As a proportion of the Victorian migrant population, Asian men and Sub-Saharan African women are disproportionately represented among notifications of newly diagnosed HIV in Victoria. This presents a variety of considerations for service provision including cultural barriers to health promotion, testing and treatment, especially for recent arrivals.
We described new Victorian HIV diagnoses made between 2007 and 2012 by region of birth, time since arrival and exposure to HIV. New HIV diagnoses refers to cases whose first ever HIV diagnosis was in Victoria. Country of birth was missing for three per cent of records. Recently arrived migrants were defined as those born overseas and arrived in Victoria <5 years prior to HIV diagnosis.
Of the 1507 HIV notifications with country of birth recorded, 32% were born overseas (n=490). For 19% (n=92), year of arrival was missing; the median number of years between arrival and HIV diagnosis was four years and 54% were classified as recently arrived migrants (n=213). Of the 213 recently arrived migrants, 100 (47%) reported male-to-male sex as their exposure to HIV (MSM), of which 53% were aged 20-29 years and 35% aged 30-39 years. More than half (53%) of recently arrived MSM were from SE Asia, China and India and two-thirds (65%) acquired their infection in Victoria. Sixty-one (29%) recently arrived migrants were from high HIV prevalent countries, 92% were from Africa (n=56); 90% acquired their infection overseas (n=55) and 66% were women (n=40).
These results highlight the potential vulnerability of young Asian men to HIV infection on arrival to study or work in Victoria. In addition to maintaining a focus on the health and wellbeing of migrant African women, these data suggest a need to also focus on HIV prevention and care among young MSM Asian migrants.
Conducting clinical audits in the context of continuous quality improvement (CQI) programs in Aboriginal Community Controlled Health Services (ACCHS) has provided valuable information regarding what factors facilitate or create challenges to improving outcomes in sexual health service delivery.
Homosexual men are at increased risk of anal cancer. Screening and treatment of the precursor, HSIL, has been advocated by some, but screening is not recommended in widely-accepted guidelines. We aimed to describe the prevalence, incidence, and clearance rates of anal HSIL, and association with human papillomavirus (HPV) status, in a community-recruited cohort of homosexual men.
Background: STI prevalence is changing. With society aging, life expectancy increasing and changes in sexual practices, STIs in senior citizens are of interest from economic, health related and social burden perspectives. Few studies on STIs in older men greater than 60 years of age exist, hence, a need to obtain further information about this subpopulation.
Since 2009, the Victorian syphilis enhanced surveillance system has been collecting HIV status and syphilis re-infection status for infectious syphilis cases. Baseline data from 2009 showed that 31% of the infectious syphilis cases were HIV positive and 18% reported were re-infections. This suggested that syphilis transmission among a pool of HIV positive MSM was making a considerable contribution to the syphilis epidemic in Victoria. We analysed the data from 2009 to 2012 to determine whether this pattern of transmission is continuing. Notification data for infectious syphilis between 2009 and 2012 were reviewed by HIV infection status, syphilis re-infection status and risk factor exposures.
HIV positive gay men have high rates of cigarette smoking. The risks of smoking in addition to the elevated risk of cardiovascular disease and some malignancies in people with HIV means smoking cessation interventions should be prioritised.
We investigated the association between chlamydia detection and stage in the menstrual cycle to investigate whether chlamydia detection was higher at different stages of the cycle. Electronic medical records for women attending Melbourne Sexual Health Centre March 2011 - 31st December 2012, who were tested for chlamydia by nucleic acid amplification of high vaginal, cervical, or urinary samples, and who recorded a date of last normal menstrual period (LNMP) between 0-28 days were included in the analysis. Logistic regression was used to calculate OR (95%CI) for the association of chlamydia with menstrual cycle adjusted by demographics and behavioural variables.