

Estimating antiretroviral treatment coverage rates and viral suppression rates for homosexual men in Australia

Nicole L. De La Mata A E , Limin Mao B , John De Wit B , Don Smith C D , Martin Holt B , Garrett Prestage A , David P. Wilson A and Kathy Petoumenos A
+ Author Affiliations
- Author Affiliations

A Kirby Institute, Wallace Wurth Building, UNSW Australia, UNSW Sydney, NSW 2052, Australia.

B Centre for Social Research in Health, Goodsell Building, UNSW Australia, UNSW Sydney, NSW 2052, Australia.

C Albion Street Centre, Albion Street, Surry Hills, NSW 2010, Australia.

D School of Public Health and Community Medicine, Samuels Building, UNSW Australia, UNSW Sydney, NSW 2052, Australia.

E Corresponding author. Email: ndelamata@kirby.unsw.edu.au

Sexual Health 12(5) 453-457 https://doi.org/10.1071/SH15037
Submitted: 9 March 2015  Accepted: 24 May 2015   Published: 13 July 2015

Abstract

Gay and other men who have sex with men (GMSM) are disproportionally affected by the HIV epidemic in Australia. The study objective is to combine a clinical-based cohort with a community-based surveillance system to present a broader representation of the GMSM community to determine estimates of proportions receiving antiretroviral therapy (ART) and/or with an undetectable viral load. Between 2010 and 2012, small increases were shown in ART uptake (to 70.2%) and proportions with undetectable viral load (to 62.4%). The study findings highlight the potential for significantly increasing ART uptake among HIV-positive GMSM to reduce the HIV epidemic in Australia.

Additional keywords: ART coverage, gay men, HIV, proportion, time trends, viral load.


References

[1]  World Health Organization. Consolidated guidelines on the use of Antiretroviral Drugs for treating and preventing HIV infection: recommendations for a Public Health approach. Geneva: WHO; 2013.

[2]  Panel on Antiretroviral Guidelines for Adults and Adolescents. Guidelines for the use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents. Department of Health and Human Services; 2014. Available online at: http://aidsinfo.nih.gov/ContentFiles/AdultandAdolescentGL.pdf.Section [verified 3 September 2014].

[3]  Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, Kumarasamy N, Hakim JG, Kumwenda J, Grinsztejn B, Pilotto JHS, Godbole SV, Mehendale S, Chariyalertsak S, Santos BR, Mayer KH, Hoffman IF, Eshleman SH, Piwowar-Manning W, Wang L, Makhema J, Mills LA, de Bruyn G, Sanne I, Eron J, Gallant J, Havlir D, Swindells S, Ribaudo H, Elharrar V, Burns D, Taha TE, Nielsen-Saines K, Celentano D, Essex M, Fleming TR. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med 2011; 365 493–505.
Prevention of HIV-1 infection with early antiretroviral therapy.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3MXhtVars7jF&md5=ab47d40d31a32b0a9c2316659ed67208CAS | 21767103PubMed |

[4]  Granich R, Crowley S, Vitoria M, Smyth C, Kahn JG, Bennett R, Lo Y-R, Souteyrand Y, Williams B. Highly active antiretroviral treatment as prevention of HIV transmission: review of scientific evidence and update. Curr Opin HIV AIDS 2010; 5 298–304.
Highly active antiretroviral treatment as prevention of HIV transmission: review of scientific evidence and update.Crossref | GoogleScholarGoogle Scholar | 20543604PubMed |

[5]  UNAIDS. UNAIDS progress report: Australia 2012. UNAIDS; 2012. Available online at: http://www.unaids.org/sites/default/files/en/dataanalysis/knowyourresponse/countryprogressreports/2012 countries/ce_AU_Narrative_Report%5B1%5D.pdf.Section [verified 3 September 2014].

[6]  The Australian HIV Observational Database Rates of combination antiretroviral treatment change in Australia, 1997–2000. HIV Med 2002; 3 28–36.
Rates of combination antiretroviral treatment change in Australia, 1997–2000.Crossref | GoogleScholarGoogle Scholar | 12059948PubMed |

[7]  Zablotska IB, Kippax S, Grulich A, Holt M, Prestage G. Behavioural surveillance among gay men in Australia: methods, findings and policy implications for the prevention of HIV and other sexually transmissible infections. Sex Health 2011; 8 272–9.
Behavioural surveillance among gay men in Australia: methods, findings and policy implications for the prevention of HIV and other sexually transmissible infections.Crossref | GoogleScholarGoogle Scholar | 21851766PubMed |

[8]  The Centre for Social Research in Health. HIV/AIDs, hepatitis and sexually transmissible infections in Australia: annual report of trends in behaviour 2014. Sydney: The Centre for Social Research in Health, UNSW Australia; 2014.

[9]  The Centre for Social Research in Health. HIV/AIDs, hepatitis and sexually transmissible infections in Australia: annual report of trends in behaviour 2010. Sydney: The Centre for Social Research in Health, UNSW Australia; 2010.

[10]  Raymond A, Hill A, Pozniak A. Large disparities in HIV treatment cascades between eight European and high-income countries - analysis of break points. J Int AIDS Soc 2014; 17 19507
Large disparities in HIV treatment cascades between eight European and high-income countries - analysis of break points.Crossref | GoogleScholarGoogle Scholar | 25394016PubMed |

[11]  Standing Council of Health. Report on progress on the Australian response to HIV and AIDS. 2012.

[12]  The Kirby Institute. HIV in Australia: annual surveillance report supplement. Sydney: The Kirby Institute, UNSW Australia; 2014.

[13]  Mao L, de Wit J, Kippax S, Prestage G, Holt M. Younger age, recent HIV diagnosis, no welfare support and no annual sexually transmissible infection screening are associated with nonuse of antiretroviral therapy among HIV-positive gay men in Australia. HIV Med 2014; 16 32–7.
| 24889053PubMed |

[14]  Grierson JW, Pitts MK, Thorpe RD. State of the (positive) nation: findings from the fourth national Australian HIV futures survey. Int J STD AIDS 2007; 18 622–5.
State of the (positive) nation: findings from the fourth national Australian HIV futures survey.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD2srhvFSluw%3D%3D&md5=d7d4bb2d8c5c5bdb621053ce408d66b5CAS | 17785007PubMed |

[15]  Australian Government: Department of Health. Seventh National HIV Strategy 2014–2017. Canberra; Department of Health; 2014.