Two decades of surveillance data show late presentation among a diverse group of women diagnosed with HIV in Victoria, Australia
Abstract Objective: To develop an HIV response suited to women and to inform appropriate services, we describe the characteristics of women diagnosed and living with HIV using 22 years of high‐quality surveillance data. Methods: Data on women newly diagnosed with HIV between 1994 and 2016 and women...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-10-01
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| Series: | Australian and New Zealand Journal of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1753-6405.12910 |
| _version_ | 1827833950664392704 |
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| author | Clarissa Moreira Alison Boughey Kathleen Elizabeth Ryan Nasra Higgins Jessica Rotty Michael West Margaret Hellard Mark Stoové Carol El‐Hayek |
| author_facet | Clarissa Moreira Alison Boughey Kathleen Elizabeth Ryan Nasra Higgins Jessica Rotty Michael West Margaret Hellard Mark Stoové Carol El‐Hayek |
| author_sort | Clarissa Moreira |
| collection | DOAJ |
| description | Abstract Objective: To develop an HIV response suited to women and to inform appropriate services, we describe the characteristics of women diagnosed and living with HIV using 22 years of high‐quality surveillance data. Methods: Data on women newly diagnosed with HIV between 1994 and 2016 and women living with diagnosed HIV in Victoria at 31 December 2016 were extracted from the Victorian Public Health Surveillance System. Descriptive analysis by place of birth was performed and Poisson regression used to assess trends over time. Results: There were 465 new diagnoses among women in Victoria between 1994 and 2016 and 613 women living with HIV in 2016. Women were diagnosed late, and frequently reported no HIV testing history, AIDS‐defining illness or other symptoms of HIV at diagnosis. These indicators of delayed diagnosis were even greater for non‐Australian‐born women. Conclusions and implications for public health: For Victoria to reach the ambitious targets for diagnosis, treatment and viral suppression in 95% of people living with HIV, prevention programs and efforts to increase early diagnosis as well as support services must consider the epidemiology and diversity of women. |
| first_indexed | 2024-03-12T05:40:50Z |
| format | Article |
| id | doaj.art-b62938710adf4516b472a59f942f18df |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T05:40:50Z |
| publishDate | 2019-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-b62938710adf4516b472a59f942f18df2023-09-03T06:03:49ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052019-10-0143541341810.1111/1753-6405.12910Two decades of surveillance data show late presentation among a diverse group of women diagnosed with HIV in Victoria, AustraliaClarissa Moreira0Alison Boughey1Kathleen Elizabeth Ryan2Nasra Higgins3Jessica Rotty4Michael West5Margaret Hellard6Mark Stoové7Carol El‐Hayek8The Burnet Institute, VictoriaPositive Women VictoriaThe Burnet Institute, VictoriaThe Victorian Department of Health and Human ServicesThe Victorian Department of Health and Human ServicesThe Victorian Department of Health and Human ServicesThe Burnet Institute, VictoriaThe Burnet Institute, VictoriaThe Burnet Institute, VictoriaAbstract Objective: To develop an HIV response suited to women and to inform appropriate services, we describe the characteristics of women diagnosed and living with HIV using 22 years of high‐quality surveillance data. Methods: Data on women newly diagnosed with HIV between 1994 and 2016 and women living with diagnosed HIV in Victoria at 31 December 2016 were extracted from the Victorian Public Health Surveillance System. Descriptive analysis by place of birth was performed and Poisson regression used to assess trends over time. Results: There were 465 new diagnoses among women in Victoria between 1994 and 2016 and 613 women living with HIV in 2016. Women were diagnosed late, and frequently reported no HIV testing history, AIDS‐defining illness or other symptoms of HIV at diagnosis. These indicators of delayed diagnosis were even greater for non‐Australian‐born women. Conclusions and implications for public health: For Victoria to reach the ambitious targets for diagnosis, treatment and viral suppression in 95% of people living with HIV, prevention programs and efforts to increase early diagnosis as well as support services must consider the epidemiology and diversity of women.https://doi.org/10.1111/1753-6405.12910HIVwomendisease surveillancelate diagnosis |
| spellingShingle | Clarissa Moreira Alison Boughey Kathleen Elizabeth Ryan Nasra Higgins Jessica Rotty Michael West Margaret Hellard Mark Stoové Carol El‐Hayek Two decades of surveillance data show late presentation among a diverse group of women diagnosed with HIV in Victoria, Australia Australian and New Zealand Journal of Public Health HIV women disease surveillance late diagnosis |
| title | Two decades of surveillance data show late presentation among a diverse group of women diagnosed with HIV in Victoria, Australia |
| title_full | Two decades of surveillance data show late presentation among a diverse group of women diagnosed with HIV in Victoria, Australia |
| title_fullStr | Two decades of surveillance data show late presentation among a diverse group of women diagnosed with HIV in Victoria, Australia |
| title_full_unstemmed | Two decades of surveillance data show late presentation among a diverse group of women diagnosed with HIV in Victoria, Australia |
| title_short | Two decades of surveillance data show late presentation among a diverse group of women diagnosed with HIV in Victoria, Australia |
| title_sort | two decades of surveillance data show late presentation among a diverse group of women diagnosed with hiv in victoria australia |
| topic | HIV women disease surveillance late diagnosis |
| url | https://doi.org/10.1111/1753-6405.12910 |
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