Rising HIV Diagnoses: What’s Behind the Shift in Fiji’s Gender Ratio?

Recent statistics from Fiji’s Ministry of Health indicate an increase in HIV diagnoses among men. This trend has led health officials to examine the factors contributing to the notable imbalance, as explained by Dr. Rachel Devi, head of family health within the ministry.

Historically, the ratio of HIV diagnoses between men and women in Fiji was nearly equal, with close to a 50-50 distribution prior to the last three years. However, the recent rise in male cases has sparked inquiries into possible changes in behavior and testing habits.

Dr. Devi noted that in recent years, the demographic has shifted to approximately 70 percent men and 30 percent women among those diagnosed. She suggests that this might indicate an increase in bisexual males or a greater number of men engaging in same-sex activities, as well as possibly more men participating in HIV testing.

On the other hand, the testing practices for women, particularly during pregnancy, have kept female diagnosis numbers steady. Dr. Devi mentioned that around 20,000 women are tested for HIV annually as part of routine antenatal care, which likely plays a role in maintaining stable rates for female diagnoses.

The ministry acknowledges the necessity for additional research to comprehend this change in gender diagnosis patterns. Dr. Devi expressed concern about the implications of these findings, emphasizing the need for further investigation and advocacy in this area.

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