Trends in human immunodeficiency virus diagnoses among men who have sex with men in North America, Western Europe, and Australia, 2000-2014.

Trends in human immunodeficiency virus diagnoses among men who have sex with men in North America, Western Europe, and Australia, 2000-2014.
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DOI:
10.1016/j.annepidem.2018.09.006
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发表时间:
2018-12
影响因子:
5.6
通讯作者:
Sullivan PS
Sullivan PS
中科院分区:
医学3区
文献类型:
--
作者:
Chapin-Bardales J;Schmidt AJ;Guy RJ;Kaldor JM;McGregor S;Sasse A;Archibald C;Rank C;Casabona Barbarà J;Folch C;Vives N;Cowan SA;Cazein F;Velter A;An der Heiden M;Gunsenheimer-Bartmeyer B;Marcus U;Op de Coul ELM;van Sighem A;Aldir I;Cortes Martins H;Berglund T;Velicko I;Gebhardt M;Delpech V;Hughes G;Nardone A;Hall HI;Johnson AS;Sullivan PS

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这篇文章的目的是调查北美、西欧和澳大利亚高收入国家男男性行为者(MSM)中人类免疫缺陷病毒(HIV)诊断率的最新趋势。从13个高收入国家收集了2000年至2014年15岁至65岁男男性接触者艾滋病毒年诊断率的数据。Joinpoint回归软件用于经验性地确定特定国家的趋势期。分别使用泊松回归和对数二项回归分析了15-24岁年轻MSM中HIV诊断率和确诊比例的变化趋势。有6个国家在2000年至2007-08年期间经历了增长趋势,随后在整个2014年期间保持稳定或下降趋势。五个国家最近有增加的趋势,两个国家在2000年至2014年有一个稳定的趋势。所有13个国家的年轻男男性接触者的确诊比例都有所上升。自2008年以来,在所调查的13个高收入国家中,有一半的国家出现了稳定或下降的趋势。尽管如此,一些国家继续经历艾滋病毒趋势的增加,年轻的MSM在新诊断中的比例越来越高。努力支持早期性健康促进,减少接触前预防的障碍,并改善年轻男男性接触者的护理参与度,对于应对当前的艾滋病毒趋势至关重要。
The aim of the article was to investigate recent trends in human immunodeficiency virus (HIV) diagnosis rates among men who have sex with men (MSM) in high-income countries in North America, Western Europe, and Australia. Data on annual rates of HIV diagnoses among MSM aged 15 to 65 years from 2000 to 2014 were collected from 13 high-income countries. Joinpoint regression software was used to empirically determine country-specific trend periods. Trends in HIV diagnosis rates and in the proportion of diagnoses occurring in young MSM aged 15 to 24 years were analyzed using Poisson regression and log-binomial regression, respectively. Six countries experienced an increasing trend from 2000 to 2007–08 followed by either a stable or declining trend through 2014. Five countries had recently increasing trends, and two countries had one stable trend from 2000 to 2014. All 13 countries experienced increases in the proportion of diagnoses occurring in young MSM. Since 2008, half of the 13 high-income countries examined experienced stable or decreasing trends. Still, some countries continue to experience increasing HIV trends, and young MSM are increasingly represented among new diagnoses. Efforts to support early sexual health promotion, reduce barriers to pre-exposure prophylaxis, and improve care engagement for young MSM are critical to addressing current HIV trends.
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