Delayed diagnosis of HIV infection in Victoria 1994 to 2006.

Abstract:

BACKGROUND:The identification of factors associated with delayed diagnosis of HIV infection in Victoria, Australia was the aim of the present study. METHODS:Demographic and epidemiological characteristics of cases notified to the Victorian HIV surveillance database between 1 January 1994 and 31 December 2006 were analysed. Delayed diagnosis was defined as: CD4 count below 200 cells mm(-3) at HIV diagnosis or diagnosis of AIDS earlier than 3 months after HIV diagnosis. RESULTS:Diagnosis of HIV was delayed in 627 (22.6%) of 2779 cases. Of these, 528 (84.2%) had either a high-risk exposure or were born in a high-prevalence country. The most common exposure was male homosexual contact in 64.3% of cases. Independent risk factors for delayed diagnosis were: older age at diagnosis (30-39 years odds ratio [OR] 2.15, > or = 50 years OR 7.50, P < 0.001), exposure via routes other than male homosexual sex or injecting drug use (heterosexual sex OR 2.51, P < 0.001, unknown/other route OR 4.24, P < 0.001); birth in Southern/Eastern Europe (OR 2.54), South-east Asia (OR 2.70) or the Horn of Africa/North Africa (OR 3.71, P < 0.001), and male gender (OR 0.47 for females, P < 0.001). CONCLUSION:Delay in the diagnosis of HIV infection is common in Victoria, but potentially avoidable in the majority of cases. Most people with delayed diagnosis had a history of male homosexual contact, injecting drug use, birth in a high-prevalence country or sexual contact with such individuals. An accurate sexual history, together with knowledge of their country of birth, should identify most individuals who should be offered an HIV test.

journal_name

Sex Health

journal_title

Sexual health

authors

Lemoh C,Guy R,Yohannes K,Lewis J,Street A,Biggs B,Hellard M

doi

10.1071/SH08028

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

117-22

issue

2

eissn

1448-5028

issn

1449-8987

pii

SH08028

journal_volume

6

pub_type

杂志文章
  • Low yield of anogenital examination among asymptomatic clients of an urban sexual health clinic.

    abstract:BACKGROUND:The use of self-collected specimens to test for sexually transmissible infections (STI) has reduced the opportunity for physical examination. Physical examination has been found to be of limited value in asymptomatic heterosexual women and men; however, prior studies have excluded higher risk populations. We...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH10024

    authors: Yong Ma J,Ryder N,Wray L,McNulty A

    更新日期:2011-03-01 00:00:00

  • Current research gaps: a global systematic review of HIV and sexually transmissible infections among transgender populations.

    abstract::Transgender populations are heavily burdened by HIV and other sexually transmissible infections (STIs). However, data on co-infection with HIV and STIs among transgender people are limited. A systematic review was conducted of peer-reviewed articles and conference abstracts between January 2010 and November 2015 that ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH17096

    authors: MacCarthy S,Poteat T,Xia Z,Roque NL,Hyun Jin Kim A,Baral S,Reisner SL

    更新日期:2017-10-01 00:00:00

  • Is anal sex a marker for sexual risk-taking? Results from a population-based study of young Croatian adults.

    abstract:BACKGROUND:There is evidence that anal sex is becoming increasingly popular among heterosexual women and men. Several studies carried out in especially vulnerable populations (e.g. sex workers and low-income youth) suggested that anal sex may indicate a more general propensity to sexual risk-taking. METHODS:To assess ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH10078

    authors: Stulhofer A,Baćak V

    更新日期:2011-09-01 00:00:00

  • Sexual health of homeless youth: prevalence and correlates of sexually transmissible infections.

    abstract:BACKGROUND:The study examined risk factors for having ever contracted sexually transmissible infections (STI) among a high-risk sample in midwestern USA. METHODS:A cross sectional survey was conducted among 428 homeless youth aged 16-19 years. Assessed correlates included child maltreatment, street exposure, sexual hi...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/sh06045

    authors: Tyler KA,Whitbeck LB,Chen X,Johnson K

    更新日期:2007-03-01 00:00:00

  • Condom use in China: prevalence, policies, issues and barriers.

    abstract::In this review, we describe condom use and its influencing factors in China, with a particular focus on the five populations that are at high risk for HIV/sexually transmissible infections (STI) infection: female sex workers, men who have sex with men, migrant workers, young people and sero-discordant couples. The ris...

