HIV diagnosis in indigenous people: comparison of Australia, Canada and New Zealand

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dc.contributor.author Shea, B en
dc.contributor.author Aspin, C en
dc.contributor.author Ward, J en
dc.contributor.author Archibald, C en
dc.contributor.author Dickson, N en
dc.contributor.author McDonald, A en
dc.contributor.author Lee-Penehira, Mera Melda en
dc.contributor.author Halverson, J en
dc.contributor.author Masching, R en
dc.contributor.author McAllister, S en
dc.contributor.author Smith, LT en
dc.contributor.author Kaldor, JM en
dc.contributor.author Andersson, N en
dc.date.accessioned 2016-01-08T03:48:26Z en
dc.date.available 2011-03-30 en
dc.date.issued 2011-09 en
dc.identifier.citation International Health, 2011, 3 (3), pp. 193 - 198 (6) en
dc.identifier.issn 1876-3413 en
dc.identifier.uri http://hdl.handle.net/2292/27923 en
dc.description.abstract In industrial countries, a number of factors put indigenous peoples at increased risk of HIV infection. National surveillance data between 1999 and 2008 provided diagnoses for Aboriginal and Torres Strait Islanders (Australia), First Nations, Inuit and Métis (Canada excluding Ontario and Quebec) and Māori (New Zealand). Each country provided similar data for a non-indigenous comparison population. Direct standardisation used the 2001 Canadian Aboriginal male population for comparison of five-year diagnosis rates in 1999–2003 and 2004–2008. Using the general population as denominators, we report diagnosis ratios for presumed heterosexual transmission, men who have sex with men (MSM) and intravenous drug users (IDU). Age standardised HIV diagnosis rates in indigenous peoples in Canada in 2004–2008 (178.1 and 178.4/100 000 for men and women respectively) were higher than in Australia (48.5 and 12.9/100 000) and New Zealand (41.9 and 4.3/100 000). Higher HIV diagnosis rates related to heterosexual contact among Aboriginal peoples, especially women, in Canada confirm a widening epidemic beyond the conventional risk groups. This potential of a generalised epidemic requires urgent attention in Aboriginal communities; available evidence can inform policy and action by all stakeholders. Although less striking in Australia and New Zealand, these findings may be relevant to indigenous peoples in other countries. en
dc.language English en
dc.publisher Elsevier / Royal Society of Tropical Medicine and Hygiene en
dc.relation.ispartofseries International Health en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/1876-3413/ http://www.oxfordjournals.org/en/access-purchase/rights-and-permissions/self-archiving-policyb.html en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject HIV en
dc.subject Generalised epidemic en
dc.subject National surveillance en
dc.subject Indigenous en
dc.subject Australia en
dc.subject Canada en
dc.subject New Zealand en
dc.title HIV diagnosis in indigenous people: comparison of Australia, Canada and New Zealand en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.inhe.2011.03.010 en
pubs.issue 3 en
pubs.begin-page 193 en
pubs.volume 3 en
dc.rights.holder Copyright: Elsevier / Royal Society of Tropical Medicine and Hygiene en
pubs.author-url http://www.sciencedirect.com/science/article/pii/S1876341311000271 en
pubs.end-page 198 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 489648 en
dc.identifier.eissn 1876-3405 en
pubs.record-created-at-source-date 2015-07-06 en


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