looking back to look forward: hiv futures trend data
DESCRIPTION
Rachel Koelmeyer (ARCSHS Research Officer), presents data from the HIV Futures studies, looking at changes that have occurred over time in the experience of living with HIV in Australia. She also briefly describes the Tracking changes and Lifetimes studies, the findings of which may be useful to consider in service planning This presentation was given at the AFAO Positive Services Forum 2012.TRANSCRIPT
Melbourne, Australia
Rachel Koelmeyer, Jeffrey Grierson and Marian PittsAustralian Research Centre in Sex, Health and Society, La Trobe University,
Melbourne, VIC, Australia
Looking Back to Look Forward:
HIV Futures Trend Data
20 March 2012
Making Positive Lives Count
Today’s Presentation
• HIV Futures Data
– Changes over time
• Other Living with HIV Projects
– Tracking Changes study
– Lifetimes study
HIV Futures Data
HIV Futures Surveys
• National, cross-sectional surveys of PLHIV• Sample weighted against national surveillance data
• Full reports available at: www.latrobe.edu.au/hiv-futures
Futures
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Futures
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Futures
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Futures
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Futures
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Futures
6Year(s) 1997 1999 2001 2003 2005/6 2008/9Sample Size 925 924 898 1059 973 1106Proportion of estimated population (%)
8.0 8.0 6.0 8.1 6.4 6.6
Antiretroviral use
Difficulties using ARV (%)
Do ARVs mean better prospects?
Self-rated Health
Using Medication for Mental Health Condition (%)
Employment Status (%)
Poverty
Relationship status (%)
Discrimination – ever experienced
Other Living with HIV Projects
Tracking Changes
• Aim: To investigate treatment decision-making in the recent post-HAART era in Australia
• Method: – Online survey of PLHIV (n=254)– Interviews with HIV S100 prescribers (n=18)– Data collection: Nov 2010 – Mar 2011
• Key findings:– Patient-centred decision making– Psychosocial barriers to commencing/switching HAART
regimens– Importance of doctor-patient relationship to PLHIV
• Report available: www.latrobe.edu.au/arcshs/
National longitudinal online survey (ARCSHS and NAPWA)Compares HIV-positive and HIV-negative gay men aged 40 years over
Physical health, mental health, sex, and relationships
Wave 1: November, 2010 – April, 2011 1,233 gay men (202 HIV+; 904 HIV-) aged 40 to 78
Wave 2: November, 2011 – April, 2012 So far we have a 48% follow-up rate
Outcomes so far:HIV+ men aging well in most domains relative to HIV- men
But poorer mental health outcomes: 37% of HIV+ men reported treatment for a mental health problem compared with 25% of HIV- men
Contact: Dr. Anthony Lyons at ARCSHS, [email protected]
Anthony Lyons, Marian Pitts, Jeffrey Grierson
Summary: Areas for Future Work?
• Address psychosocial barriers to taking ARV
• Management of comorbidities
• Employment / financial position of PLHIV
• Addressing ongoing unwanted disclosure and discrimination, especially in relation to health services and work
• Supporting PLHIV to establish and maintain fulfilling relationships