Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/10732
Title: Examining and identifying trends in syphilis notifications in northern NSW: What is involved for rural clients accessing services for sexually transmitted infections (STIs)?
Contributor(s): Fisher, Karin Anne (author); Jamieson, Maggie (author); Hussain, Rafat (author); Minichiello, Victor (author)
Publication Date: 2005
Handle Link: https://hdl.handle.net/1959.11/10732
Abstract: This research aims to improve understanding and surveillance of syphilis in rural and remote communities in Northern NSW. While simultaneously, examining the factors involved and the experiences of people with an STI in accessing health care. Preliminary findings will be discussed which includes the difficulties and issues related to research in rural areas. Syphilis notifications over a ten year period from 1994 to 2004 in Northern NSW were extracted from NSW Health Notifiable Diseases Database for the geographic area covered by the Hunter New England Area Health Service, Northern Area. This study uses the Index of Relative Socioeconomic Disadvantage developed by the Australian Bureau of Statistics. The sample consisted of 254 notifications for the Hunter New England Northern Area over the 10 year period. Preliminary results show that notifications were highest in the most disadvantaged areas with high levels of advantage associated with lower numbers of notifications for syphilis <1 year duration. Reported rates of syphilis declined from 1996 until 2001 when the trend began to reverse. People aged between 15-29 years had a prevalence proportion of 5.2 per 1,000 population compared to 0.8 for those over the age of 30 years. The reported rate of infection is higher among women than men. Questions raised from this analysis will be explored in further detail in in-depth interviews with approx 40-60 people. The study reveals there a number of differentials in the notification of syphilis. The implications of this study for policy and practice highlights that people under the age of 30 years and those from disadvantaged areas require extra targeting to reduce syphilis infection. In addition, the challenge of research in rural areas, coupled with hidden nature of STIs and the isolated and scattered nature of the population with STIs in rural areas make access to people for research purposes complex.
Publication Type: Conference Publication
Conference Name: ASHM 2005: 17th Annual Conference of the Australasian Society for HIV Medicine, Hobart, Australia, 24th - 27th August, 2005
Source of Publication: ASHM 2005 Hobart Conference Handbook and Abstracts, p. 166-166
Publisher: Australasian Society for HIV Medicine (ASHM)
Place of Publication: Darlinghurst, NSW, Australia
Field of Research (FOR): 111799 Public Health and Health Services not elsewhere classified
HERDC Category Description: E3 Extract of Scholarly Conference Publication
Other Links: http://www.ashm.org.au/images/conference_division/conf-handbook-2005.pdf
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School of Rural Medicine

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