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Cen P, Xu G, Wu J, Qin J, He J, Deng X, Yang X, Lu P, Nong M, Jiang J, Ye L, Tang H, Liang B, Liang H. Effectiveness of human immunodeficiency virus prevention strategies by mapping the geographic dispersion pattern of human immunodeficiency virus prevalence in Nanning, China. BMC Public Health 2024; 24:831. [PMID: 38493080 PMCID: PMC10944615 DOI: 10.1186/s12889-024-18345-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Accepted: 03/12/2024] [Indexed: 03/18/2024] Open
Abstract
BACKGROUND The Guangxi government initiated two rounds of the Guangxi AIDS Conquering Project (GACP) in 2010 (Phase I) and 2015 (Phase II) to control human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) epidemics. However, the effectiveness of GACP in HIV prevention and treatment has rarely been reported. This study aimed to assess the effectiveness of the GACP implemented in Guangxi, China and provide data for strategy and praxis improvements to achieve Joint United Nations Programme on HIV/AIDS (UNAIDS) 95-95 targets. METHODS We used spatial approaches to trace the spatiotemporal distribution properties, epidemic trends, and correlation between macroscopic factors and HIV incidence using data from the Chinese HIV/AIDS case reporting system to explore the effects of the GACP. RESULTS During the GACP era, the HIV epidemic stabilized in urban centers, showing a downward trend in the Hengzhou and Binyang Counties in the eastern region, whereas it continued to increase in rural areas of the northwest region, such as the Long'an, Mashan, Shanglin, and Wuming Districts. The linear directional mean (LDM) of HIV infection reported cases displayed a southeast-northwest direction, with an LDM value of 12.52°. Compared with that in Phase I, Hengzhou withdrew from the high-high clustering area, and the west-north suburban counties pulled out the low-low clustering area during Phase II. Significant HIV clusters were identified in the eastern region during Phase I, whereas these clusters emerged in the northwestern areas during Phase II. Regarding HIV, socioeconomic status, population mobility, and medical care levels were the key social drivers of heterogeneous spatial distribution. CONCLUSIONS The GACP assisted in effectively managing the HIV epidemic in urban and eastern areas of Nanning City. However, prevention and control efforts in rural regions, particularly those located in the northwest, may not have yielded comparable outcomes. To address this disparity, allocating additional resources and implementing tailored intervention measures for these rural areas are imperative.
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Affiliation(s)
- Ping Cen
- Nanning Center for Disease Control and Prevention, Nanning, 530023, Guangxi, China
- Guangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical University, Nanning, 530021, Guangxi, China
- Collaborative Innovation Centre of Regenerative Medicine and Medical BioResource Development and Application Co-constructed by the Province and Ministry, Life Science Institute, Guangxi Medical University, Nanning, 530021, Guangxi, China
| | - Guo Xu
- Nanning Survey and Design Institute Group Co., Ltd., Nanning, 530022, Guangxi, China
| | - Jianxun Wu
- Nanning Survey and Design Institute Group Co., Ltd., Nanning, 530022, Guangxi, China
| | - Jiao Qin
- Guangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical University, Nanning, 530021, Guangxi, China
| | - Jinfeng He
- Guangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical University, Nanning, 530021, Guangxi, China
| | - Xiaofang Deng
- Nanning Center for Disease Control and Prevention, Nanning, 530023, Guangxi, China
| | - Xi Yang
- Nanning Center for Disease Control and Prevention, Nanning, 530023, Guangxi, China
| | - Peng Lu
- Nanning Survey and Design Institute Group Co., Ltd., Nanning, 530022, Guangxi, China
| | - Mengni Nong
- Nanning Center for Disease Control and Prevention, Nanning, 530023, Guangxi, China
| | - Junjun Jiang
- Guangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical University, Nanning, 530021, Guangxi, China
- Collaborative Innovation Centre of Regenerative Medicine and Medical BioResource Development and Application Co-constructed by the Province and Ministry, Life Science Institute, Guangxi Medical University, Nanning, 530021, Guangxi, China
| | - Li Ye
- Guangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical University, Nanning, 530021, Guangxi, China
- Collaborative Innovation Centre of Regenerative Medicine and Medical BioResource Development and Application Co-constructed by the Province and Ministry, Life Science Institute, Guangxi Medical University, Nanning, 530021, Guangxi, China
| | - Hongyang Tang
- Nanning Center for Disease Control and Prevention, Nanning, 530023, Guangxi, China.
| | - Bingyu Liang
- Guangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical University, Nanning, 530021, Guangxi, China.
