Sexual Health Sexual Health Society
Publishing on sexual health from the widest perspective
RESEARCH ARTICLE

Health Care Services for men who have sex with men in different Australian states and territories since the emergence of HIV

Cathy Pell A D , Simon Donohoe B and Damian Conway C

A Taylor Square Private Clinic, 393 Bourke St, Darlinghurst 2010, NSW, Australia.

B AFAO/NAPWA Education Team (ANET) and National A&TSI HIV/AIDS Sexual Health Project, PO Box 51, Newtown 2042, Australia.

C Education Division, Australasian Society for HIV Medicine, LMB 5057, Darlinghurst 1300, NSW, Australia.

D Corresponding author. Email: cpell@medemail.com.au

Sexual Health 5(2) 161-168 http://dx.doi.org/10.1071/SH07101
Submitted: 30 December 2007  Accepted: 24 April 2008   Published: 2 June 2008

Abstract

The purpose of this article is to describe sexual health services available in Australia across the different states and territories for gay men and men who have sex with men (MSM) and their utilisation. An assessment of services available in different states is made, then the evidence about how MSM and people living with HIV/AIDS access health care in Australia is presented. This demonstrates that the number and location of sexual health services has changed over time. It also demonstrates that services available differ by state and territory. The availability of non-occupational post-exposure prophylaxis for HIV infection has been different in each state and territory, as has its utilisation. The majority of care for sexual health-related issues and for MSM and people living with HIV/AIDS is delivered in general practice settings in Australia, with hospital outpatient settings, including sexual health clinics, utilised commonly.

Additional keywords: post-exposure prophylaxis, sexual health services.


References

[1]  Prestage G Jin F Zablotska IB Imrie J Kaldor JM Grulich AE 2008 Trends in HIV prevalence among homosexual and bisexual men in eastern Australian states. Sex Health 5 103 7 doi:10.1071/SH07074

[2]  Department of Health and Ageing. National HIV/AIDS strategy 2005–2008: revitalising Australia’s response. Canberra: Commonwealth of Australia; 2005. Available online at: http://www.health.gov.au/internet/wcms/publishing.nsf/Content/3F255430 27A178E9CA25710F0017AD3A/$File/hivaids_strategy.pdf [verified 20 December 2007].

[3]  McDonald A, editor. HIV/AIDS, viral hepatitis and sexually transmitted infections in Australia. Annual surveillance report. Sydney: University of New South Wales; Canberra: Australian Institute of Health and Welfare; 2007.

[4]  Bradford DL Philpot CR 1983 A survey of sexually transmitted disease centres in Australia. Br J Vener Dis 59 330 4

[5]  Pitt M , Smith A , Mitchell A , Patel S . Private lives: a report on the health and wellbeing of GLBTI Australians. Monograph series number 57. Melbourne: Australian Centre in Sex, Health and Society, La Trobe University; 2006.

[6]  Whittaker B , Watson J . The impact of complexity on HIV clinical management and clinical research. Discussion paper. Newtown, NSW: National Association of People living with HIV/AIDS; 2005. Available online at:
http://www.napwa.org.au/files/2005_8_ discussionpaper_complexity.pdf [verified 20 December 2007].

[7]  Australasian Society for HIV Medicine. ASHM directory 2007–2008: HIV, hepatitis and related services. Surry Hills, NSW: Australasian Society for HIV Medicine; 2008. Available online at: http://www.ashm.org.au/ashm-directory/ [verified 20 December 2007].

[8]  Chapter of Sexual Health Medicine. Register of public sexual health clinics in Australia and New Zealand. Sydney: Royal Australasian College of Physicians; 2007. Available online at: http://www.racp.edu.au [verified 20 December 2007].

[9]  Marks C Tideman R Mindel A 1997 Evaluation of sexual health services within Australia and New Zealand. Med J Aust 166 348 52

[10]  Victorian Gay and Lesbian Rights Lobby. Enough is enough: a report on discrimination and abuse experienced by lesbians, gay men, bisexuals and transgender people in Victoria. Melbourne: Victorian Gay and Lesbian Rights Lobby; 2000.

[11]  Grierson J , Bartos M , deVisser R , McDonald K . HIV Futures 2: the health and well-being of people with HIV/AIDS in Australia. Monograph series number 17. Melbourne: Australian Research Centre in Sex, Health and Society, Latrobe University; 2000.

[12]  Grierson J , Mission S , McDonald K , Pitts M , O’Brien M . HIV Futures 3: positive Australians on services, health and well being. Monograph series number 37. Melbourne: Australian Research Centre in Sex, Health and Society, Latrobe University; 2002.

