PMID: 2099196Jan 1, 1990Paper

HIV infection in sexually transmissible disease practice in Sydney: the effects of legislation, public education and changing clinical spectrum

International Journal of STD & AIDS
Basil DonovanJ dalle Nogare

Abstract

The experience with human immunodeficiency virus (HIV) infection of a private inner-city sexually transmissible diseases (STD) clinic in Sydney was quantified. Between February 1984 and March 1988, 2073 of the Clinic's patients were tested for antibodies to HIV on 5095 occasions. Of those tested, 538 (26%) were positive for antibodies to HIV: 532 (98.9%) of the seropositives had practised male homosexual intercourse. This is the highest reported seroprevalence of HIV for any primary care service in Australia. Those individuals seropositive because of other risk behaviours were detected by voluntary contact tracing rather than by screening. Female prostitution was not found to be a risk factor for HIV. In general, rates of first HIV antibody tests were adversely affected by threatening legislation, and temporarily stimulated (among lower-risk persons) by a national television campaign. These data suggest that much of the counselling, detection and management of HIV infection in Australia is occurring in private practice, and that STD services (private and public) are at the forefront of the HIV epidemic. This has implications for disease surveillance and control, health services planning and medical education.

References

Mar 28, 1987·Lancet·M MelbyeR J Biggar
Aug 20, 1988·Lancet·B Donovan
May 26, 1986·The Medical Journal of Australia·M W Ross, A S Cameron
Oct 1, 1986·Australian and New Zealand Journal of Medicine·P BlackerD Cooper
Jan 19, 1987·The Medical Journal of Australia·B M WhyteD A Cooper
Jan 28, 1967·The Medical Journal of Australia·A Adams

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Citations

Dec 1, 1993·Australian Journal of Public Health·J KaldorJ Gold
Jan 1, 1992·International Journal of STD & AIDS·L S BondF Zacarías
Jan 1, 1994·International Journal of STD & AIDS·G A Neilsen, F J Young
Dec 18, 2012·BMC Infectious Diseases·Matt ShieldsBasil Donovan
Sep 1, 1991·International Journal of STD & AIDS·C L LawM H Qassim
Jan 11, 2007·Australian and New Zealand Journal of Public Health·Susan J BothamMark J Ferson
Jun 1, 1992·Genitourinary Medicine·B DonovanB P Mulhall
Jan 4, 1993·The Medical Journal of Australia·C B ReidD A Cooper
Jul 2, 1990·The Medical Journal of Australia·A M McDonaldJ M Kaldor
Feb 4, 1991·The Medical Journal of Australia·B DonovanM J Nelson
Oct 1, 1990·The Medical Journal of Australia·M L McLawsD A Cooper
Apr 7, 1997·The Medical Journal of Australia·C MarksA Mindel

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