- Collaborative Innovation Centre of Regenerative Medicine and Medical BioResource Development and Application Co-constructed by the Province and Ministry, Life Science Institute, Guangxi Medical University, Nanning, 530021, Guangxi, China.
| | - Hao Liang
- Guangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical University, Nanning, 530021, Guangxi, China.
- Collaborative Innovation Centre of Regenerative Medicine and Medical BioResource Development and Application Co-constructed by the Province and Ministry, Life Science Institute, Guangxi Medical University, Nanning, 530021, Guangxi, China.
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Di Ciaccio M, Lorente N, Villes V, Maxence AA, Vargas Pelaez CM, Guillen JR, Castillo I, Folch C, Diagne R, Riegel L, Delabre RM, Rojas Castro D. Resilience outcomes and associated factors among workers in community-based HIV care centres during the Covid-19 pandemic: A multi-country analysis from the EPIC program. HEALTH POLICY OPEN 2023; 5:100105. [PMID: 38034471 PMCID: PMC10681915 DOI: 10.1016/j.hpopen.2023.100105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 10/20/2023] [Accepted: 10/28/2023] [Indexed: 12/02/2023] Open
Abstract
Introduction Community health workers (CHW) were integral in the COVID-19 response, particularly concerning services for populations vulnerable to HIV. Little is known regarding the mental health of CHW during the COVID-19 crisis. The objective of this study was to study resilience of CHW working in HIV non-governmental organizations. Methods An anonymous online, cross-sectional questionnaire was implemented during 2021 among CHW in Benin, Colombia, Guatemala, and Spain. Three scales were used to assess mental health: the 6-item Brief-Resilience Scale, the 9-item Patient Scale Questionnaire and the 7-item Generalized-Anxiety-Disorder scale. Logistic regression models were used to identify factors associated with "low" resilience vs "normal" or "high" resilience. Results Among 295 respondents, the median standardized resilience score was 58.33 (IQR = [50.0-75.0], n = 267), 18.52 (IQR = [7.4-33.3], n = 282) for standardized depression score and 19.05 (IQR = [4.8-33.3], n = 274) for standardized anxiety score. Standardized resilience score was negatively correlated with standardized anxiety score (rho = -0.49, p < 0.001, n = 266) and standardized depression score (rho = -0.44, p < 0.001, n = 267). Conclusions Normal or high level of resiliency in the HIV CHW were observed during the COVID-19 crisis. Self-efficacy, through COVID-19 prevention training, was a factor associated with resilience. Health policy must place CHW at the core of the healthcare system response to Covid-19 and to future health emergencies, as they ensure continuity of care for many diseases including HIV among vulnerable populations.
