The most severe HIV epidemic in Europe: Ukraine's national HIV prevalence estimates for 2007
The most severe HIV epidemic in Europe: Ukraine's national HIV prevalence estimates for 2007
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DOI：
10.1136/sti.2008.031195
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发表时间：
2008-08-01
影响因子：
3.6
通讯作者：
Saldanha, V. P.
中科院分区：
文献类型：
--
作者：
Kruglov, Y. V.;Kobyshcha, Y. V.;Saldanha, V. P.
目的：修订国家艾滋病毒估计和量化的艾滋病毒流行在乌克兰在2007年底的规模。设计：国际推荐的方法-工作簿和频谱-被用来产生的估计。这使得与其他国家使用相同的methodology.Methods的结果进行比较：估计的规模最危险的人群在全国范围内进行捕获，再捕获，乘数和三角测量方法。通过对注射毒品使用者和男男性行为者的艾滋病毒定点监测和行为监测相联系，以及对性工作者的定点监测不相联系，估计了高危人群中的艾滋病毒流行率。艾滋病毒流行率的范围和对低风险人群的推断是由国家利益攸关方协商一致确定的。结果：在2007年底，估计有395 000名15-49岁的成年人（范围230 000-573 000）感染艾滋病毒在乌克兰。成人艾滋病病毒感染率估计为1.63%，这是最高的成人艾滋病病毒感染率的任何国家在European.Conclusions：在乌克兰的艾滋病病毒流行继续增长，以创纪录的速度，集中在大多数高危人群，其中大多数人都不知道自己的艾滋病病毒状况。研究结果强调，需要加快在高危人群及其性伴侣中开展预防方案的覆盖面和质量。
Objective: To revise the national HIV estimates and quantify the magnitude of the HIV epidemic in Ukraine at the end of 2007.Design: Internationally recommended methods-the Workbook and Spectrum-were employed to generate the estimates. This enables comparison of results with other countries using the same methodology.Methods: Estimation of the size of most at-risk populations nationally was performed using capture-recapture, multiplier and triangulation methods. HIV prevalence among most at-risk populations was estimated by linked HIV sentinel and behavioural surveillance among injecting drug users, and men who have sex with men, and unlinked sentinel surveillance among sex workers. The range of HIV prevalence and extrapolation for populations at lower risk were determined by consensus among national stakeholders. Results were reviewed by national stakeholders and endorsed by the government of Ukraine.Results: At the end of 2007, an estimated 395 000 adults (range 230 000-573 000) aged 15-49 were living with HIV in Ukraine. Adult HIV prevalence was estimated at 1.63%, which represents the highest adult HIV prevalence of any country in Europe.Conclusions: The HIV epidemic in Ukraine continues to grow at a record pace, concentrated among most at-risk populations, the majority of whom are unaware of their HIV status. The results emphasise the need to accelerate the coverage and quality of prevention programmes among most at-risk populations and their sexual partners.