    journal_title:Sexual health

    pub_type: 杂志文章,评审

    doi:10.1071/SH11021

    authors: Zou H,Xue H,Wang X,Lu D

    更新日期:2012-03-01 00:00:00

  • Screening of HIV-infected patients for non-AIDS-related morbidity: an evidence-based model of practice.

    abstract:OBJECTIVE:To develop guidelines to facilitate management of HIV infection as a chronic disease within the setting of a sexual health or other HIV outpatient clinic. METHODS:We undertook a literature search to identify published guidelines and expert panel commentaries on screening and managing non-AIDS comorbidities i...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH10021

    authors: Foster R,Morris S,Ryder N,Wray L,McNulty A

    更新日期:2011-03-01 00:00:00

  • Preferences for condom placement in stores among young Dutch men and women: relationships with embarrassment and motives for having sex.

    abstract:BACKGROUND:Condom purchasing is an important preparation for condom use. The present study examined if products surrounding condoms in the store play a role in preferences for where to buy condoms among young people. METHODS:Sixty-nine men and 111 women (<30 years) completed an online questionnaire on their preference...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH11050

    authors: Gebhardt WA,van der Doef MP,Billingy N,Carstens M,Steenhuis I

    更新日期:2012-07-01 00:00:00

  • Chlamydia at an inner metropolitan sexual health service in Sydney, NSW: Australian Collaboration for Chlamydia Enhanced Sentinel Surveillance (ACCESS) Project.

    abstract:BACKGROUND:Australia has a widely dispersed network of public sexual health services that test large numbers of people from high prevalence populations for genital Chlamydia trachomatis infection. These populations include young sexually active heterosexuals, men who have sex with men, sex workers and Aboriginal and To...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH09125

    authors: Franklin N,O'Connor CC,Shaw M,Guy R,Grulich A,Fairley CK,Chen MY,Hellard M,Dickson B,Marshall L,Donovan B,ACCESS Collaboration.

    更新日期:2010-12-01 00:00:00

  • Sexual health of Indian immigrant men in Australia: an exploratory research on help-seeking attitudes.

    abstract::The help-seeking attitudes for sexual health of Indian men living in Australia was explored. Of all survey respondents (n=225), many preferred to seek help from medical doctors. Young (18-25 years) Indian men were three times more likely to prefer a specialist medical doctor than older men. Ethnicity and gender of the...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH12199

    authors: Ramanathan V,Sitharthan G,Pepper K,Wylie K

    更新日期:2013-08-01 00:00:00

  • Links SU-Sex: development of a screening tool for health-risk sexual behaviours related to substance use among men who have sex with men.

    abstract::Background Men who have sex with men (MSM) have distinctive substance use (SU), which is more often linked to a sexual context than it is for their heterosexual peers. Screening of MSM's SU, its sexual contexts and the associated risks, is of clinical and public health concern. This paper aims to describe the prelimin...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH17134

    authors: Goyette M,Flores-Aranda J,Bertrand K,Pronovost F,Aubut V,Ortiz R,Saint-Jacques M

    更新日期:2018-04-01 00:00:00

  • Potential gender and age differences in the performance of five condom-related behaviours in the United Kingdom.

    abstract::Safer sex is important and comprises of a series of five condom-related behaviours: accessing, carrying, negotiating, using and disposing. This study explored potential gender and age differences in these condom-related behaviours. Data suggests gender differences exist for accessing, carrying and disposing behaviours...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH13185

    authors: Hancock J

    更新日期:2014-03-01 00:00:00

  • Vulnerability to sexual violence and participation in sex work among high-end entertainment centre workers in Hunan Province, China.

    abstract:BACKGROUND:China has seen a proliferation of entertainment centres that are frequented by business people. Employees at these centres often are young, female rural-to-urban migrants who may be vulnerable to sexual violence and exploitation. METHODS:Data for this study were collected using a self-administered survey am...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH13044

    authors: Kelvin EA,Sun X,Mantell JE,Zhou J,Mao J,Peng Y

    更新日期:2013-11-01 00:00:00

  • Awareness and knowledge of anal cancer in a community-recruited sample of HIV-negative and HIV-positive gay and bisexual men.

    abstract::Background Anal cancer disproportionately affects people with HIV infection, especially gay and bisexual men (GBM). The awareness and understanding of human papillomavirus (HPV) and anal cancer in a community-based sample of people living with HIV and GBM was explored to inform future evidence-based public health inte...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH18219

    authors: Feeney L,Poynten M,Jin FJ,Cooper C,Templeton DJ,O Dwyer MR,Grulich A,Hillman RJ

    更新日期:2019-06-01 00:00:00

  • Meta-analysis of the Cepheid Xpert® CT/NG assay for extragenital detection of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections.