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Affiliation(s)
| | - Nicolas Lorente
- Community-based Research Laboratory, Coalition PLUS, Pantin, France
- Centre Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT) Departament de Salut, Generalitat de Catalunya, Spain
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Virginie Villes
- Community-based Research Laboratory, Coalition PLUS, Pantin, France
| | | | | | | | | | - Cinta Folch
- Centre Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT) Departament de Salut, Generalitat de Catalunya, Spain
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Rokhaya Diagne
- Community-based Research Laboratory, Coalition PLUS, Pantin, France
| | - Lucas Riegel
- Community-based Research Laboratory, Coalition PLUS, Pantin, France
| | | | - Daniela Rojas Castro
- Community-based Research Laboratory, Coalition PLUS, Pantin, France
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l’Information Médicale, ISSPAM, Marseille, France
| | - the EPIC study group
- Community-based Research Laboratory, Coalition PLUS, Pantin, France
- Centre Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT) Departament de Salut, Generalitat de Catalunya, Spain
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain
- Bénin Synergie Plus, Bénin
- FUNDACIÓN IFARMA, Colombia
- Red Somos, Colombie
- CAS, Guatemala
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l’Information Médicale, ISSPAM, Marseille, France
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Trindade LDNM, Nogueira LMV, Rodrigues ILA, Guimarães RJDPSE, Souza MHDN. Human immunodeficiency virus infection in pregnant women and its correlation with socioeconomic determinants. Rev Esc Enferm USP 2023; 57:e20220321. [PMID: 37997877 PMCID: PMC10672042 DOI: 10.1590/1980-220x-reeusp-2022-0321en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 09/28/2023] [Indexed: 11/25/2023] Open
Abstract
OBJECTIVE To analyze the spatial pattern of human immunodeficiency virus infection in pregnant women and its correlation with socioeconomic determinants. METHOD Ecological study, carried out with cases of human immunodeficiency virus infection in pregnant women in the state of Pará, Brazil, from 2010 to 2017. Rate analysis was performed using the empirical Bayesian method and univariate local Moran. Bivariate analyses were used to examine the correlation between infection and socioeconomic determinants. RESULTS High rates of infection were observed in municipalities in the mesoregions of Southeast of Pará and Metropolitan area of Belém. A significant spatial correlation was found between human immunodeficiency virus infection rates in pregnant women and human development index indicators (I = 0.2836; p < 0.05), average income (I = 0.6303; p < 0.05), and illiteracy rate (I = 0.4604; p < 0.05). CONCLUSION The spatial pattern of human immunodeficiency virus infection in pregnant women correlated to socioeconomic determinants highlights the need to restructure public policies for the control and prevention of AIDS virus that take into account the socioeconomic factors of this specific population and locoregional disparities in Pará.
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Affiliation(s)
| | - Laura Maria Vidal Nogueira
- Universidade do Estado do Pará, Escola de Enfermagem Magalhães Barata, Departamento de Enfermagem Comunitária, Belém, PA, Brazil
| | - Ivaneide Leal Ataíde Rodrigues
- Universidade do Estado do Pará, Escola de Enfermagem Magalhães Barata, Departamento de Enfermagem Comunitária, Belém, PA, Brazil
| | | | - Maria Helena do Nascimento Souza
- Universidade Federal do Rio de Janeiro, Escola de Enfermagem Anna Nery, Departamento de Enfermagem e Saúde Pública, Rio de Janeiro, RJ, Brazil
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Cardona-Arias JA, Narváez Moreno NN, Higuita-Gutiérrez LF. HIV in Three Groups of Young People from Medellín: General Population, Organizations for People with Socioeconomic Vulnerability, and Men Who Have Sex with Other Men. HIV AIDS (Auckl) 2023; 15:641-648. [PMID: 37933247 PMCID: PMC10625778 DOI: 10.2147/hiv.s434036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Accepted: 09/29/2023] [Indexed: 11/08/2023] Open
Abstract
Introduction In Colombia, there are no studies that analyze the effect of socioeconomic vulnerability and belonging to the group of men who have sex with other men (MSM) on the prevalence of HIV in young people. Objective To compare the prevalence of HIV in three groups of young people from Medellín-Colombia: general population, socioeconomic vulnerability and MSM. Methods This cross-sectional analytical study included 2449 young people from the general population, 1736 from institutions that serve young people in situations of socioeconomic vulnerability, and 2269 MSM. The prevalence of infection in each group was determined, statistical differences were identified using Pearson's Chi-square and Trend's Chi-square, and crude and adjusted odds ratios were estimated using logistic regression with 95% confidence intervals. Analyses were performed in SPSS 29.0. Results HIV prevalence was 0.8% in the general population group, 1.3% in young people with socioeconomic vulnerability, and 5.6% in MSM. The groups with the highest HIV were as follows: (i) in MSM it was 4.1 compared to the general population, (ii) between 25-28 years of age it was 2.9 times compared to those under 20 years, (iii) in men it was 10 times that registered in women, (iv) in young people with primary, secondary, technical and university studies it was 7.1; 6.7; 11.0 and 14.5 times that found in those who did not register studies, (v) in affiliates of the subsidized health regime it was 2.2 times and in those without affiliation 2.4 times compared to the infection in affiliates of the contributory health regime. Conclusion HIV prevalence was high, and explained by socioeconomic vulnerability, having sex between men, gender, age, education, and health affiliation, demonstrating the intersectionality of determinants of the health system, socioeconomic status, and determinants individuals in the occurrence of HIV in young people in Medellín.
