Use of antiretroviral treatment among people living with HIV in Australia between 1997 and 2012
© 2016 Informa UK Limited, trading as Taylor & Francis Group. Current international targets aim for 90% of people diagnosed with HIV to be on antiretroviral treatment (ART). This paper aims to identify sociodemographic and attitudinal factors associated with ART non-use over time in three sam...
| Main Authors: | , , , , |
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| Format: | Journal Article |
| Published: |
Routledge
2017
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| Online Access: | http://hdl.handle.net/20.500.11937/67831 |
| _version_ | 1848761669971345408 |
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| author | Power, J. Lyons, A. Brown, Graham Dowsett, G. Lucke, J. |
| author_facet | Power, J. Lyons, A. Brown, Graham Dowsett, G. Lucke, J. |
| author_sort | Power, J. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | © 2016 Informa UK Limited, trading as Taylor & Francis Group. Current international targets aim for 90% of people diagnosed with HIV to be on antiretroviral treatment (ART). This paper aims to identify sociodemographic and attitudinal factors associated with ART non-use over time in three samples of Australian people living with HIV (PLHIV). Data for this paper were derived from an Australian cross-sectional survey of PLHIV that was repeated at three different time points: 1997, 2003, and 2012. There were approximately 1000 respondents to each survey (n = 3042 in total). The survey included approximately 250 items related broadly to health and well-being, ART use, and attitudes towards ART use. Univariate and multivariate logistic regression analyses were used. While the proportion of participants using ART increased between 1997 and 2012 (78.8–87.6%, p < .001), there was a decrease between 1997 and 2003 to 70.6% (p < .001). Factors linked to ART non-use remained steady over those 15 years. In all cohorts, people less likely to be using ART were younger and had a more recent diagnosis of HIV. In 2003 and 2012, people in full-time employment were less likely to be using ART, while those whose main source of income was a pension or social security were more likely to be using ART. Multivariate models showed that, at each time point, a belief in the health benefits of delayed ART uptake was associated with non-use. These findings suggest that there may be barriers to ART uptake that have persisted over time despite changes to clinical guidelines that now encourage early uptake. |
| first_indexed | 2025-11-14T10:35:21Z |
| format | Journal Article |
| id | curtin-20.500.11937-67831 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:35:21Z |
| publishDate | 2017 |
| publisher | Routledge |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-678312018-05-18T08:05:33Z Use of antiretroviral treatment among people living with HIV in Australia between 1997 and 2012 Power, J. Lyons, A. Brown, Graham Dowsett, G. Lucke, J. © 2016 Informa UK Limited, trading as Taylor & Francis Group. Current international targets aim for 90% of people diagnosed with HIV to be on antiretroviral treatment (ART). This paper aims to identify sociodemographic and attitudinal factors associated with ART non-use over time in three samples of Australian people living with HIV (PLHIV). Data for this paper were derived from an Australian cross-sectional survey of PLHIV that was repeated at three different time points: 1997, 2003, and 2012. There were approximately 1000 respondents to each survey (n = 3042 in total). The survey included approximately 250 items related broadly to health and well-being, ART use, and attitudes towards ART use. Univariate and multivariate logistic regression analyses were used. While the proportion of participants using ART increased between 1997 and 2012 (78.8–87.6%, p < .001), there was a decrease between 1997 and 2003 to 70.6% (p < .001). Factors linked to ART non-use remained steady over those 15 years. In all cohorts, people less likely to be using ART were younger and had a more recent diagnosis of HIV. In 2003 and 2012, people in full-time employment were less likely to be using ART, while those whose main source of income was a pension or social security were more likely to be using ART. Multivariate models showed that, at each time point, a belief in the health benefits of delayed ART uptake was associated with non-use. These findings suggest that there may be barriers to ART uptake that have persisted over time despite changes to clinical guidelines that now encourage early uptake. 2017 Journal Article http://hdl.handle.net/20.500.11937/67831 10.1080/09540121.2016.1198751 Routledge restricted |
| spellingShingle | Power, J. Lyons, A. Brown, Graham Dowsett, G. Lucke, J. Use of antiretroviral treatment among people living with HIV in Australia between 1997 and 2012 |
| title | Use of antiretroviral treatment among people living with HIV in Australia between 1997 and 2012 |
| title_full | Use of antiretroviral treatment among people living with HIV in Australia between 1997 and 2012 |
| title_fullStr | Use of antiretroviral treatment among people living with HIV in Australia between 1997 and 2012 |
| title_full_unstemmed | Use of antiretroviral treatment among people living with HIV in Australia between 1997 and 2012 |
| title_short | Use of antiretroviral treatment among people living with HIV in Australia between 1997 and 2012 |
| title_sort | use of antiretroviral treatment among people living with hiv in australia between 1997 and 2012 |
| url | http://hdl.handle.net/20.500.11937/67831 |