    abstract::Background Most studies evaluating extragenital testing performance for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) detection by the Xpert® CT/NG show high per cent agreement with comparison assays; however, the precision around positive per cent agreement is low and thus the values that have been report...

    journal_title:Sexual health

    pub_type: 杂志文章,meta分析

    doi:10.1071/SH18079

    authors: Bristow CC,Morris SR,Little SJ,Mehta SR,Klausner JD

    更新日期:2019-08-01 00:00:00

  • Characteristics of clients newly diagnosed with HIV in central Sydney in 2016-17: a retrospective audit comparing a community-based testing site and a clinical sexual health service.

    abstract::In New South Wales (NSW), Australia, innovative community-based testing models have been implemented to increase HIV testing among populations at risk. The characteristics of patients newly diagnosed with HIV at a community-based testing site and at a traditional clinical service in Sydney, NSW, were compared. Compare...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH19152

    authors: Houghton R,McIver R,Lockwood T,Johnson K,Foster R

    更新日期:2020-08-01 00:00:00

  • Monitoring the control of human papillomavirus (HPV) infection and related diseases in Australia: towards a national HPV surveillance strategy.

    abstract::This paper describes a possible multifaceted approach to human papillomavirus (HPV) related surveillance in Australia following implementation of a national HPV vaccination program. We describe eight main components: monitoring of vaccine coverage, vaccine safety, type-specific HPV infection surveillance, cervical cyt...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH09137

    authors: Brotherton JM,Kaldor JM,Garland SM

    更新日期:2010-09-01 00:00:00

  • Council-supported condom vending machines: are they acceptable to rural communities?

    abstract:BACKGROUND:Twenty-four hour access to condoms for young people living in rural Victoria is problematic for many reasons, including the fact that condom vending machines are often located in venues and places they cannot access. METHOD:We partnered with three rural councils to install condom vending machines in locatio...

    journal_title:Sexual health

    pub_type: 信件

    doi:10.1071/SH13050

    authors: Tomnay JE,Hatch B

    更新日期:2013-11-01 00:00:00

  • Using electronic communication technologies for improving syphilis partner notification in Chile: healthcare providers' perspectives - a qualitative case study.

    abstract::Background Partner notification (PN) in Australia has been studied and improved in recent decades. International researchers have highlighted the use of electronic communication technologies to assist PN (Internet partner notification or IPN). Using the Australian experience as an example, the aim of this study is to ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH19007

    authors: Iturrieta-Guaita NG,Temple-Smith MJ,Tomnay J

    更新日期:2019-08-01 00:00:00

  • Pap smear rates among Australian community-attached lesbian and bisexual women: some good news but disparities persist.

    abstract:UNLABELLED:Background Research in the US and UK shows that lesbian women are less likely than their heterosexual peers to attend for routine Pap smear tests. This study examined Pap smear test rates among community-attached lesbian, bisexual and queer (LBQ) women in New South Wales (NSW), to investigate if rates had ch...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH14210

    authors: Douglas C,Deacon R,Mooney-Somers J

    更新日期:2015-06-01 00:00:00

  • Sexual exposure to blood and behavioural risks among STI clinic patients in Cape Town, South Africa.

    abstract:BACKGROUND:Exposure to blood during sexual intercourse is potentially important and yet understudied in HIV transmission. METHODS:The study included 415 men and 127 women receiving diagnostic and treatment services at a sexually transmitted infections (STI) clinic in Cape Town, South Africa, who completed anonymous se...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/sh04041

    authors: Kalichman SC,Simbayi LC

    更新日期:2005-01-01 00:00:00

  • Utility of a US Food and Drug Administration (FDA) label indication for condoms for anal sex.

    abstract::Condoms are highly effective for HIV prevention, yet are not currently indicated by the US Food and Drug Administration (FDA) for anal sex. We surveyed a national sample of men who have sex with men to assess whether FDA label indication could affect anticipated condom use, and to determine levels of perceived condom ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH18152

    authors: Siegler AJ,Ahlschlager L,Rosenthal EM,Sullivan PS,Kelley CF,Rosenberg ES,Sanchez TH,Moore RH,Mehta CC,Cecil MP

    更新日期:2020-02-01 00:00:00

  • Prevalence and risk factors of reproductive tract infections among a defined population of Iranian women.

