Aboriginal and Torres Strait Islander People
- Higher rates of sexually transmitted infections and blood borne viruses occur among Aboriginal and Torres Strait Islander people, particularly in remote and very remote communities.
- Importantly this difference is not due to differing patterns of sexual behaviour and condom use but rather complex social factors including poverty, lack of access to health services, incarceration and intergenerational trauma.
- People who live in urban settings and who have a connection to higher prevalence remote communities with poorer access to health care, are also at an increased risk of infection.
- Trichomoniasis is endemic in some Aboriginal and Torres Strait Islander populations in regional/remote areas and people should be tested according to local guidelines.
- Although rates of human immunodeficiency virus (HIV) are similar to the non-Indigenous population, a recent diverging trend in HIV rates, high rates of untreated STIs enhancing HIV transmission, and greater difficulties in access to HIV treatment make this group potentially more vulnerable to HIV.