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Impact and effectiveness of U=U on HIV in Australia

This project uses a simple analysis to calculate the impact and cost-effectiveness of early initiation of antiretroviral therapy (ART) to achieve undetectable viral load and untransmissable HIV (U=U) which is also known as treatment-as-prevention (TasP).

DOI

All calculations are primarily conducted using R (version 4.2.2) with associated packages (svglite 2.1.0; captioner 2.2.3; cowplot 1.1.1; scales 1.2.0; forcats 0.5.1; stringr 1.4.0; dplyr 1.0.9; purrr; 0.3.4; readr 2.1.2; tidyr 1.2.0; tibble 3.1.8; ggplot2 3.3.6; tidyverse 1.3.2).

Repository owner: Richard T. Gray; github/leftygray; orcid.org/0000-0002-2885-0483

Affiliation: The Kirby Institute, UNSW Sydney, Sydney NSW 2052, Australia

For any inquiries, please contact Rgray@kirby.unsw.edu.au or flag an issue. The code will be updated as required to correct issues or do further analyses. Please check for updated versions periodically.

Code summary and manuscript

The code for the project calculations has been incorporated into a Quarto (version 1.3.326) markdown document Impact_Tasp_Australia-skeleton.qmd. This document forms a skeleton manuscript for submission to peer-reviewed journals and is in some ways a preprint. All the materials required to run the markdown script to reproduce the manuscript results and figures are included in this repository including the references and CSL file.

Cleaned data inputs used for the calculations and the final results are available in the output directory. The script reads in two .csv input files and saves all the script variables and calculation results in three dated .Rda files. Summary results and figures are saved in the outputs\figures directory with dated file names with the date corresponding to the input files.

Publication

This project resulted in the following publication:

  • Richard T. Gray. “Impact of Increased Antiretroviral Therapy Use during the Treatment as Prevention Era in Australia.” Sexual Health 20, no. 3 (July 3, 2023): 202–10. https://doi.org/10.1071/SH23088.

Disclaimer

This code has been made publicly available for transparency and replication purposes. We take no responsibility for results generated with the code and their interpretation but are happy to assist with its use and application.