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Affiliation(s)
| | | | - Luis Felipe Higuita-Gutiérrez
- Escuela de Microbiología, Universidad de Antioquia, Medellín, Antioquia, Colombia
- Facultad de Medicina, Universidad Cooperativa de Colombia, Medellín, Antioquia, Colombia
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Rojas-Gulloso A, Sánchez-Lerma L, Montilla M, Morales-Pulecio F, Sarmiento-Rudolf E, Tapia-Reales R. Infectious diseases in migrant pregnant women from an area of the Colombian Caribbean. Travel Med Infect Dis 2023; 55:102629. [PMID: 37586652 DOI: 10.1016/j.tmaid.2023.102629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Revised: 08/01/2023] [Accepted: 08/08/2023] [Indexed: 08/18/2023]
Abstract
INTRODUCTION Human migration is an activity that affects society in economic and political aspects and as a social determinant because of its differential impact on individual's health. OBJECTIVE To describe the situation of health and infectious diseases of vertical transmission risk in migrant pregnant women from an area of the Colombian Caribbean from 2019 to 2021. METHODS A descriptive cross-sectional study was carried out on pregnant irregular migrants in the Riohacha and Santa Marta municipalities in Colombia. Hemogram, uranalysis, toxoplasma, FTA-ABS, VDRL, rubella, hepatitis B, HIV (TORCHs), vaginal swab, basal glycemia, and transaminases, among other paraclinical tests, were done on pregnant women. Data was arranged, tabulated, and analyzed in SPSS v.23.0. A descriptive statistical analysis with measures of central tendency and dispersion for quantitative variables, and proportions analysis was done for qualitative variables. RESULTS A total of 555 clinical records were analyzed. Of the infectious agents with a risk of vertical transmission, syphilis was the most frequent with 3.6%. Regarding toxoplasmosis, 2.5% were IgM-positive. 4.2% of the pregnant women had IgG antibodies against Rubella and 2 women showed antibodies against HIV. CONCLUSIONS Our results reflect the need for the implementation of educational, prevention, and detection health programs with the aim to decrease the number of prenatal infections in the pregnant migrant population for preventing fatal complications both in mothers and newborns.
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Affiliation(s)
- A Rojas-Gulloso
- Grupo de Investigación de Ciencias y Pedagogía, Facultad de Medicina, Universidad Cooperativa de Colombia, Santa Marta, Magdalena, Colombia.
