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  1. Home
  3. Progress Towards The Unaids 2030 Hiv Prevention Target In New South Wales, Australia: A Population-based Study.
  1. Home
  3. Progress Towards The Unaids 2030 Hiv Prevention Target In New South Wales, Australia: A Population-based Study.

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Progress towards the UNAIDS 2030 HIV prevention target in New South Wales, Australia: a population-based study.

Phillip Keen1, Steven J Nigro2, Curtis Chan1

  • 1The Kirby Institute, University of New South Wales, Sydney, NSW, Australia.

The Lancet Regional Health. Western Pacific
|April 25, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

New South Wales has seen a 56% reduction in new HIV infections among gay and bisexual men since 2010. Increased HIV testing and pre-exposure prophylaxis (PrEP) uptake in high-prevalence areas are key to reaching the 90% reduction target.

Keywords:
Gay and bisexual menHIV preventionHIV testingHIV treatmentPre-exposure prophylaxisUndetectable viral load

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Area of Science:

  • Epidemiology
  • Public Health
  • HIV Prevention

Background:

  • The UNAIDS 'Ending AIDS' strategy aims for a 90% reduction in new HIV infections by 2030.
  • Gay, bisexual, and other men who have sex with men (GBM) remain a key population for HIV prevention efforts.

Purpose of the Study:

  • To assess progress towards the 2030 HIV prevention targets in New South Wales (NSW), Australia.
  • To analyze trends in HIV notifications, testing, pre-exposure prophylaxis (PrEP) uptake, and viral load suppression among GBM.

Main Methods:

  • Utilized HIV notification data and community/clinic-based survey data from 2010 to 2022.
  • Focused on GBM, who constitute over three-quarters of new HIV diagnoses.
  • Analyzed trends by geographic prevalence of gay residents using postcode data and assessed significance with chi-square tests.

Main Results:

  • Statewide HIV notifications among GBM decreased by 56%.
  • Inner-Sydney areas with high gay populations saw an 88% decline, compared to 32% in low-prevalence areas.
  • HIV testing and PrEP uptake increased significantly, particularly in high-prevalence areas, with over 95% of GBM living with HIV achieving viral load suppression by 2022.

Conclusions:

  • Significant progress has been made in reducing new HIV infections among GBM in NSW.
  • Geographic disparities in prevention uptake and notification declines highlight the need for targeted interventions.
  • Achieving the 90% reduction target is feasible with widespread implementation of current prevention strategies.