Academic Journal

Frequency and predictors of estimated HIV transmissions and bacterial STI acquisition among HIV‐positive patients in HIV care across three continents

التفاصيل البيبلوغرافية
العنوان: Frequency and predictors of estimated HIV transmissions and bacterial STI acquisition among HIV‐positive patients in HIV care across three continents
المؤلفون: Steven A Safren, James P Hughes, Matthew J Mimiaga, Ayana T Moore, Ruth Khalili Friedman, Kriengkrai Srithanaviboonchai, Mohammed Limbada, Brian D Williamson, Vanessa Elharrar, Vanessa Cummings, Jessica F Magidson, Charlotte A Gaydos, David D Celentano, Kenneth H Mayer, for the HPTN063 Study Team
المصدر: Journal of the International AIDS Society, Vol 19, Iss 1, Pp n/a-n/a (2016)
بيانات النشر: Wiley, 2016.
سنة النشر: 2016
المجموعة: LCC:Immunologic diseases. Allergy
مصطلحات موضوعية: treatment as prevention, secondary prevention, MSM, global HIV prevention, global HIV transmission, Immunologic diseases. Allergy, RC581-607
الوصف: Introduction Successful global treatment as prevention (TasP) requires identifying HIV‐positive individuals at high risk for transmitting HIV, and having impact via potential infections averted. This study estimated the frequency and predictors of numbers of HIV transmissions and bacterial sexually transmitted infection (STI) acquisition among sexually active HIV‐positive individuals in care from three representative global settings. Methods HIV‐positive individuals (n=749), including heterosexual men, heterosexual women and men who have sex with men (MSM) in HIV care, were recruited from Chiang Mai (Thailand), Rio De Janeiro (Brazil) and Lusaka (Zambia). Participants were assessed on HIV and STI sexual transmission risk variables, psychosocial characteristics and bacterial STIs at enrolment and quarterly for 12 months (covering 15 months). Estimated numbers of HIV transmissions per person were calculated using reported numbers of partners and sex acts together with estimates of HIV transmissibility, accounting for ART treatment and condom use. Results An estimated 3.81 (standard error, (SE)=0.63) HIV transmissions occurred for every 100 participants over the 15 months, which decreased over time. The highest rate was 19.50 (SE=1.68) for every 100 MSM in Brazil. In a multivariable model, country×risk group interactions emerged: in Brazil, MSM had 2.85 (95% CI=1.45, 4.25, p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1758-2652
Relation: https://doaj.org/toc/1758-2652
DOI: 10.7448/IAS.19.1.21096
URL الوصول: https://doaj.org/article/87411ed8e4be4317a01e295876b581a5
رقم الانضمام: edsdoj.87411ed8e4be4317a01e295876b581a5
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:17582652
DOI:10.7448/IAS.19.1.21096