Show simple item record

dc.contributor.authorPower, J.
dc.contributor.authorLyons, A.
dc.contributor.authorBrown, Graham
dc.contributor.authorDowsett, G.
dc.contributor.authorLucke, J.
dc.identifier.citationPower, J. and Lyons, A. and Brown, G. and Dowsett, G. and Lucke, J. 2017. Use of antiretroviral treatment among people living with HIV in Australia between 1997 and 2012. AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV. 29 (1): pp. 61-66.

© 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.

dc.titleUse of antiretroviral treatment among people living with HIV in Australia between 1997 and 2012
dc.typeJournal Article
dcterms.source.titleAIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV
curtin.departmentSchool of Public Health
curtin.accessStatusFulltext not available

Files in this item


There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record