Associations between country of birth, migration status and engagement in HIV care among gay and bisexual men living with HIV in Australia, 2019–2022

IF 2.8 3区医学 Q2 INFECTIOUS DISEASES

HIV Medicine Pub Date : 2025-02-19 DOI:10.1111/hiv.13769

Simin Yu, James MacGibbon, Benjamin Bavinton, Anthony K. J. Smith, John Rule, Limin Mao, Timothy R. Broady, Martin Holt

{"title":"Associations between country of birth, migration status and engagement in HIV care among gay and bisexual men living with HIV in Australia, 2019–2022","authors":"Simin Yu, James MacGibbon, Benjamin Bavinton, Anthony K. J. Smith, John Rule, Limin Mao, Timothy R. Broady, Martin Holt","doi":"10.1111/hiv.13769","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>In the last decade, while HIV diagnoses have declined among Australian-born gay and bisexual men (GBM), they have declined much less among migrant GBM, with recently arrived GBM facing particular challenges, such as access to HIV treatment. This study assessed HIV care cascade (treatment) outcomes among GBM living with HIV in Australia by migration status.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Data were collected in national cross-sectional behavioural surveillance surveys during 2019–2022. HIV cascade outcomes were stratified by country of birth and length of residency in Australia, examining HIV clinical appointments in the previous year, being on antiretroviral treatment (ART) and achieving an undetectable viral load. Percentages were calculated with the previous cascade step as the corresponding denominator.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Between 2019 and 2022, 32 236 GBM completed surveys, including 2533 (7.9%) people living with HIV (PLWH). Among 2188 PLWH reporting migration/residency status, 72.2% were Australian-born, 13.3% were from high-income English-speaking countries, 13.0% were non-recently arrived migrant GBM from other countries and 1.5% were recently arrived in Australia (<2 years). Median ages for the four groups were 50, 51, 41 and 34 years, respectively. Recently arrived PLWH were the most likely to be recently diagnosed (<2 years, 15.2% vs. <5% in the other groups). The HIV cascade of care, treatment, and viral suppression differed by migration status (<i>p</i> < 0.001): Australian-born, 92.5%, 96.9% and 94.6%, respectively; born in high-income-English-speaking countries, 91.8%, 97.4%,9 8.9%; non-recently arrived, 93.7%, 95.1%, 96.8%; and recently-arrived, 90.9%, 90.0%, 100%. Recently-arrived PLWH were less likely to be on treatment, but all those on treatment achieved viral suppression.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Engaging and supporting recently arrived PLWH in Australia to access ART and relinking PLWH disengaged from care remains crucial.</p>\n </section>\n </div>","PeriodicalId":13176,"journal":{"name":"HIV Medicine","volume":"26 5","pages":"688-700"},"PeriodicalIF":2.8000,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/hiv.13769","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"HIV Medicine","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/hiv.13769","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}

引用次数: 0

Abstract

Background

In the last decade, while HIV diagnoses have declined among Australian-born gay and bisexual men (GBM), they have declined much less among migrant GBM, with recently arrived GBM facing particular challenges, such as access to HIV treatment. This study assessed HIV care cascade (treatment) outcomes among GBM living with HIV in Australia by migration status.

Methods

Data were collected in national cross-sectional behavioural surveillance surveys during 2019–2022. HIV cascade outcomes were stratified by country of birth and length of residency in Australia, examining HIV clinical appointments in the previous year, being on antiretroviral treatment (ART) and achieving an undetectable viral load. Percentages were calculated with the previous cascade step as the corresponding denominator.

Results

Between 2019 and 2022, 32 236 GBM completed surveys, including 2533 (7.9%) people living with HIV (PLWH). Among 2188 PLWH reporting migration/residency status, 72.2% were Australian-born, 13.3% were from high-income English-speaking countries, 13.0% were non-recently arrived migrant GBM from other countries and 1.5% were recently arrived in Australia (<2 years). Median ages for the four groups were 50, 51, 41 and 34 years, respectively. Recently arrived PLWH were the most likely to be recently diagnosed (<2 years, 15.2% vs. <5% in the other groups). The HIV cascade of care, treatment, and viral suppression differed by migration status (p < 0.001): Australian-born, 92.5%, 96.9% and 94.6%, respectively; born in high-income-English-speaking countries, 91.8%, 97.4%,9 8.9%; non-recently arrived, 93.7%, 95.1%, 96.8%; and recently-arrived, 90.9%, 90.0%, 100%. Recently-arrived PLWH were less likely to be on treatment, but all those on treatment achieved viral suppression.

Conclusions

Engaging and supporting recently arrived PLWH in Australia to access ART and relinking PLWH disengaged from care remains crucial.

Abstract Image

查看原文本刊更多论文

2019-2022年澳大利亚男同性恋和双性恋艾滋病毒感染者出生国、移民身份与艾滋病毒护理参与之间的关系

背景：在过去十年中，虽然澳大利亚出生的同性恋和双性恋男性（GBM）的艾滋病毒诊断有所下降，但移民GBM的下降幅度要小得多，最近到达的GBM面临着特殊的挑战，例如获得艾滋病毒治疗。本研究通过移民身份评估了澳大利亚GBM艾滋病毒感染者的艾滋病毒护理级联（治疗）结果。方法：通过2019-2022年全国横截面行为监测调查收集数据。HIV级联结果按出生国家和在澳大利亚居住的时间进行分层，检查前一年的HIV临床预约，接受抗逆转录病毒治疗（ART）和达到无法检测到的病毒载量。以前一个级联步骤作为相应的分母计算百分比。结果：2019年至2022年期间，32 236名GBM完成了调查，其中包括2533名（7.9%）艾滋病毒感染者（PLWH）。在2188名报告移民/居住身份的PLWH中，72.2%是澳大利亚出生的，13.3%来自高收入英语国家，13.0%是来自其他国家的非近期移民GBM， 1.5%是最近抵达澳大利亚的(结论：吸引和支持近期抵达澳大利亚的PLWH获得抗逆转录病毒治疗，并将脱离护理的PLWH重新联系起来仍然至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

HIV Medicine 医学-传染病学

CiteScore

5.10

自引率

10.00%

发文量

167

审稿时长

6-12 weeks

期刊介绍： HIV Medicine aims to provide an alternative outlet for publication of international research papers in the field of HIV Medicine, embracing clinical, pharmocological, epidemiological, ethical, preclinical and in vitro studies. In addition, the journal will commission reviews and other feature articles. It will focus on evidence-based medicine as the mainstay of successful management of HIV and AIDS. The journal is specifically aimed at researchers and clinicians with responsibility for treating HIV seropositive patients.