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Antenatal STI and BBV testing at Aboriginal Medical Service Western Sydney

Antenatal STI and BBV testing at Aboriginal Medical Service Western Sydney

Specialist antenatal services are an integral and effective component of service delivery in many Aboriginal community-controlled health services (ACCHSs). Sexual health screenings in ACCHS-led antenatal programs has not been thoroughly documented. The new Clinical Practice Guidelines – Antenatal Care Module 1 recommend that all pregnant women be screened for syphilis, HIV, hepatitis B infection with screening for chlamydia in women aged under 25. This study examined guideline adherence in antenatal STI screening advance of an evaluation of the effectiveness, culturally appropriateness and accessibility of existing services. 

This project was undertaken as a component of the (Research Excellence in Aboriginal Community Controlled Health) REACCH collaboration. Service-wide testing for sexually transmitted and blood borne viral infections in addition to demographic information including pregnancy status was extracted via GRHANITE software. Overall STI and BBV testing and positivity in clients identified as pregnant in the system was examined. 

A total of 203 pregnant women with 229 pregnancies attended the service in the time covered in this study. The mean age of pregnant women was 23.7 (SD=5.9) with a range of 15 (the youngest age covered by this data collection) to 40. Of the 203 women, 176 (87%) were Aboriginal or Torres Strait Islander with 19 (9%) non-Indigenous and 8 (4%) not identified. Across the four years of data reported here, the percentage of clients tested for syphilis 69%, HIV 66% and Hepatitis B infection 72% and chlamydia 80%. Across all age group, 63% of clients had all recommended STI tests and 89% had chlamydia testing in accordance with guidelines. The prevalence of chlamydia was 14.4% in women aged under 25 compared to 1.2% of women aged 25 and older.
These results add to the evidence base on specialised antenatal care services within Aboriginal Community Controlled Health Services. Rates of STI testing are generally comparable to other specialist services. 

Conference: ASHM|HIV|AIDS 2013

AIDS 2013

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Reinvigorating evidence for action and capacity in community HIV programs (REACH Project)

REACH was a collaborative research and practice initiative to develop evidence building frameworks, capacity, tools and resources with the Victorian HIV community partnership.

The impact of immune activation on natural killer cells in the setting of HIV infection

HIV disease is associated with chronic inflammation and activation of the innate immune system. This state, as measured using plasma markers of inflammation, persists following suppression of HIV viremia using antiretroviral therapy, and may increase risk of non-AIDS co-morbidities. The causes of innate immune activation in the setting of virological suppression are unclear. Natural killer (NK) cells are innate immune cells that kill virus-infected and transformed cells without prior sensitization. We have shown that NK cells are activated both phenotypically (elevated expression of HLA-DR) and functionally (increased spontaneous degranulation measured by CD107a surface expression) in virologically suppressed (VS) HIV+ individuals. NK cells also lose expression of CD16, the receptor which mediates antibody-dependent cellular cytotoxicity.

Men who take more risks avoid HIV testing due to structural barriers

Regular HIV testing is recommended in men who take sexual risks. We assessed the relationship between perceived barriers to HIV testing, and frequency of testing among men who engaged in unprotected anal intercourse with casual partners (UAIC), to inform HIV testing strategies.

Delayed HIV diagnoses among gay and bisexual men in Australia

The majority of HIV diagnoses including delayed diagnoses in Australia occur among men who report homosexual contact – hereafter called gay and bisexual men (GBM). Delayed diagnosis is strongly associated with increased HIV-related mortality and morbidity. People who are unaware of their HIV-positive status may also be unwittingly transmitting HIV. We assessed trends in delayed HIV diagnoses among GBM in Australia.

A dramatic increase in the use of mobile apps to meet partners among gay men in Melbourne and Sydney is not associated with increased risk-taking: findings from the Gay Community Periodic Surveys, 2010-2013

In recent years there has been a widespread uptake of smartphones with internet access and location services and the development of mobile ‘apps’ for gay men to meet each other. We reviewed data collected in the Sydney and Melbourne Gay Community Periodic Surveys (GCPS) to identify which men were relying on mobile and internet methods to meet each other and whether these methods were associated with different risk practices.

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