Rapidly ageing HIV epidemic among men who have sex with men in Australia

Sexual Health ◽  
2009 ◽  
Vol 6 (1) ◽  
pp. 83 ◽  
Author(s):  
John M. Murray ◽  
Ann M. McDonald ◽  
Matthew G. Law

Background: Antiretroviral therapy has increased survival for individuals living with HIV and has led to an ageing of this population in developed countries. To date the rate of ageing has been unquantified, giving rise to uncertainty in the treatment emphasis and burden in this population. Methods: A mathematical model was used in conjunction with HIV/AIDS data from the Australian National HIV/AIDS Registry to estimate numbers and ages of Australian men who have sex with men (MSM) living with HIV infection from 1980 to 2005. Results: The average age of HIV-infected Australian MSM is estimated to exceed 44 years of age by the year 2010 and has increased by 1 year of age for each two calendar years since the mid-1980s. HIV-infected MSM over 60 years of age have been increasing in number by 12% per year since 1995. A consequence of successful therapy with subsequent ageing of those infected has meant that from 2001 estimated deaths from other causes exceed AIDS deaths in Australia. Conclusions: In summary, our analyses indicate an increasing and rapidly ageing population living with HIV in Australia. This will inevitably lead to more serious non-AIDS conditions in ageing patients living with HIV, and to increased treatment complexity.

Epidemics ◽  
2010 ◽  
Vol 2 (2) ◽  
pp. 66-79 ◽  
Author(s):  
Daniela Bezemer ◽  
Frank de Wolf ◽  
Maarten C. Boerlijst ◽  
Ard van Sighem ◽  
T. Deirdre Hollingsworth ◽  
...  

2014 ◽  
Vol 44 (2) ◽  
pp. 357-365 ◽  
Author(s):  
Renata Siqueira Julio ◽  
Ruth Khalili Friedman ◽  
Cynthia B. Cunha ◽  
Raquel Brandini De Boni ◽  
Sandra Wagner Cardoso ◽  
...  

2018 ◽  
Vol 30 (3) ◽  
pp. 208-212
Author(s):  
Derrick D. Matthews

This year marks the 30th anniversary of AIDS Education and Prevention. As we approach the United Nations goal of ending the AIDS epidemic by 2030, it is a useful time to reflect on and learn from history. In the United States, no such endeavor can be successful without addressing the specific context of Black men who have sex with men. In this commentary I highlight factors that led us to a state in which Black MSM represent approximately a quarter of all people living with HIV in the United States. I also look back at the power of activism during the beginning of the HIV epidemic. Using Black Lives Matter as a contemporary framework, I highlight natural linkages between activism 30 years ago, its incarnation and relationship to public health today, and its promise as the way forward in achieving the elimination of AIDS for Black MSM by 2030.


Epidemics ◽  
2012 ◽  
Vol 4 (3) ◽  
pp. 170
Author(s):  
Daniela Bezemer ◽  
Frank de Wolf ◽  
Maarten C. Boerlijst ◽  
Ard van Sighem ◽  
T. Deirdre Hollingsworth ◽  
...  

2008 ◽  
Vol 3 (4) ◽  
pp. 319-329 ◽  
Author(s):  
Adela Beckerman ◽  
Leonard Fontana

This study focuses on a sample of men who have sex with men (MSM) living with HIV/AIDS in a south Florida community. The study uses a mixed-method, quantitative, and qualitative research design. The purpose of the study was to identify individual and service system characteristics that impact access, retention, and adherence to an HIV/AIDS medical treatment regimen. The study identified many men who were not likely to seek treatment after their initial HIV/AIDS diagnosis. Compared with the general population living with HIV/AIDS in the same south Florida community many of these men were less likely to maintain a regimen of medical care for their HIV/AIDS. The study indicated that the following issues affected medical treatment and treatment adherence: treatment readiness, presence of support networks, availability of “MSM-friendly” health providers, and the cultural competency of substance abuse providers.


Author(s):  
Zunyou Wu ◽  
Jennifer M McGoogan ◽  
Roger Detels

Abstract Nearly 17 years ago China launched its National HIV/AIDS Response Program, yet the epidemic still is not slowing. New cases and new deaths increase every year—in 2005, 40,711 people living with HIV (PLWH) were diagnosed and 5,729 died whereas in 2019, 148,598 PLWH were diagnosed and 31,522 died . Moreover, the estimated PLWH population in China has risen to >1.25 million. However, epidemic data are worryingly complex and difficult to interpret, presenting challenges to the redirection and refocusing of efforts toward achievement of control. Here we present three “windows” into China’s epidemic data. From these viewpoints, it appears we still do not know how much infection exists, how much transmission is occurring, and in what contexts transmission happens. The enigma that is China’s HIV epidemic must be better understood. A new research agenda must be developed and executed if we are to change the future of HIV in China.


2009 ◽  
Vol 24 (6) ◽  
pp. 562-571 ◽  
Author(s):  
Maria Knight Lapinski ◽  
Liisa M. Randall ◽  
Mark Peterson ◽  
Amy Peterson ◽  
Katherine A. Klein

2009 ◽  
Vol 2 (1) ◽  
pp. 45-51
Author(s):  
Manna Ghazanfar Ali

Gender equality is central to realizing the country's agenda, which risks failure without the full involvement of all members of society. But as it fails in many countries all over the world, the peril in different targeted areas have been increased. So is the case of sexually transmitted infections. The major risks are seen in the field of HIV/Aids. At present South Asia is combating a battle against HIV/Aids. Pakistan is the second largest country in South Asia and it stands only a few steps behind India and Nepal in terms of HIV epidemic. The aim of this paper is to give the people living with HIV and AIDS a platform to raise a common voice for their rights and to contribute to the national response by spreading awareness. The paper also intends the participation of the people, through encouragement, policy education and prevention, which can strive to minimize the adverse personal and social effects of stigma and discrimination towards Positive people.


Sexual Health ◽  
2008 ◽  
Vol 5 (2) ◽  
pp. 161 ◽  
Author(s):  
Cathy Pell ◽  
Simon Donohoe ◽  
Damian Conway

The purpose of this article is to describe sexual health services available in Australia across the different states and territories for gay men and men who have sex with men (MSM) and their utilisation. An assessment of services available in different states is made, then the evidence about how MSM and people living with HIV/AIDS access health care in Australia is presented. This demonstrates that the number and location of sexual health services has changed over time. It also demonstrates that services available differ by state and territory. The availability of non-occupational post-exposure prophylaxis for HIV infection has been different in each state and territory, as has its utilisation. The majority of care for sexual health-related issues and for MSM and people living with HIV/AIDS is delivered in general practice settings in Australia, with hospital outpatient settings, including sexual health clinics, utilised commonly.


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