Articles, research, and resources for and about heterosexual PLHIV and partners
Risk of sexual transmission of HIV from a person living with HIV who has an undetectable viral load: Messaging Primer & Consensus Statement
The consensus statement below, addressing HIV transmission risk from PLHIV who have an undetectable viral load, is endorsed by principal investigators from each of the leading studies that examined this issue. It is important that PLHIV, their intimate partners and their healthcare providers have accurate information about risks of sexual transmission of HIV from those successfully on ART.
Sexual transmission of HIV and the law: an Australian medical consensus statement
The consensus statement was written nine leading HIV clinicians and scientists, and published in the Medical Journal of Australia in November 2016.The context of the rapidly evolving science of HIV transmission and diagnosis require the courts to be informed using current evidence. The statement provides current scientific evidence to facilitate just outcomes in Australian criminal cases involving HIV.
Publication of HPTN 052 Final Results: HIV Treatment Offers Durable Prevention of HIV Transmission in Sero-discordant Couples
Ground breaking research about treatment and prevention of transmission
Published in 2016, the Partner study measured risk using people who were not using condoms (both heterosexual and gay male serodiscordant couples) shows evidence that the risk of transmission when the positive partner is undetectable is effectively zero.
Preventing secondary transmission of HIV
Despite substantial advances in prevention and treatment of HIV infection in the United States, the rate of new infections has remained stable. Although earlier prevention interventions mainly were behavioural, recent data demonstrate the strong impact of antiretroviral therapy (ART) on secondary HIV transmission. The most effective strategy to stem the spread of HIV will probably be a combination of behavioural, biological, and pharmacological interventions.
The international START study is one of the most important studies about treatment and changed treatment guidelines around the world. It proved that treatment was beneficial to all people with HIV whatever their CD4 count
HIV cure research: seeking an end to HIV through partnerships (pp. 32-34)
Timothy Rae Brown was a man who had been ‘cured’ of HIV through a bone marrow transplant conducted as part of his treatment for leukaemia. Brown is now widely known as the only person to have been cured of HIV, and his case is recognised as a ‘game changer’ in clinical research for a HIV cure. However, the success of Brown’s treatment did raise the theoretical possibility that HIV could be curable, opening new space for clinical and social debate about potential research directions. An increase in scientific attention and funding for HIV cure research has followed.
HIV Cure: Stay up to date with the latest research
Developed by NAPWHA in association with the Doherty Institute and the Alfred Hospital, HIV Cure will collate all the latest research news and scientific developments as they happen so that people living with HIV in Australia can be educated, engaged and gain access to the successes being made.
Australian HIV service providers on TasP for serodiscordant couples
Persson, A., (2014). ‘Significant ambivalence: perspectives of Australian HIV service providers on universal treatment-as-prevention (TasP) for serodiscordant couples’, Critical Public Health, vol. 17 February, pp. 1 – 12, http://dx.doi.org/
In Australia, ‘treatment-as-prevention’ (TasP) is currently being rolled out across New South Wales (NSW) as part of the state government’s new HIV strategy. Following the promising results of recent clinical trials, antiretroviral treatments have been reframed as a global HIV prevention tool and imbued with great hopes of radically reducing sexual transmissions and even ending the pandemic.
HEALTH PROMOTION AND CARE
StraightMSM Study: Heterosexually-Identified Men Who Have Sex With Men
Newman, C., Persson, A., de Wit, J., Holt, M., Callander, D., Schmidt, H.-M., … Ooi, C. (2016). BRISE StraightMSM study: Understanding expert views on defining and reaching heterosexually-identified men who have sex with men for health promotion and care (short report). Sydney: Centre for Social Research in Health, UNSW Australia.
Almost no published research exists specifically on heterosexually-identified men who have sex with men in Australia, and the international literature is also scant. Very little is known about the sexual practices, risk perceptions, or information and service needs of these men more broadly. Funded by BRISE, the Centre for Social Research in Health, in collaboration with Pozhet and representatives of NSW Health sexual health services, conducted exploratory research to investigate the sexual practices, sexual spaces, sexual health knowledge and sexual health needs of these men, and to consider opportunities to better engage them with health promotion and care. This report summarises the key outcomes of this pilot research, which comprised reviewing the literature, analysing existing survey data, appraising the terminology and activities evident in online personal ads posted by straight men who have sex with men, and conducting qualitative interviews with 30 professionals employed in health services, health promotion and other relevant roles in New South Wales
HIV Statistics in Australia using recent data from the 2016 Annual Surveillance Report
Annual Surveillance Report 2016 – HIV, viral hepatitis and sexually transmissible infections in Australia (pp. 24-65):
Transmission and prevention of HIV among heterosexual populations in Australia (2014):
Cultural politics of the waiting room: Straight men, gay-friendly clinics and ‘inclusive’ HIV care
Newman C.E., Persson A., Paquette D.M., & Kidd MR, 2013, ‘The new cultural politics of the waiting room: Straight men, gay-friendly clinics and ‘inclusive’ HIV care’, Sexuality Research and Social Policy, vol. 10, pp. 87 – 96, http://dx.doi.org/
The undoing and doing of sexual identity among HIV-positive heterosexual men
Persson AS, 2012, ‘The undoing and doing of sexual identity among HIV-positive heterosexual men in Australia’, Men and Masculinities, vol. 15, pp. 311-328, http://journals.sagepub.com/
Positive Women: Support and advocacy for women living with HIV
In Australia, women represent a small proportion of the total population of people living with HIV. As of 31 December 2010, a total of 21,391 people were estimated to be living with a diagnosed HIV infection in Australia, of whom 1,984 (9.3%) were women. Due to Australia’s large size and moderate population, the small number of women living with HIV are widely dispersed, often isolated and almost invisible within the epidemic.
The HIV Futures studies, comprising six national cross-sectional surveys of people living with HIV in Australia, have been conducted every two to three years since 1997; the surveys are a key resource that sheds light on the experiences of women living with HIV in Australia. This article describes some of the main features of the experiences of women living with HIV in Australia, based on the HIV Futures studies and in-depth interviews with HIV-positive women conducted by Dr Karalyn McDonald. The article focuses on areas in which women have been found to have a different experience of living with HIV, when compared with the predominant group of HIV-positive people in Australia – homosexually active men.
CULTURAL AND LINGUISTIC DIVERSITY
Living with HIV and cultural diversity in Sydney:
HIV and sub-Saharan African communities in Australia: Briefing Paper #9 Stigma (October 2015):
Aboriginal Torres Strait Islander
Aboriginal and Torres Strait Islander community input and the Australian HIV response (May 2015):
The Anwernekenhe National HIV Alliance (ANA) is an aboriginal and Torres Strait Islander community-based organisation
LIVING WITH HIV
Ahead of time: A practical guide to growing older with HIV
The impact of HIV on our bodies and on the immune system as we get older is greatly affected by ageing. HIV affects each of us differently. Some people progress to symptoms very quickly, while others live for 20-plus years without any signs of immune suppression or symptoms.
Each of us ages differently as well. How well we age and how the ageing of our bodies impacts upon our health is unique to each of us. Therefore, HIV infection —coupled with natural ageing— creates added challenges for maintaining good health.