FNM0702 prev CD

Barcelona Feedback: 

Barcelona Feedback Social Care and Client Perspectives

Barcelona Feedback: 

Barcelona Feedback Very little HIV prevention and social care research was presented at the conference which was new, relevant or transferable to the UK context.

Barcelona Feedback: 

Barcelona Feedback Prevalence, Treatment and Prevention There is a continued increase in prevalence, and therefore numbers. As such, current prioritisation mechanisms will need to continue to be developed for services. In the light of the continuing increase in the numbers of people with HIV, emphasis was placed efforts being directed towards both treatment and prevention rather than either/or.

Barcelona Feedback: 

Barcelona Feedback Treatment Access and Implications for the UK There may be a sustained delay in achieving significant improvements in treatment access in developing countries, with the potential for continuing increases in the number of HIV positive migrants presenting to UK services. Services for this group of people should continue to be a focus, and consideration should be given to which areas of the globe people are likely to present from in the near future; in particular, Eastern and Central Europe.

Barcelona Feedback: 

Barcelona Feedback Harm Reduction and Risk Reduction The differences between harm reduction and risk reduction approaches were evident at this conference as sharply as in Durban. Generally the US presentations continued to reflect risk elimination approaches, with the UK and Australia leading the way in harm reduction health promotion and social research. For many of those working in harm reduction models, social and behavioural research contributed little to the debate, as ‘unsafe’ behaviour remained undefined or failed to take into account issues such as sero-status of partners.

Barcelona Feedback: 

Barcelona Feedback Adherence issues were widely covered and the majority were medical in content and approach. The beginnings of a trend to reflect community based adherence work, much in resource poor settings, was evident. However even amongst these the models adopted were almost exclusively medical, with the emphasis on living for adherence, rather than adherence as a part of the well-being of PWHIV. There is a continued maintenance of improved health and quality of life for PWHIV. As such, current trends towards “normalisation” of HIV amongst recently diagnosed people, and amongst an increasing proportion of the HIV+ population are likely to continue. This may impact upon involvement and upon use of services and should be monitored.

Barcelona Feedback: 

Barcelona Feedback International evidence (inc. London, Sydney, Melbourne, Vancouver & Paris) was presented that concluded increases in high risk sexual behaviour in gay men cannot be attributed to treatment optimism . Material from Sigma Research suggests a shift amongst UK gay men to greater and more appropriate condom use, in contrast to broadly analogous research in the US and Australia suggesting no change or declining condom use amongst gay men. Several presentations on internet mediated sex noted that it is a common way of seeking sex, that is is associated with recent STI and high risk behaviour, and that the internet presents opportunities for prevention & health promotion work.

Barcelona Feedback: 

Barcelona Feedback Stigma and Discrimination There was a strong emphasis on stigma and discrimination. However, there was little hard data available on prevalence, type or impact of stigma. While this may be useful in altering the views of large international organisations, there were not many suggestions for constructive engagement to reduce the problems at local level and many of the presentations concerned stigma in the developing world .