Prevalence of HIV, HCV and HBV in Central Asia and the Caucasus: A systematic review

Autor: Syed Ali, Zoë Haley-Johnson, Salima Davlidova, Ayesha Farooq, Kate Nyhan, Sten H. Vermund
Rok vydání: 2021
Předmět:
Male
0301 basic medicine
Microbiology (medical)
Hepatitis B virus
Caucasus
medicine.medical_specialty
Substance-Related Disorders
030106 microbiology
Central asia
Human immunodeficiency virus (HIV)
HIV Infections
medicine.disease_cause
Russia
lcsh:Infectious and parasitic diseases
Men who have sex with men
Sexual and Gender Minorities
03 medical and health sciences
Central Asia
0302 clinical medicine
Risk Factors
Prevalence
medicine
Humans
lcsh:RC109-216
Hcv prevalence
030212 general & internal medicine
Homosexuality
Male
Sex Workers
Human immunodeficiency virus
Hepatitis C virus
business.industry
Prisoners
Public health
virus diseases
Female sex
social sciences
General Medicine
Hepatitis B
Hepatitis C
Transcaucasia
Infectious Diseases
Asia
Central
population characteristics
Female
Russian federation
business
Demography
Zdroj: International Journal of Infectious Diseases, Vol 104, Iss, Pp 510-525 (2021)
ISSN: 1201-9712
DOI: 10.1016/j.ijid.2020.12.068
Popis: Background Human immunodeficiency virus (HIV), hepatitis C virus (HCV) and hepatitis B virus (HBV) are substantial public health threats in the region of Central Asia and the Caucasus, where the prevalence of these infections is currently rising. Methods A systematic review of MEDLINE, Embase and PsycINFO was conducted with no publication date or language restrictions through October 2019. Additional data were also harvested from national surveillance reports, references found in discovered sources, and other “grey” literature. It included studies conducted on high-risk populations (people who inject drugs (PWID), female sex workers (FSW), men who have sex with men (MSM), prisoners, and migrants) in Central Asia: Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan; and the Caucasus: Armenia, Azerbaijan, Georgia, and Northern Caucasus region of the Russian Federation. Results Wide ranges were noted for HIV prevalence: PWID 0–30.1%, MSM 0–25.1%, prisoners 0–22.8%, FSW 0–10.0%, and migrants 0.06–1.5%, with the highest prevalence of these high-risk groups reported in Kazakhstan (for PWID), Georgia (for MSM and prisoners) and Uzbekistan (for migrants). HCV prevalence also had a wide range: PWID 0.3–92.1%, MSM 0–18.9%, prisoners 23.8–49.7%, FSW 3.3–17.8%, and migrants 0.5–26.5%, with the highest prevalence reported in Georgia (92.1%), Kyrgyzstan (49.7%), and migrants from Tajikistan and Uzbekistan (26.5%). Similarly, HBV prevalence had a wide range: PWID 2.8–79.7%, MSM 0–22.2%, prisoners 2.7–6.2%, FSW 18.4% (one study), and migrants 0.3–15.7%. Conclusion In Central Asia and the Caucasus, prevalence of HIV, HCV and HBV remains exceedingly high among selected populations, notably PWID and MSM.
Databáze: OpenAIRE
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