Pride, prejudice and... PrEP

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Australian Federation of AIDS Organisations

Appraising the impact of new prevention technologies. This presentation was given by Dean Murphy (AFAO) at the AFAO HIV Educators Conference 2010.

Health & Medicine

Pride, prejudice and... PrEP : appraising the impact of new prevention technologies Dean Murphy AFAO HIV Educators’ Conference 2010 Australian Federation of AIDS Organisations

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The views expressed in the presentations are that of the author and do not necessarily reflect the views of the Government of Canada. Presentations are shared in the original format received from the presenter. Presentations given at the Conference to Develop a Federal Framework on Lyme Disease are the property of the author, unless otherwise cited. If you reference the author's work, you must give the author credit by naming the author and their work as well as the place and date it was presented. For more information, contact the Lyme Disease Conference Secretariat at maladie_lyme_disease@phac-aspc.gc.ca

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AFAO is currently undertaking a project to examine existing Australian and international social and behavioural research on gay men’s sexual and social behaviour from an HIV health promotion perspective, and to identify gaps in research and health practitioners’ knowledge that could be explored through additional research. This presentation provides an overview of the development of the report to date, including a summary of some specific sections of the report. This presentation was given by Dr Dean Murphy, AFAO HIV Education Officer, at the AFAO National HIV Forum, 17 October 2014.

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Epidemiology of HIV/AIDS encompasses the study of the distribution and determinants of HIV infection and AIDS-related illnesses within populations. HIV (Human Immunodeficiency Virus) is the virus that causes AIDS (Acquired Immunodeficiency Syndrome), a condition characterized by a weakened immune system, making individuals susceptible to various infections and illnesses. Key aspects of the epidemiology of HIV/AIDS include: Prevalence and Incidence: Prevalence refers to the total number of people living with HIV/AIDS within a population at a specific time, while incidence refers to the rate of new infections occurring within a given period. These measures help understand the burden of the disease and its spread over time. Demographic Patterns: HIV/AIDS affects different demographic groups differently. Factors such as age, gender, race/ethnicity, socioeconomic status, and geographical location can influence susceptibility, access to healthcare, and outcomes. For example, in many regions, young adults and certain minority populations may have higher rates of infection. Transmission Routes: Understanding how HIV is transmitted is crucial for prevention efforts. HIV primarily spreads through unprotected sexual intercourse, sharing contaminated needles or syringes, and from mother to child during childbirth or breastfeeding. Other modes of transmission include blood transfusions (though rare in regions with screening protocols) and occupational exposure. Risk Factors: Certain behaviors and circumstances increase the risk of HIV transmission. These include having multiple sexual partners, engaging in unprotected sex, using intravenous drugs, lack of access to healthcare, poverty, stigma, and discrimination. Additionally, structural factors such as laws and policies can influence risk behaviors and access to prevention and treatment services. Global Distribution: HIV/AIDS is a global pandemic, but its prevalence varies widely between countries and regions. Sub-Saharan Africa remains the most affected, with the highest burden of HIV infections worldwide. However, significant progress has been made in some regions, while new challenges emerge in others, such as Eastern Europe and Central Asia. Progress in Prevention and Treatment: Efforts to combat HIV/AIDS include prevention strategies such as promoting condom use, harm reduction programs for injecting drug users, pre-exposure prophylaxis (PrEP), and comprehensive sexual education. Antiretroviral therapy (ART) has transformed HIV/AIDS into a manageable chronic condition for many, reducing mortality and transmission rates. Challenges and Future Directions: Despite significant progress, challenges remain in the global response to HIV/AIDS. These include disparities in access to healthcare, stigma and discrimination, funding gaps, emergence of drug-resistant strains, and persistent barriers to prevention and treatment in certain populations.

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