Trends in the incidence of HIV in Scotland, 1988-2009
| Autor: | Pamela Molyneaux, Sharon J. Hutchinson, G Codere, Lesley A Wallace, Amanda Weir, P. G. McIntyre, Kate Templeton, David J. Goldberg, S.O. Cameron, Scott A. McDonald |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Human immunodeficiency virus (HIV) HIV Infections Dermatology medicine.disease_cause Men who have sex with men Drug Users symbols.namesake Acquired immunodeficiency syndrome (AIDS) Epidemiology medicine Prevalence Humans Poisson regression Homosexuality Male Heterosexuality Substance Abuse Intravenous Harm reduction business.industry Incidence (epidemiology) Incidence Hiv incidence virus diseases Middle Aged medicine.disease Infectious Diseases Scotland Immunology symbols Female business Demography |
| Zdroj: | Sexually transmitted infections. 88(3) |
| ISSN: | 1472-3263 |
| Popis: | To estimate temporal trends in HIV incidence and prevalence in Scotland, according to three main risk groups for infection: men who have sex with men (MSM), injecting drug users (IDUs) and heterosexuals.The authors extracted data for all single- and multiple-tested individuals from the national HIV test database covering the period 1980-2009 and calculated the incidence of HIV infection in each risk group and estimated RRs by fitting Poisson regression models.620 of 59,807 individuals tested positive following an initial negative HIV test, generating an overall incidence rate of 3.7/1000 person-years (95% CI 3.4 to 4.0); 60%, 20% and 37% of the 620 were associated with the risk behaviour categories MSM, IDU and heterosexual, respectively. The incidence rate among MSM in Scotland remained relatively stable between the periods1995 and 2005-2009 (overall: 15.3/1000 person-years, 95% CI 13.8 to 17.0), whereas the incidence among IDUs decreased between the periods1995 and 2005-2009, from 5.1/1000 to 1.7/1000 person-years, and also decreased among heterosexuals, from 2.9/1000 to 1.4/1000 person-years.The reduction in the incidence rate among IDUs suggests that harm reduction measures initiated from the late 1980s were effective in reducing HIV transmission in this risk group; however, the absence of a reduction in HIV incidence rates among MSM is disappointing and highlights the need for renewed efforts in the prevention of HIV in this major risk group. |
| Databáze: | OpenAIRE |
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