Evidence map›Paper›PMID 39973019›Full record

ArticleHIV medicine2025

Associations between country of birth, migration status and engagement in HIV care among gay and bisexual men living with HIV in Australia, 2019-2022.

Simin Yu, James MacGibbon, Benjamin Bavinton, Anthony K J Smith, John Rule, Limin Mao, Timothy R Broady, Martin Holt

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in HIV medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Simin YuCentre for Social Research in Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0003-2910-8712
James MacGibbonCentre for Social Research in Health, University of New South Wales, Sydney, New South Wales, Australia.
Benjamin BavintonThe Kirby Institute, University of New South Wales, Sydney, New South Wales, Australia.
Anthony K J SmithCentre for Social Research in Health, University of New South Wales, Sydney, New South Wales, Australia.
John RuleNational Association of People with HIV Australia, Newton, New South Wales, Australia.
Limin MaoCentre for Social Research in Health, University of New South Wales, Sydney, New South Wales, Australia.
Timothy R BroadyCentre for Social Research in Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-4341-1868
Martin HoltCentre for Social Research in Health, University of New South Wales, Sydney, New South Wales, Australia.

Funding

Australian Government Department of HealthChina Scholarship Council (No. 202206370055)National Health and Medical Research Council (GNT2002625)state and territory health departments
6 · The paper itself

Abstract

backgroundIn the last decade, while HIV diagnoses have declined among Australian-born gay and bisexual men (GBM), they have declined much less among migrant GBM, with recently arrived GBM facing particular challenges, such as access to HIV treatment. This study assessed HIV care cascade (treatment) outcomes among GBM living with HIV in Australia by migration status.

methodsData were collected in national cross-sectional behavioural surveillance surveys during 2019-2022. HIV cascade outcomes were stratified by country of birth and length of residency in Australia, examining HIV clinical appointments in the previous year, being on antiretroviral treatment (ART) and achieving an undetectable viral load. Percentages were calculated with the previous cascade step as the corresponding denominator.

resultsBetween 2019 and 2022, 32 236 GBM completed surveys, including 2533 (7.9%) people living with HIV (PLWH). Among 2188 PLWH reporting migration/residency status, 72.2% were Australian-born, 13.3% were from high-income English-speaking countries, 13.0% were non-recently arrived migrant GBM from other countries and 1.5% were recently arrived in Australia (<2 years). Median ages for the four groups were 50, 51, 41 and 34 years, respectively. Recently arrived PLWH were the most likely to be recently diagnosed (<2 years, 15.2% vs. <5% in the other groups). The HIV cascade of care, treatment, and viral suppression differed by migration status (p < 0.001): Australian-born, 92.5%, 96.9% and 94.6%, respectively; born in high-income-English-speaking countries, 91.8%, 97.4%,9 8.9%; non-recently arrived, 93.7%, 95.1%, 96.8%; and recently-arrived, 90.9%, 90.0%, 100%. Recently-arrived PLWH were less likely to be on treatment, but all those on treatment achieved viral suppression.

conclusionsEngaging and supporting recently arrived PLWH in Australia to access ART and relinking PLWH disengaged from care remains crucial.

Indexed as

HIV InfectionsHomosexuality, MaleSexual and Gender MinoritiesTransients and MigrantsAdultAustraliaCross-Sectional StudiesHumansMaleMiddle AgedViral LoadYoung Adultgay and bisexual menHIV care cascademigrantpeople living with HIV

Identifiers

PMID39973019
PMCPMC12045150

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.