| | - L Sánchez-Lerma
- Grupo de Investigación de Villavicencio-GRIVI, Facultad de Medicina, Universidad Cooperativa de Colombia, Villavicencio, Meta, Colombia
| | - Marcela Montilla
- Grupo de Investigación de Villavicencio-GRIVI, Facultad de Medicina, Universidad Cooperativa de Colombia, Villavicencio, Meta, Colombia
| | - F Morales-Pulecio
- Malteser International America, agencia de ayuda humanitaria de la orden de Malta, Riohacha, La Guajira, Colombia
| | - E Sarmiento-Rudolf
- Malteser International America, agencia de ayuda humanitaria de la orden de Malta, Riohacha, La Guajira, Colombia
| | - Ricardo Tapia-Reales
- Malteser International America, agencia de ayuda humanitaria de la orden de Malta, Riohacha, La Guajira, Colombia
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Bezerra ALL, de Almeida PRB, Reis RK, Ferreira GRON, Sousa FDJDD, Gir E, Botelho EP. Human immunodeficiency virus epidemic scenery among brazilian women: a spatial analysis study. BMC Womens Health 2023; 23:463. [PMID: 37658362 PMCID: PMC10474736 DOI: 10.1186/s12905-023-02616-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 08/24/2023] [Indexed: 09/03/2023] Open
Abstract
BACKGROUND Approximately 37.7 million people worldwide are infected with human immunodeficiency virus (HIV). Although HIV detection among women, they still representing 53% of population living with the virus. Spatial analysis techniques are powerful tools for combating HIV allowing the association of the phenomenon with socioeconomic and political factors. Therefore, the main goal of this study was to spatially analyze HIV prevalence among Brazilian women from 2007 to 2020. METHODS ecological study was conducted using secondary databases of the Notifiable Diseases Information System (SINAN) for HIV and Acquired Immunodeficiency Syndrom (AIDS) in Brazilian women 15 years old and over. Age-adjusted HIV/AIDS incidence rates were analyzed using spatial distribution, autocorrelation, and spatiotemporal risk analysis techniques. RESULTS During the study period, 119,890 cases of HIV/AIDS were reported among Brazilian women. The southeastern region had a higher age-adjusted HIV/AIDS incidence than other Brazilian regions. Hotspot HIV/AIDS incidence rates decreased in all Brazil. Piauí, Paraná, and Minas Gerais were the only states with an increased number of cold spots. Previous spatiotemporal risk zones were observed in the states of São Paulo, Rio Grande do Sul, and Rio de Janeiro. Belém was a risk zone with a later spatiotemporal risk. CONCLUSIONS The efficiency of public policies fighting HIV has not been uniform among municipalities, although HIV/AIDS cases have decreased among Brazilian women. The social determinants of health in each municipality should be considered when local health authorities implement policies. Women empowerment should be promoted, and access to preventive, diagnostic, and treatment healthcare places should be expanded and guaranteed.
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Affiliation(s)
- Ana Luisa Lemos Bezerra
- Nursing Graduate Program, Universidade Federal do Pará, Rua Augusto Correia, 01 - Setor Saúde, Guamá - Belém, Pará, 66075-110, Brazil
| | - Paula Regina Barbosa de Almeida
- Nursing Graduate Program, Universidade Federal do Pará, Rua Augusto Correia, 01 - Setor Saúde, Guamá - Belém, Pará, 66075-110, Brazil
| | - Renata Karina Reis
- Escola de Enfermagem de Ribeirão Preto. Graduate Program in Fundamental Nursing, Universidade de São Paulo, Av.Bandeirantes, Ribeirão Preto, 3900, 14040-902, SP, Brazil
| | | | - Fabianne de Jesus Dias de Sousa
- Nursing Graduate Program, Universidade Federal do Pará, Rua Augusto Correia, 01 - Setor Saúde, Guamá - Belém, Pará, 66075-110, Brazil
| | - Elucir Gir
- Escola de Enfermagem de Ribeirão Preto. Graduate Program in Fundamental Nursing, Universidade de São Paulo, Av.Bandeirantes, Ribeirão Preto, 3900, 14040-902, SP, Brazil
| | - Eliã Pinheiro Botelho
- Nursing Graduate Program, Universidade Federal do Pará, Rua Augusto Correia, 01 - Setor Saúde, Guamá - Belém, Pará, 66075-110, Brazil.
