University Library
  • Login
A gateway to Melbourne's research publications
Minerva Access is the University's Institutional Repository. It aims to collect, preserve, and showcase the intellectual output of staff and students of the University of Melbourne for a global audience.
View Item 
  • Minerva Access
  • University Services
  • University General - Research Publications
  • View Item
  • Minerva Access
  • University Services
  • University General - Research Publications
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

    A longitudinal cohort study of HIV 'treatment as prevention' in gay, bisexual and other men who have sex with men: the Treatment with Antiretrovirals and their Impact on Positive And Negative men (TAIPAN) study protocol

    Thumbnail
    Download
    published version (623.8Kb)

    Citations
    Scopus
    Web of Science
    Altmetric
    3
    3
    Author
    Callander, D; Stoove, M; Carr, A; Hoy, JF; Petoumenos, K; Hellard, M; Elliot, J; Templeton, DJ; Liaw, S; Wilson, DP; ...
    Date
    2016-12-12
    Source Title
    BMC Infectious Diseases
    Publisher
    BMC
    University of Melbourne Author/s
    Fairley, Christopher
    Affiliation
    University General
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Callander, D., Stoove, M., Carr, A., Hoy, J. F., Petoumenos, K., Hellard, M., Elliot, J., Templeton, D. J., Liaw, S., Wilson, D. P., Grulich, A., Cooper, D. A., Pedrana, A., Donovan, B., McMahon, J., Prestage, G., Holt, M., Fairley, C. K., McKellar-Stewart, N. ,... Guy, R. (2016). A longitudinal cohort study of HIV 'treatment as prevention' in gay, bisexual and other men who have sex with men: the Treatment with Antiretrovirals and their Impact on Positive And Negative men (TAIPAN) study protocol. BMC INFECTIOUS DISEASES, 16 (1), https://doi.org/10.1186/s12879-016-2073-2.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/257357
    DOI
    10.1186/s12879-016-2073-2
    Abstract
    BACKGROUND: Australia has increased coverage of antiretroviral treatment (ART) over the past decade, reaching 73% uptake in 2014. While ART reduces AIDS-related deaths, accumulating evidence suggests that it could also bolster prevention efforts by reducing the risk of HIV transmission ('treatment as prevention'). While promising, evidence of community-level impact of treatment as prevention on reducing HIV incidence among gay and bisexual men is limited. We describe a study protocol that aims to determine if scale up of testing and treatment for HIV leads to a reduction in community viraemia and, in turn, if this reduction is temporally associated with a reduction in HIV incidence among gay and bisexual men in Australia's two most populous states. METHODS: Over the period 2009 to 2017, we will establish two cohorts making use of clinical and laboratory data electronically extracted retrospectively and prospectively from 73 health services and laboratories in the states of New South Wales and Victoria. The 'positive cohort' will consist of approximately 13,000 gay and bisexual men (>90% of all people living with HIV). The 'negative cohort' will consist of at least 40,000 HIV-negative gay and bisexual men (approximately half of the total population). Within the negative cohort we will use standard repeat-testing methods to calculate annual HIV incidence. Community prevalence of viraemia will be defined as the proportion of men with a viral load ≥200RNA copies/mm3, which will combine viral load data from the positive cohort and viraemia estimates among those with an undiagnosed HIV infection. Using regression analyses and adjusting for behavioural and demographic factors associated with infection, we will assess the temporal association between the community prevalence of viraemia and the incidence of HIV infection. Further analyses will make use of these cohorts to assess incidence and predictors of treatment initiation, repeat HIV testing, and viral suppression. DISCUSSION: This study will provide important information on whether 'treatment as prevention' is associated with a reduction in HIV incidence at a community level among gay and bisexual men.

    Export Reference in RIS Format     

    Endnote

    • Click on "Export Reference in RIS Format" and choose "open with... Endnote".

    Refworks

    • Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References


    Collections
    • Minerva Elements Records [53039]
    • University General - Research Publications [467]
    Minerva AccessDepositing Your Work (for University of Melbourne Staff and Students)NewsFAQs

    BrowseCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects
    My AccountLoginRegister
    StatisticsMost Popular ItemsStatistics by CountryMost Popular Authors