Abstract
An enabling legal environment is essential for an effective HIV response. Using legal administrative data from the HIV/AIDS Legal Centre (HALC), Australia’s specialist HIV community legal service, this article characterizes the nature and trends in the legal issues and needs of those with HIV-related legal issues in New South Wales, Australia since 1992. At present, approximately 40% of all PLHIV living in NSW receive a legal service from HALC during the most recent five-year period. Clients received legal services relating to immigration law at a greatly increased rate (2010: 36%; 2019: 53%), discrimination matters decreased (2010: 17%; 2019: 5.9%), wills and estates remained steady (2010: 9%; 2019: 8.3%). Most clients identify as male (76.9%), homosexual (55%) and are aged between 35 and 49 years of age (34.6%). This demographic profile of clients changed over time, becoming younger and more likely to have been born overseas, and increasingly identifying as heterosexual.
Similar content being viewed by others
References
Tobin-Tyler E, Teitelbaum JB. Medical-legal partnership: a powerful tool for public health and health justice. Public Health Rep. 2019;134:201–5.
Burris S, Hitchcock L, Ibrahim J, Penn M, Ramanathan T. Policy surveillance: a vital public health practice comes of age. J Health Polit Policy Law. 2016;41:1151–73.
Burris S, Ashe M, Levin D, Penn M, Larkin M. A Transdisciplinary Approach to Public Health Law: the emerging practice of legal epidemiology. Annu Rev Public Health. 2016;37:135–48.
Murphy E, Shwe YY, Bhatia R, Bakkali T, Vannakit R. What will it take to end AIDS in Asia and the Pacific region by 2030? Sex Health. 2021;18:41–9.
Hart L, Horton R. Syndemics: committing to a healthier future. The Lancet. 2017;10072:888–9.
Muñoz-Laboy M, Martinez O, Davison R, Fernandez I. Examining the impact of medical legal partnerships in improving outcomes on the HIV care continuum: rationale, design and methods. BMC Health Serv Res. 2019;19:849.
Thompson BL, Cloud LK, Gable L. Advancing legal epidemiology: an introduction. J Public Health Manage Practice: JPHMP. 2020;26:1.
Carter DJ, Riley B, Evans R, Rahmani A, Vogl A, Stratigos A, et al. The legal needs of people living with a sexually transmissible infection or blood-borne virus: perspectives from a sample of the Australian Sexual health and blood borne virus workforce. J Law Med. 2023;30(3):706–15
Miyashita A, Hasenbush A, Wilson BD, Meyer I, Nezhad S, Sears B. The Legal Needs of People Living with HIV: Evaluating Access to Justice in Los Angeles [Internet]. The Williams Institute, UCLA School of Law; 2015 Apr. Available from: https://escholarship.org/uc/item/3jz0c081.
Coumarelos C, Macourt D, People J, McDonald HM, Wei Z, Iriana R, et al. Legal Australia-wide survey: legal need in Australia. Law and Justice Foundation; 2012.
Department of Health, Commonwealth of Australia. Eigth National HIV Strategy 2018–2022. Canberra, ACT.: Department of Health, Commonwealth of Australia; 2018. pp. 1–40.
The Kirby Institute for Infection and Immunity in Society (The Kirby Institute). HIV, viral Hepatitis and sexually transmissible Infections in Australia Annual Surveillance Report 2018. UNSW Sydney: The Kirby Institute; 2018. p. 218.
King J, McManus H, Kwon A, Gray R, McGregor S, HIV. Viral Hepatitis and Sexually Transmissible Infections in Australia: Annual Surveillance Report 2022 [Internet]. The Kirby Institute, UNSW Sydney, Sydney, Australia; 2022. Available from: http://handle.unsw.edu.au/1959.4/unsworks_81131.
Gostin LO, Monahan JT, Kaldor J, DeBartolo M, Friedman EA, Gottschalk K, et al. The legal determinants of health: harnessing the power of law for global health and sustainable development. The Lancet. 2019;393:1857–910.
Thomson M. Legal determinants of Health. Med Law Rev. 2022;30:610–34.
Coggon J, Kamunge-Kpodo B. The legal determinants of health (in) justice. Med Law Rev. 2022;30:705–23.
Ramanathan T, Hulkower R, Holbrook J, Penn M. Legal epidemiology: the Science of Law. J Law Med Ethics. 2017;45:69–72.
Department of Community Services and Health, Commonwealth of Australia, editor. National HIV/AIDS strategy: a policy information paper. Canberra: Australian Government Publication Service; 1989.
AIDS. : a time to care, a time to act. 1988 [cited 2019 Apr 26]; Available from: https://apo.org.au/node/38059.
Ferguson L, Nicholson A, Henry I, Saha A, Sellers T, Gruskin S. Assessing changes in HIV-related legal and policy environments: lessons learned from a multi-country evaluation. PLoS ONE. 2018;13:e0192765.
Joint United Nations Programme on HIV/AIDS (UNAIDS, United Nations Development Programme, Bangkok Regional Hub (BRH). Creating enabling legal environments: conducting national reviews and multi-sectoral consultations on legal and policy barriers to HIV services. 2014; Available from: https://www.undp.org/asia-pacific.
Campbell JC, Baty ML, Ghandour RM, Stockman JK, Francisco L, Wagman J. The intersection of intimate partner Violence against women and HIV/AIDS: a review. Int J Injury Control Saf Promotion. 2008;15:221–31.
Carter DJ. Transmission of HIV and the criminal law: examining the impact of pre-exposure prophylaxis and treatment-as-prevention. Melbourne Univ Law Rev. 2020;43:937–86.
Acknowledgements
The authors are solely responsible for the views expressed in this study and do not necessarily represent the views, decisions, or policies of the funders or any institutions with which they are affiliated. We thank the people living with HIV who were involved in the research described in this study. We would also like to thank Dr. Vicky Vallas for providing editorial assistance and Katrina Mathieson for her Research Assistance. This study was supported by funding from the NHMRC (Grant ID 1156520), the Australian Government through a STI and BBV Research Grant and the University of Technology Sydney through a Cross-Faculty Grant. The contents are solely the responsibility of the individual authors and do not reflect the views of the funding bodies.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing Interests
DC is a member of the HIV/AIDS Legal Centre and an elected member of its governing body (board). He is the Chief Investigator of a grant awarded by the University of Technology Sydney to support this research, and Lead Chief Investigator of the Health + Law Research Partnership, which is supported by a STI and BBV Research Grant awarded by the Australian Government. AS and RE are or were employees of the HIV/AIDS Legal Centre.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Carter, D.J., Rahmani, A., Evans, R. et al. HIV-related Legal Needs, Demographic Change, and Trends in Australia since 1992: A Review of Legal Administrative Data. AIDS Behav 28, 574–582 (2024). https://doi.org/10.1007/s10461-023-04245-3
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10461-023-04245-3