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Lu Y, Tang S, Qin Y, Harypursat V, Wu H, Chen Y. Changes of human immunodeficiency virus (HIV) burden globally and in China over three decades: a secondary analysis of global HIV statistics. Chin Med J (Engl) 2022; 135:2690-2698. [PMID: 36719358 PMCID: PMC9945378 DOI: 10.1097/cm9.0000000000002500] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND A more comprehensive understanding of the trends of incidence, prevalence, and mortality in human immunodeficiency virus (HIV), and their complex interrelationships, may provide important evidence for decision-making related to HIV prevention and control. The variances in these indices between different population groups, genders, and ages are critical to decipher evolving patterns of the HIV epidemic in specific populations. METHODS A secondary analysis of relevant data was conducted using data extracted from the Global Burden of Disease study of 2019. HIV/acquired immune deficiency syndrome (AIDS) incidence, prevalence, AIDS-related mortality, and mortality-to-prevalence ratio (MPR) for annual percentage change, average annual percentage change (AAPC), and corresponding 95% confidence intervals (CIs) were calculated using joinpoint regression statistical analysis. RESULTS The AAPC of HIV/AIDS incidence, prevalence, AIDS-related mortality rate, and MPR were -1.4 (95% CI: -1.6, -1.2), 4.1 (95% CI: 4.0, 4.3), 2.0 (95% CI: 1.7, 2.3), and -2.1 (95% CI: -2.3, -1.8) between 1990 and 2019 globally, and were 3.5 (95% CI: 2.2, 4.8), 6.9 (95% CI: 6.8, 7.0), 8.1 (95% CI: 7.1, 9.1), and 1.2 (95% CI: 0.1, 2.3) in China during the same period. In terms of differences in the preceding indicators by gender, we observed a similar pattern of trends for male and female genders both globally and in China during the entire study period. Each specific age group exhibits a distinct pattern in terms of incidence, prevalence, mortality rate, and MPR both globally and in China. CONCLUSIONS Prevalence and mortality rates of HIV/AIDS have increased between 1990 and 2019 globally and in China. While the incidence rate and MPR have declined globally over the past three decades, these two indicators are observed to present an increasing trend in China. There is a high HIV burden among young and middle-aged adults globally; however, the elderly have a high HIV burden in China. HIV screening at older age should be scaled up, and patients with advanced HIV disease should be provided early with additional care and health resources.
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Affiliation(s)
- Yanqiu Lu
- Department of Infectious Diseases, Chongqing Public Health Medical Center, Chongqing 400036, China
| | - Shengquan Tang
- Department of Infectious Diseases, Chongqing Public Health Medical Center, Chongqing 400036, China
| | - Yuanyuan Qin
- Department of Infectious Diseases, Chongqing Public Health Medical Center, Chongqing 400036, China
- Beijing Key Laboratory for HIV/AIDS Research, Clinical and Research Center for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing 100069, China
| | - Vijay Harypursat
- Department of Infectious Diseases, Chongqing Public Health Medical Center, Chongqing 400036, China
| | - Hao Wu
- Beijing Key Laboratory for HIV/AIDS Research, Clinical and Research Center for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing 100069, China
| | - Yaokai Chen
- Department of Infectious Diseases, Chongqing Public Health Medical Center, Chongqing 400036, China
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Martínez-Cajas J, Alvarado-Llano B, Martínez-Buitrago E, Torres-Isasiga J, Arrivillaga M, Camargo P, Galindo-Orrego X, Mueses-Marín H. AC-2020-12-1420.R1 - HIV care providers' familiarity, concerns, and attitudes about HIV PrEP in Colombia: insights from the PrEP-Col-Study. AIDS Care 2022; 34:1428-1434. [PMID: 35067114 DOI: 10.1080/09540121.2022.2029813] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
In 2019, Colombia approved the combination of tenofovir disoproxil fumarate/emtricitabine for HIV Pre-Exposure Prophylaxis (PrEP). Therefore, we conducted a situational analysis in HIV-care providers to identify barriers and facilitators for PrEP implementation. A survey was applied to a non-probabilistic sample of health care workers of HIV-specialized clinics. We examined PrEP awareness and familiarity, comfort with PrEP-related activities, perceived barriers for PrEP implementation, concerns, and attitudes. Poisson regressions assessed the relationship between these factors and the variable "having a plan to offer PrEP". The participation rate was 41% and included physicians (42.6%) and other health professionals (57.4%). Fifty-one percent of the participants reported more than five years of experience caring for people living with HIV. Forty-two percent of non-physician health care workers were nurses. Most reported high familiarity/comfort with PrEP-relevant activities. Concerns about PrEP were prevalent (> 50%) and included causing more harm than good, reducing condom use, medication non-adherence, drug resistance, and healthcare system barriers. Physicians had a plan to offer PrEP (72.2%) more often than other health professionals (52.6). Having a plan to offer PrEP was related to PrEP knowledge and comfort assessing sexual behavior and providing HIV counseling. Overall, about half of HIV-care providers seemed ready to offer PrEP and constitute an asset for PrEP implementation efforts in Colombia. PrEP awareness among non-physicians, PrEP concerns, and negative attitudes need to be addressed to enhance implementation.