    abstract:UNLABELLED:Background Reproductive tract infections are among the most prevalent gynaecological health concerns. The present study aimed to determine the prevalence and risk factors of reproductive tract infections among a defined population of Iranian women. METHODS:A cross-sectional study was performed in Shiraz, So...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH12193

    authors: Maharlouei N,Barooti E,Sharif F,Hosseini H,Lankarani KB

    更新日期:2013-08-01 00:00:00

  • Resetting the agenda: the makings of ?A New Era.

    abstract::The New South Wales Government's NSW HIV Strategy 2012-2015: A New Era represented a punctuated shift of policy direction, and was remarkable for its ground-breaking declaration that HIV transmission could be virtually ended by 2020. This significant policy shift occurred after a long period of stability and only incr...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH16010

    authors: O'Donnell D,Perche D

    更新日期:2016-04-21 00:00:00

  • Female sexual dysfunction across the three pregnancy trimesters: an Egyptian study.

    abstract:UNLABELLED:Background Pregnancy is a special period in the life of women characterised by physical, hormonal and psychological changes that, in conjugation with social and cultural influences, could affect women's sexuality as well as couples' sexual relationships. This cross-sectional study aimed to evaluate female se...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH13153

    authors: Hanafy S,Srour NE,Mostafa T

    更新日期:2014-07-01 00:00:00

  • Substantial increase in yield of Neisseria gonorrhoeae testing 2008-2013 at a Sydney metropolitan sexual health clinic: an observational study.

    abstract::Background A substantial increase in gonorrhoea notifications in New South Wales has been observed in recent years. METHODS:We assessed yield of testing and characteristics of those diagnosed with gonorrhoea from January 2008 to December 2013 at RPA Sexual Health in the inner-west of Sydney. Yield was defined as the ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH17080

    authors: Rajagopal P,Goddard SL,Templeton DJ

    更新日期:2018-02-01 00:00:00

  • Misperceptions regarding protective barrier method use for safer sex among African-American women who have sex with women.

    abstract:BACKGROUND:Barrier methods for HIV and sexually transmissible infection (STI) prevention among women who have sex with women (WSW) are available, although their effectiveness has not been systematically investigated. These methods are infrequently used by WSW. As part of a larger study on STI risk perceptions and safer...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH12106

    authors: Muzny CA,Harbison HS,Pembleton ES,Hook EW,Austin EL

    更新日期:2013-05-01 00:00:00

  • Treatment and outcomes of polymerase chain reaction-confirmed early syphilis.

    abstract:UNLABELLED:Background Syphilis is resurgent among gay and bisexual men (GBM) despite effective treatment and widely available diagnostic serology. The polymerase chain reaction assay for Treponema pallidum (TP-PCR) is available, but little is known about the clinical features and outcomes for patients testing positive ...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH15043

    authors: Read PJ,Guy R,Jeoffreys N,Baker D,Shields M,Donovan B

    更新日期:2015-11-01 00:00:00

  • Effectiveness of premarital sexual counselling program on sexual satisfaction of recently married couples.

    abstract:BACKGROUND:Through its ability to address and remove fear and misunderstanding and the resulting sexual reluctance and related problems, pre-marital sexual education and counselling can contribute to sexual satisfaction. METHODS:This quasi-experimental research conducted in a pre-test-post-test control group design ai...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH08065

    authors: Vural BK,Temel AB

    更新日期:2009-09-01 00:00:00

  • Insulin-like growth factor II mRNA binding protein 3 (IMP3) expression in cervical intraepithelial neoplasia and its relationship with HIV-infection status.

    abstract:UNLABELLED:Background Cervical cancer is preventable through screening, and HIV treatment guidelines recommend that all HIV-infected women receive cervical cancer twice during the year after HIV diagnosis and annually thereafter. Different immunohistochemical markers have been studied to highlight cervical intraepithel...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH13144

    authors: Del Gobbo A,Bonoldi E,Cribiù FM,Franceschetti I,Matinato C,Fiori S,Gianelli U,Bosari S

    更新日期:2015-03-01 00:00:00

  • Only recent sexual partners contribute to oropharyngeal gonorrhoea positivity: the number of sexual partners over different time periods as an indicator of gonorrhoea and chlamydia infection duration among men who have sex with men.

    abstract::Background Mathematical models have demonstrated that the majority of gonococcal transmission is from oropharynx to oropharynx (i.e. kissing) among men who have sex with men (MSM). The aim of this study is to investigate the association between the number of partners within specific time periods and gonorrhoea and chl...

    journal_title:Sexual health

    pub_type: 杂志文章

    doi:10.1071/SH17196

    authors: Priest D,Read TRH,Chen MY,Bradshaw CS,Fairley CK,Chow EPF

    更新日期:2018-07-01 00:00:00