HIV and viral hepatitis disclosure [in South Australia] – factsheet

SA Health, updated 2019

Deciding to disclose your HIV or viral hepatitis (hepatitis B or hepatitis C) status is a personal choice. There are few situations where you are legally required to disclose your HIV or viral hepatitis status, however, there may be times when it’s in your best interests to disclose your status even if you are not legally required to do so.

 

Is the world becoming more gay-friendly?

via BBC 29/05/2019

When Taiwan became the first place in Asia to legalise same-sex unions, hundreds of gay people marked the occasion by registering to marry.

It marked a significant change on the island, where the majority of people only relatively recently became supportive of same-sex relationships.

In many other places there has also been a shift – often a rapid one – towards more liberal attitudes. But these changes do not always mean full equality.

SHINE SA and FPAA condemn Alabama law to ban abortions (media release)

On 17 May 2019, Family Planning Alliance Australia (FPAA) released a statement condemning a new law in Alabama which makes abortion a crime in almost all cases. This is the most restrictive abortion law in the United States and follows a wave of anti-abortion laws in 2019¹.

FPAA state:

“The restrictive and extreme abortion ban violates women’s reproductive rights and penalises health care practitioners for providing basic health care. As an organisation committed to empowering reproductive choice and improving access to health care, we find this law disturbing and unjust.”

Natasha Miliotis, SHINE SA’s Chief Executive Officer said that:

“SHINE SA supports the FPAA statement and recognises that access to safe abortion services reduces the mortality and morbidity that occurs as a result of dangerous and illegal abortion. This is evidenced by a higher frequency of abortion-related deaths in countries with restrictive abortion laws than in countries with less restrictive laws².

SHINE SA, a member of FPAA, advocates for reproductive freedom and for provision of legal, safe, affordable and accessible abortion in Australia and worldwide. We recognise that trans, gender diverse and intersex people may also need access to abortion, but also that measures such as this disproportionately affect women.

SHINE SA believes that both medical and surgical abortion are safe and effective health interventions and that abortion is a private medical decision that should not be politicised.”

To read the FPAA statement visit this link. For further information contact Tracey Hutt, Director Workforce Education and Development via email. 

 

¹ https://www.theguardian.com/world/2019/may/17/we-have-to-fight-alabamas-extreme-abortion-ban-sparks-wave-of-activism

² https://www.researchgate.net/publication/26677181_Unsafe_Abortion_Unnecessary_Maternal_Mortality

It’s time to lift the restrictions on medical abortion in Australia – Professor Caroline de Costa

The Conversation, April 1, 2019 6.13am AEDT

Over the past thirteen years, many Australian women have used the drug mifepristone (RU486) to bring about a medical abortion.

Rather than undergoing a surgical abortion in a clinic or hospital operating theatre, a medical abortion is induced by taking drugs prescribed by a doctor.

But while mifepristone has been available in Australia since 2006, only some women, in some parts of the country, are able to access it. Professor Caroline de Costa argues in the Medical Journal of Australia that this needs to change.

Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER)

Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER): final results of a multicentre, prospective, observational study

The Lancet, Published Online May 2, 2019

Background

The level of evidence for HIV transmission risk through condomless sex in serodifferent gay couples with the HIV-positive partner taking virally suppressive antiretroviral therapy (ART) is limited compared with the evidence available for transmission risk in heterosexual couples. The aim of the second phase of the PARTNER study (PARTNER2) was to provide precise estimates of transmission risk in gay serodifferent partnerships.
Findings
Between Sept 15, 2010, and July 31, 2017, 972 gay couples were enrolled, of which 782 provided 1593 eligible couple-years of follow-up with a median follow-up of 2·0 years (IQR 1·1–3·5). At baseline, median age for HIV-positive partners was 40 years (IQR 33–46) and couples reported condomless sex for a median of 1·0 years (IQR 0·4–2·9). During eligible couple-years of follow-up, couples reported condomless anal sex a total of 76 088 times. 288 (37%) of 777 HIV-negative men reported condomless sex with other partners. 15 new HIV infections occurred during eligible couple-years of follow-up, but none were phylogenetically linked within-couple transmissions, resulting in an HIV transmission rate of zero (upper 95% CI 0·23 per 100 couple-years of follow-up).

Interpretation

Our results provide a similar level of evidence on viral suppression and HIV transmission risk for gay men to that previously generated for heterosexual couples and suggest that the risk of HIV transmission in gay couples through condomless sex when HIV viral load is suppressed is effectively zero. Our findings support the message of the U=U (undetectable equals untransmittable) campaign, and the benefits of early testing and treatment for HIV.

 

Actions to support Lesbian, Gay, Bisexual, Trans and Gender Diverse, and Intersex elders

Australian Department of Health, February 2019

We know that LGBTI older people and elders are likely to have experienced violence, stigma and discrimination throughout their lives. As a result, they may be reluctant to disclose their identities or histories to aged care services and therefore remain isolated or invisible within both the aged care sector and the broader community. Combined with general stigmatisation and invisibility of LGBTI needs at large, this results in a lack of awareness of the unique needs of LGBTI elders and older people, including a lack of targeted services to support them. In addition, the fear of mistreatment or rejection from aged care providers can lead to LGBTI elders and older people delaying seeking care until their health deteriorates or a crisis occurs.

Many LGBTI elders and older people have lived through a time where identities were pathologised or criminalised, aversion therapies were encouraged, and non-consensual surgeries were routinely performed. As a result, many LGBTI older people have learned to conceal their sexual orientation, gender identity or intersex status in order to be safe, particularly when interacting with the health or social services sector. The fear and mistrust of these services in the past have led LGBTI elders and older people to be reluctant to utilise mainstream services, including aged care. Reliving past discrimination when encountering new forms of discrimination in the aged care
environment can lead to feelings of anxiety and/or depression.

The Action Plan is a resource that will assist aged care service providers to better understand how they can advocate for and support LGBTI elders and older people. By providing culturally safe and inclusive services, providers will build confidence amongst LGBTI elders and older people and their carers, families of choice (who may or may not include biological family) and allies that aged care services are available for them and they will be given the support and care they need as they age.

The Consumer Guide captures the voice of LGBTI peoples expressed through those consultations. It is intended both to help LGBTI peoples express their needs when speaking with aged care providers and as a resource to support people working in aged care to understand the perspectives of LGBTI peoples.