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Affiliation(s)
| | | | - Ernesto Martínez-Buitrago
- Hospital Universitario del Valle Evaristo García, Unidad de Epidemiología, Universidad del Valle, Cali, Colombia
| | - Julian Torres-Isasiga
- Albert Einstein College of Medicine and Montefiore Medical Center, Division of Infectious Diseases, Bronx, NY, USA
| | | | - Pilar Camargo
- Queen's University, School of Nursing. Kingston Ontario, Canada
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Montana JF, Ferreira GRON, Cunha CLF, de Queiroz AAR, Fernandes WAA, Polaro SHI, Gonçalves LHT, Couto DCC, Gir E, Reis RK, Sorensen W, Botelho EP. Correction to: The HIV epidemic in Colombia: spatial and temporal trends analysis. BMC Public Health 2021; 21:761. [PMID: 33879113 PMCID: PMC8058958 DOI: 10.1186/s12889-021-10800-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Jhon Freddy Montana
- Nursing Graduate Program, Federal University of Para, Rua Augusto Correia, 01, Complexo Saúde, Guamá, Belém, Para, 66075-110, Brazil
| | | | - Carlos Leonardo Figueiredo Cunha
- Nursing Graduate Program, Federal University of Para, Rua Augusto Correia, 01, Complexo Saúde, Guamá, Belém, Para, 66075-110, Brazil
| | - Ana Angélica Rêgo de Queiroz
- Nursing Department of Federal University of Rio Grande do Norte, Centro das Ciências da Saúde, Campus Universitário Lagoa Nova, Natal, Rio Grande do Norte, 59078-970, Brazil
| | - Wellington Augusto Andrade Fernandes
- Laboratory of Spatial Analyzes (LAENA), Center for Amazonina Studies (NAEA), Federal University of Para, Rua Ausgusto Correia, 01, Complexo Engenharia, Guamá, Belém, Para, 66075-110, Brazil
| | - Sandra Helena Isse Polaro
- Nursing Graduate Program, Federal University of Para, Rua Augusto Correia, 01, Complexo Saúde, Guamá, Belém, Para, 66075-110, Brazil
| | - Lucia Hisako Takase Gonçalves
- Nursing Graduate Program, Federal University of Para, Rua Augusto Correia, 01, Complexo Saúde, Guamá, Belém, Para, 66075-110, Brazil
| | - Danielle Costa Carrara Couto
- School of Technology in Geoprocessing, Federal University of Pará, Rua Augusto Correia, 01, Complexo Engenharia, Guamá, Belém, Para, 66075-110, Brazil
| | - Elucir Gir
- Graduate Program of Fundamental Nursing. Nursing School of Ribeirao Preto, University of Sao Paulo, Av dos Bandeirantes, 3900. Campus Universitario - Monte Alegre, Ribeirao Preto, Sao Paulo, 14040-902, Brazil
| | - Renata Karina Reis
- Graduate Program of Fundamental Nursing. Nursing School of Ribeirao Preto, University of Sao Paulo, Av dos Bandeirantes, 3900. Campus Universitario - Monte Alegre, Ribeirao Preto, Sao Paulo, 14040-902, Brazil
| | - Wiliam Sorensen
- Department of Health & Kinesiology, University of Texas at Tyler, 3900 University Blvd., Tyler, TX, 75799, USA
| | - Eliã Pinheiro Botelho
- Nursing Graduate Program, Federal University of Para, Rua Augusto Correia, 01, Complexo Saúde, Guamá, Belém, Para, 66075-110, Brazil.
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