| | Almost every country in the developed world is experiencing significant and consistent rises in the rate of new HIV diagnoses among men who have sex with men (MSM). Australia has several nationally funded HIV centres that collect national information. However, the policy response to the HIV epidemic is largely carried out by state and territory health departments, and this has led to substantial differences in HIV policies around Australia. In recent years, this divergence has been substantial, approximating a natural experiment in HIV prevention.
This special issue of Sexual Health includes papers examining sexual practices and condom use, age distribution of those living with HIV infection, rates of sexually transmissible infections (STI), testing rates for HIV, access and provision of health care services, uptake of HIV treatment, disclosure of HIV status and sero-sorting, expenditure and investment in HIV prevention, and more.
The issue features a thorough analysis of the potential reasons for the substantial differences in HIV notifications between states, and offers an opportunity to examine what works, at a policy level, in HIV prevention. | |