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(2011)ReportThe Queensland Community Periodic Survey is a cross-sectional survey of gay and homosexually active men recruited at a range of gay community sites around Queensland. The project was funded by Queensland Health. The major aim of the survey was to provide data on sexual, drug use, and testing practices related to the transmission of HIV and other sexually transmissible infections (STIs) among gay men.
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(2010)ReportThe Melbourne Gay Community Periodic Survey is a cross-sectional survey of gay and homosexually active men recruited at a range of gay community sites in Melbourne. The project was funded by the Victorian Department of Health and supported by the Victorian AIDS Council and PLWHA Victoria. The major aim of the survey was to provide data on sexual, drug use and testing practices related to the transmission of HIV and other sexually transmissible infections (STIs) among men involved in Melbourne’s gay community.
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(2010)ReportThe Town and Country Gay Community Survey is a cross-sectional survey of gay and homosexually active men recruited from Sydney and regional New South Wales. 1371 men were recruited for the Sydney Gay Community Periodic Survey in August 2009 and 469 men were recruited between August and November 2009 from regional New South Wales. This report compares these two groups of men (from the city and regional areas) on a range of indicators.
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(2011)ReportThis report reviews behavioural data relevant to the transmission of human immunodeficiency virus (HIV), viral hepatitis and sexually transmissible infections (STIs) in Australia. It also examines behavioural data relevant to the social aspects of treatment and care of those who have been infected, including those who are living with acquired immune deficiency syndrome (AIDS).
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(2011)ReportThis report presents data collected as part of a periodic cross-sectional study of people who used community-based pharmacies to obtain sterile needles and syringes in 2009. Specifically, it presents data about the demographic profile of respondents, patterns of acquisition of needles and syringes, recent drug use, self-reported incidence of risk practice for transmission of hepatitis C and HIV and self-reported rates of testing for hepatitis C and HIV, and self-reported prevalence of hepatitis C and HIV. Data are stratified by region and, where relevant, data for 2006–2008 are included to show trends.
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(2010)ReportAvailable literature indicates that clinical factors, social factors, personal values and knowledge are all important in determining whether or not people decide to have treatment for hepatitis C. Therefore this study sought to investigate a range of factors associated with making the decision to take up treatment. Additionally, to explore how Australian clients of Opiate Substitute Treatment (OST) centres made decisions about treatment, this study interviewed a sample of OST clients and health professionals in Sydney about their perceptions of a proposed model of delivery of treatment for hepatitis C through OST clinics.
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(2010)ReportIn NSW, hepatitis C has been the subject of specific surveillance and prevention programs for many years. Despite this experience and significant investment, there remain challenges both in understanding the epidemiology of this virus and in implementing effective prevention programs. This study aimed to enhance the public health surveillance program and contribute to the evidence base for hepatitis C prevention in NSW. The aim of Phase One was to develop and trial a methodology for an ongoing program of enhanced surveillance of hepatitis C virus (HCV) in NSW. Phase Two aimed to increase understanding of the practices, settings, networks and structures contributing to HCV infection.
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(2011)Journal ArticleThe population of people living with HIV in Australia is increasing, requiring an expert primary care workforce to provide HIV clinical care into the future. Yet the numbers of family doctors or general practitioners (GPs) training as community-based HIV medication prescribers may be insufficient to replace those retiring, reducing hours or changing roles. We conducted semi-structured interviews between February and April, 2010, with 24 key informants holding senior roles in organisations that shape HIV-care policy to explore their perceptions of contemporary issues facing the HIV general practice workforce in Australia. Informed by interpretive description, our analysis explores how these key informants characterised GPs as being ‘moved’ by the clinical, professional and political dimensions of the role of the HIV general practice doctor. Each of these dimensions was represented as essential to the engagement of GPs in HIV as an area of special interest, although the political dimensions were often described as the most distinctive compared to other areas of general practice medicine. Our analysis explores how each of these dimensions contributes to shaping the contemporary culture of HIV medicine and suggests that such an approach could be useful for understanding how health professionals become engaged in other under-served areas of medical work.
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(2011)ReportThis study explores the role of alcohol and drug use on the diagnosis and management of depression among gay men attending Australian general practice clinics. The study was conducted with the goal of assisting GPs to address alcohol, drug use and depression in gay men and to add to the knowledge of these issues in the general practice setting. Three research analyses were made from the study relating to patterns of alcohol- and other drug-use associated with depression, comparison of doctor and patient beliefs about drug use and depression, and the impact of alcohol and other drug use on the agreement between doctors’ assessments of major depression and patients’ scores in depression screening tools.
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(2011)Journal ArticleUnderstanding patterns of newly acquired hepatitis C virus (HCV) infection is fundamental to assessing the impact of prevention and treatment interventions. However, identifying newly acquired cases is difficult, usually requiring documented testing before and after exposure. As the proportion of cases identified as newly acquired by current New South Wales surveillance methodologies is significantly lower than that identified nationally, the impact on the identification of newly acquired cases of systematic reporting of past negative HCV test results from notifying laboratories was assessed. HCV notifications data for 2007 from two New South Wales laboratories were analysed. Cases with a negative HCV antibody test within the past 24 months were classified as newly acquired. These were linked to the NSW Department of Health (NSW Health)-identified cases to assess the effectiveness of accessing laboratory data. The laboratories accounted for approximately half of all new HCV notifications in 2007. Of the 2,206 newly diagnosed cases, 21 (1.0%) were newly acquired, 18 of which had not been identified under the current surveillance system, increasing the total number of newly acquired cases to 83 from 65. This increased the yield by 28% and increased the proportion of newly acquired cases from 65/4,192 (1.6%) to 83/4,196 (2.0%). Laboratory-identified cases were significantly more likely than NSW Health-identified cases to be aged 30 years or over. Combined with current reporting mechanisms, laboratory data on previous HCV test results have the potential to increase the number of newly acquired cases identified through the New South Wales surveillance system and to enhance the identification of cases among those aged 30 years or more.