The Interaction Between Sexually Transmissible Infections And Human Immunodeficiency Virus Infection In Homosexual Men
Funder
National Health and Medical Research Council
Funding Amount
$635,931.00
Summary
This project examines the inter-relationship between HIV infection and sexually transmitted infections (STIs) in homosexual men. The overall goal of the projet is to inform the development of STI prevention and treatment strategies which may be important in reducing HIV incidence in this population. Homosexual men comprise over 80% of people diagnosed with HIV infecton in Australia, and in many developed nations are one of the largest groups affected by HIV. Rates of other STIs are also increase ....This project examines the inter-relationship between HIV infection and sexually transmitted infections (STIs) in homosexual men. The overall goal of the projet is to inform the development of STI prevention and treatment strategies which may be important in reducing HIV incidence in this population. Homosexual men comprise over 80% of people diagnosed with HIV infecton in Australia, and in many developed nations are one of the largest groups affected by HIV. Rates of other STIs are also increased in homosexual men. Currently, HIV rates are increasing in Australia and in many developed countries. We are in need of new and effective methods of HIV prevention. Data in heterosexuals suggest that where STIs are common, the early detection and treatment of these infections may help reduce HIV incidence. There are few data on this relationship in homosexual men. We propose to utilise an existing Sydney cohort of homosexual men to collect data on biologic tests for STIs, history of recent diagnosis of STIs, and symptoms, to allow a comprehensive description of the epidemiology of STIs and their overlap with HIV. The quality of data on the interaction between HIV and STIs in this cohort will be superior to any previously collected in homosexual men, as it will include data on self-reported doctor diagnosed illness, state of the art biologic testing, and symptom data, for the full spectrum of important STIs. The results of this study will be helpful in determining strategies for HIV and STI screening, education and control in the population which comprises the great majority of cases of HIV infection in Australia, and one of the largest risk groups for HIV infection in the developed world. Screening coupled with treatment of asymptomatic STIs may be an effective new approach to HIV prevention in this population.Read moreRead less
New Technologies To Reduce The Population Burden Of Sexually Transmitted Infections
Funder
National Health and Medical Research Council
Funding Amount
$772,605.00
Summary
I propose a five year program of public health research on the evaluation of innovative technologies to prevent sexually transmitted infections (STIs) and their adverse consequences in populations at highest risk; Aboriginal and Torres Strait Islander people, youth, men who have sex with men and people in high STI-burden resource-limited countries. My research over the next five years will lead to substantial improvements in the health of people at greatest risk of STIs.
Evaluating The Uptake And Impact Of The HIV/STI Prevention And Treatment Revolution
Funder
National Health and Medical Research Council
Funding Amount
$435,411.00
Summary
The aims of this ECF are to: a) assess the uptake and impact of new HIV prevention options; b) evaluate the effectiveness of antibiotic treatment for bacterial STIs; and c) determine risk factors of ill health caused by STIs. State-of-the-art methods will be applied for the design and analysis of various types of studies. All research will inform HIV/STI policy, prevention programs, and clinical practice – in Australia and abroad. Findings will be disseminated widely e.g. to policy makers.
Rapid Point-of-Care (POC) Tests For Sexually Transmitted Infections (STIs): Evaluation Of Accuracy, Acceptability And Impact In Australia And Papua New Guinea (PNG)
Funder
National Health and Medical Research Council
Funding Amount
$99,883.00
Summary
This research, composed of three studies, aims to evaluate rapid point-of-care tests for selected sexually transmitted infections (including syphilis, Chlamydia and gonorrhoea) to determine their accuracy and acceptability, their potential role in and impact on control of STIs in Papua New Guinea and remote settings in Australia.
Viral Load, HIV Treatment, And HIV Transmission In Serodiscordant Male Homosexual Couples
Funder
National Health and Medical Research Council
Funding Amount
$1,452,298.00
Summary
HIV treatment reduces the concentration of HIV in the body. In heterosexuals, current studies will determine the effectiveness of HIV treatment in preventing onwards HIV transmission. In contrast, there has been very little such research in homosexual men, who comprise 70% or more of people with HIV in Australia. This study will follow for four years over 200 male homosexual couples in which one is HIV positive and the other negative, to investigate the role of HIV treatment in HIV prevention.
The Second Australian Study Of Health And Relationships
Funder
National Health and Medical Research Council
Funding Amount
$1,637,477.00
Summary
The present proposal is for the Second Australian Study of Health and Relationships, a survey of 20,000 Australians aged 16–69, in 2011–12 in order to understand and document the changes in Australian sexual behaviour over the past decade. It is essential that policy and practice in the arena of sexual and reproductive health be evidence-based and that the evidence base be as current as is practicable.
Treatment Of Rectal Chlamydia Infection In Gay And Bisexual Men
Funder
National Health and Medical Research Council
Funding Amount
$64,713.00
Summary
Rectal chlamydia is very common in gay men; it can exist for long periods without symptoms leading to ongoing transmission. There are two choices for antibiotic treatment: azithromycin and doxycycline, but there is uncertainty about which is more effective. This research will determine which treatment is best and what the economic implications are. The findings will update treatment guidelines and ensure that the most effective treatment is used to prevent ongoing transmission.
Investigation Of Candidate Aetiologic Organisms Of Bacterial Vaginosis In Diverse And Unique Epidemiological And Clinical Studies
Funder
National Health and Medical Research Council
Funding Amount
$564,438.00
Summary
Bacterial vaginosis (BV), a vaginal infection affecting 10% of Australian women, is an important cause of premature birth, yet its cause is unknown. We are conducting studies to understand the cause of BV in order to improve diagnosis and treatment.