澳大利亚艾滋病防控取得进展，但地区不均衡问题待解

澳大利亚在艾滋病防治方面取得显著成果。在2016年至2025年间，该国HIV诊断总体下降28%，通报率从每10万人4例降至不足3例1。澳大利亚已达到联合国艾滋病规划署(UNAIDS)制定的95-95-95目标的初步水平：94%的患者已被确诊、95%的确诊者接受治疗、98%的患者病毒被有效抑制1。

然而，基里比研究所的分析揭示了防控进展的不均衡性。土著人民的HIV通报率为每10万人3.9例，是澳洲出生非土著人群的1.9倍1。澳洲出生的男同性恋者HIV诊断在此期间下降48%，而海外出生者仅下降18%，显示不同移民背景群体的感染控制水平存在差异1。此外，2025年三分之一的诊断被认为是"晚期"诊断，意味着患者在确诊前已无诊断地生活约四年1。

基里比研究所教授Andrew Grulich表示，城市外地区获得测试和PrEP(暴露前预防)的渠道需要改善1，强调了地区公平性改革的必要性。

Australia has achieved a significant milestone in its fight against HIV, with diagnoses declining 28 percent between 2016 and 2025, bringing the notification rate down from 4 cases per 100,000 people to fewer than 3 1. The country has reached preliminary alignment with the UNAIDS 95-95-95 targets, achieving 94 percent diagnosis, 95 percent treatment uptake, and 98 percent viral suppression among those living with HIV 1.

However, this progress masks substantial inequalities across different populations. Indigenous Australians experience an HIV notification rate of 3.9 cases per 100,000 people, nearly double that of non-indigenous Australian-born populations 1. The divide is also evident among gay men: while Australian-born men who have sex with men saw diagnoses drop 48 percent over the decade, overseas-born men in this group experienced only an 18 percent decrease 1. Additionally, approximately one-third of 2025 diagnoses are classified as "late," indicating patients had lived undiagnosed for roughly four years 1. According to Kirby Institute Professor Andrew Grulich, "access to testing and PrEP outside major cities needs to be improved" 1, underscoring the geographic barriers to prevention and early detection in rural and remote areas.