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C. Fairley, A. Grulich, J. Imrie, M. Pitts (2008)
Introductory editorial: the analysis of a natural experiment in HIV control.Sexual health, 5 2
H. Körner (2007)
Late HIV diagnosis of people from culturally and linguistically diverse backgrounds in Sydney: The role of culture and communityAIDS Care, 19
G. Prestage, J. Ferris, J. Grierson, R. Thorpe, I. Zablotska, J. Imrie, Anthony Smith, A. Grulich (2008)
Homosexual men in Australia: population, distribution and HIV prevalence.Sexual health, 5 2
R. Thorpe, J. Grierson, M. Pitts (2008)
Gender differences in patterns of HIV service use in a national sample of HIV-positive AustraliansAIDS Care, 20
D. Madeddu, A. Grulich, J. Richters, J. Ferris, J. Grierson, Anthony Smith, B. Allan, G. Prestage (2006)
Estimating population distribution and HIV prevalence among homosexual and bisexual men.Sexual health, 3 1
Background : Examining existing and potential trends in the HIV-positive population in Australia is important for current and future healthcare service development and delivery. Methods : A new analysis of existing data on this population from the HIV Futures 5 survey was based on linking a geographic breakdown of respondents based on ‘area type’ – capital city or inner suburban, outer suburban, regional centre and rural – with patterns of healthcare service access. In addition, the distance between the postcode of the respondent’s residence and the postcode of the doctor seen for HIV-related treatment was calculated. An analysis of ‘area type’ by income and age was also conducted. Results : The ‘area type’ analysis showed important differences in patterns of access to antiretroviral prescriptions and choice of provider for HIV-related and general healthcare. The median distance travelled to see a doctor for HIV-related treatment was higher for those living in outer suburbs than those living in regional centres. Discussion : Differences in service use appear to be related to geographic accessibility of different service types. However, there may be other important social, economic and cultural factors involved. Ageing and socio-economic pressures may be influencing a move away from inner suburban areas where most HIV-specific care is located. This new analysis assists in finding the right balance between increasing the accessibility of HIV-specific services and ‘mainstreaming’. Longitudinal data collection would further assist in tracking trends in geographic location, and how often and at what intervals people living with HIV utilise healthcare services.
Sexual Health – CSIRO Publishing
Published: May 14, 2010
Keywords: AIDS, demographics, distance.
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