Gaps in the HIV diagnosis and care cascade for migrants in Australia, 2013-2017: A cross-sectional study

PLoS Medicine
Tafireyi MarukutiraMargaret Hellard

Abstract

Globally, few studies compare progress toward the Joint United Nations Program on HIV/AIDS (UNAIDS) Fast-Track targets among migrant populations. Fast-Track targets are aligned to the HIV diagnosis and care cascade and entail achieving 90-90-90 (90% of people living with HIV [PLHIV] diagnosed, 90% of those diagnosed on treatment, and 90% of those on treatment with viral suppression [VS]) by 2020 and 95-95-95 by 2030. We compared cascades between migrant and nonmigrant populations in Australia. We conducted a serial cross-sectional survey for HIV diagnosis and care cascades using modelling estimates for proportions diagnosed combined with a clinical database for proportions on treatment and VS between 2013-2017. We estimated the number of PLHIV and number diagnosed using New South Wales (NSW) and Victorian (VIC) data from the Australian National HIV Registry. Cascades were stratified by migration status, sex, HIV exposure, and eligibility for subsidised healthcare in Australia (reciprocal healthcare agreement [RHCA]). We found that in 2017, 17,760 PLHIV were estimated in NSW and VIC, and 90% of them were males. In total, 90% of estimated PLHIV were diagnosed. Of the 9,391 who were diagnosed and retained in care, most (85%; n = 8...Continue Reading

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Citations

Jul 30, 2020·Journal of the International AIDS Society·Daniela K van SantenMargaret Hellard
Nov 8, 2020·BMJ Open·Anish AroraUNKNOWN Antiviral Speed Access Program (ASAP) Migrant Advisory Committee
Oct 29, 2020·Journal of Global Health·Ali AhmedFurqan Khurshid Hashmi
Dec 22, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Eric P F ChowChristopher K Fairley

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