Objective: Notification rates for HIV among men who have sex with men (MSM) have been increasing, but this increase has not been uniform across States and Territories. This paper aims to determine whether differences in the levels of antiretroviral therapy (ART) were associated with differences in HIV notification rates between Australian States. Methods: An ecological analysis of HIV notification and S100 drug prescribing data between 1998 and 2005. Main results: HIV notification rates in 2005 per 100 individuals living with HIV were lowest in New South Wales (NSW) (4.5) and higher in Victoria (6.9) and Queensland (7.8). The proportion of individuals receiving ART in 2005 was lowest in NSW (40%) and higher in Victoria (60%) and Queensland (60%). There has been a significant decline in the proportion of individuals living with HIV receiving effective ART per year in NSW (p<0.01) and Queensland (p<0.01), but an increase in Victoria (p<0.01). Conclusion: Those States with the highest HIV notifications per 100 individuals living with HIV did not have the lowest proportion of individuals receiving ART. Implications: These data indicate that the differences in HIV notifications between States do not appear to be due to differences in ART, However, changes in ART over time in some States may be contributing to the rise in HIV notifications.

Item Type:	Refereed Article
Research Division:	Medical and Health Sciences
Research Group:	Public Health and Health Services
Research Field:	Preventive Medicine
Objective Division:	Health
Objective Group:	Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:	Reproductive System and Disorders
Author:	Marrone, J (Dr John Marrone)
ID Code:	63645
Year Published:	2007
Web of Science® Times Cited:	9
Deposited By:	Menzies Institute for Medical Research
Deposited On:	2010-05-20
Last Modified:	2010-06-18
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