[13]  Grierson J , Thorpe R , Saunders M , Pitts M . HIV Futures 4: state of the (positive) nation. Monograph series number 48. Melbourne: Australian Research Centre in Sex, Health and Society, Latrobe University; 2004.

[14]  Grierson J , Thorpe R , Pitts M . HIV Futures 5: life as we know it. Monograph series number 60. Melbourne: Australian Research Centre in Sex, Health and Society, Latrobe University; 2006.

[15]  Grierson J , Thorpe R . HIV Futures 4 regional reports: New South Wales. Monograph series number 56. Melbourne: Australian Research Centre in Sex, Health and Society, Latrobe University; 2005.

[16]  Grierson J , Thorpe R . HIV Futures 4 regional reports: Victoria. Monograph series number 55. Melbourne: Australian Research Centre in Sex, Health and Society, Latrobe University; 2005.

[17]  Grierson J , Thorpe R . HIV Futures 4 regional reports: South Australia. Monograph series number 53. Melbourne: Australian Research Centre in Sex, Health and Society, Latrobe University; 2005.

[18]  Grierson J , Thorpe R . HIV Futures 4 regional reports: Western Australia. Monograph series number 52. Melbourne: Australian Research Centre in Sex, Health and Society, Latrobe University; 2005.

[19]  Grierson J , Thorpe R . HIV Futures 4 regional reports: Queensland. Monograph series number 54. Melbourne: Australian Research Centre in Sex, Health and Society, Latrobe University; 2005.

[20]  Correll PK Smith DE Grulich AE 2000 Post exposure prophylaxis for non-occupational exposure to HIV. Experience in NSW one year after the guidelines. N S W Public Health Bull 11 114 17


[21]  Australian National Council on AIDS. Hepatitis C and related diseases (ANCHARD). Guidelines for the management of post exposure prophylaxis of individuals who sustain non-occupational exposure to HIV. ANCHARD Bulletin, Vol. 28, 2001. Available online at:
http://www.ancahrd.org/pubs/bulletins/01/28_hiv_guidelines.pdf 2006 [verified 12 December 2007].

[22]  Department of Health and Ageing. National guidelines for post-exposure prophylaxis after non-occupational exposure to HIV. Canberra: Commonwealth of Australia; 2006. Available online at: http://www.ashm.org.au/uploads/2007nationalNPEPguidelines2.pdf [verified 12 December 2007].

[23]  Poynten IM Smith DE Cooper DA Kaldor JM Grulich AE 2007 The public health impact of widespread availability of non-occupational post exposure prophylaxis against HIV. HIV Med 8 374 81 doi:10.1111/j.1468-1293.2007.00483.x

[24]  Department of Human Services. Human services news, October 2005. Melbourne: Department of Human Services; 2005. Available online at: http://www.dhs.vic.gov.au/humanservicesnews/oct05/helpline.htm [verified 12 December 2007].

[25]  Australasian Society for HIV Medicine. Literature review for the Australian guidelines for post-exposure prophylaxis after non-occupational exposure to HIV. ASHM J Club 2006; 8: 1 23 Available online at: http://www.ashm.org.au/uploads/File/jc-2006-10.pdf [verified 20 December 2007].

[26]  Smith AM Rissel CE Richters J Grulich AE de Visser RO 2003 Sex in Australia: sexual identity, sexual attraction and sexual experience among a representative sample of adults. Aust N Z J Public Health 27 138 45 doi:10.1111/j.1467-842X.2003.tb00801.x

[27]  Guy R McDonald AM Bartlett MJ Murray JC Giele CM Davey TM et al 2008 Characteristics of HIV diagnoses in Australia, 1993–2006. Sex Health 5 91 6 doi:10.1071/SH07070

[28]  Combs BC , Giele C . Increasing heterosexual HIV notifications among non-Aboriginal people in Western Australia, 2002 to 2006. Sex Health, in press.

[29]  Rissel CE Richters J Grulich AE de Visser RO Smith AM 2003 Sex in Australia: attitudes towards sex in a representative sample of adults. Aust N Z J Public Health 27 118 23 doi:10.1111/j.1467-842X.2003.tb00798.x

[30]  Grulich AE de Visser RO Smith AM Rissel C Richters J 2003 Sex in Australia: sexually transmissible infection and blood-borne virus history in a representative sample of adults. Aust N Z J Public Health 27 234 41 doi:10.1111/j.1467-842X.2003.tb00814.x



Export Citation