Melbourne, Australia
Rachel Koelmeyer, Jeffrey Grierson and Marian PittsAustralian Research Centre in Sex, Health and Society, La Trobe University,
Melbourne, VIC, Australia
Looking Back to Look Forward:
HIV Futures Trend Data
20 March 2012
Making Positive Lives Count
Today’s Presentation
• HIV Futures Data
– Changes over time
• Other Living with HIV Projects
– Tracking Changes study
– Lifetimes study
HIV Futures Data
HIV Futures Surveys
• National, cross-sectional surveys of PLHIV• Sample weighted against national surveillance data
• Full reports available at: www.latrobe.edu.au/hiv-futures
Futures
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Futures
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Futures
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Futures
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Futures
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Futures
6Year(s) 1997 1999 2001 2003 2005/6 2008/9Sample Size 925 924 898 1059 973 1106Proportion of estimated population (%)
8.0 8.0 6.0 8.1 6.4 6.6
Antiretroviral use
Difficulties using ARV (%)
Do ARVs mean better prospects?
Self-rated Health
Using Medication for Mental Health Condition (%)
Employment Status (%)
Poverty
Relationship status (%)
Discrimination – ever experienced
Other Living with HIV Projects
Tracking Changes
• Aim: To investigate treatment decision-making in the recent post-HAART era in Australia
• Method: – Online survey of PLHIV (n=254)– Interviews with HIV S100 prescribers (n=18)– Data collection: Nov 2010 – Mar 2011
• Key findings:– Patient-centred decision making– Psychosocial barriers to commencing/switching HAART
regimens– Importance of doctor-patient relationship to PLHIV
• Report available: www.latrobe.edu.au/arcshs/
National longitudinal online survey (ARCSHS and NAPWA)Compares HIV-positive and HIV-negative gay men aged 40 years over
Physical health, mental health, sex, and relationships
Wave 1: November, 2010 – April, 2011 1,233 gay men (202 HIV+; 904 HIV-) aged 40 to 78
Wave 2: November, 2011 – April, 2012 So far we have a 48% follow-up rate
Outcomes so far:HIV+ men aging well in most domains relative to HIV- men
But poorer mental health outcomes: 37% of HIV+ men reported treatment for a mental health problem compared with 25% of HIV- men
Contact: Dr. Anthony Lyons at ARCSHS, [email protected]
Anthony Lyons, Marian Pitts, Jeffrey Grierson
Summary: Areas for Future Work?
• Address psychosocial barriers to taking ARV
• Management of comorbidities
• Employment / financial position of PLHIV
• Addressing ongoing unwanted disclosure and discrimination, especially in relation to health services and work
• Supporting PLHIV to establish and maintain fulfilling relationships
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