Slowing of the HIV epidemic in Ukraine: evidence from case reporting and key population surveys, 2005-2012

Autor: Yuri V. Kobyshcha, Charles Vitek, Jurja-Ivana Čakalo, Ivana Božičević, Tetyana Salyuk, Hilary Spindler, Abu S. Abdul-Quader, Yuri Kruglov, Violetta A. Martsynovska, George W. Rutherford, Andrew L. Baughman, Konstantin Dumchev
Rok vydání: 2013
Předmět:
Male
Viral Diseases
Epidemiology
Hiv epidemic
Human immunodeficiency virus (HIV)
HIV Infections
Plant Science
medicine.disease_cause
Drug Users
Immunodeficiency Viruses
Pregnancy
Risk Factors
Prevalence
Medicine
Public and Occupational Health
Substance Abuse
Intravenous
Health Systems Strengthening
education.field_of_study
Multidisciplinary
Geography
Incidence (epidemiology)
Incidence
virus diseases
Infectious Diseases
Health Education and Awareness
Medical Microbiology
HIV epidemiology
Population Surveillance
Viral Pathogens
Regression Analysis
Female
Risk assessment
Ukraine
Behavioral and Social Aspects of Health
Male Homosexuality
Research Article
Adult
Adolescent
Infectious Disease Control
Science
Population
Risk Assessment
Microbiology
Infectious Disease Epidemiology
Humans
Homosexuality
Male
education
Epidemics
Microbial Pathogens
Medicine and health sciences
Sex Workers
Health Care Policy
Population Biology
business.industry
Hiv epidemiology
Biology and Life Sciences
HIV
Plant Pathology
Antiretroviral therapy
Health Care
Immunology
business
Demography
Zdroj: PLoS ONE
PLoS ONE, Vol 9, Iss 9, p e103657 (2014)
ISSN: 1932-6203
Popis: BackgroundUkraine developed Europe's most severe HIV epidemic due to widespread transmission among persons who inject drugs (PWID). Since 2004, prevention has focused on key populations; antiretroviral therapy (ART) coverage has increased. Recent data show increases in reported HIV cases through 2011, especially attributed to sexual transmission, but also signs of potential epidemic slowing. We conducted a data triangulation exercise to better analyze available data and inform program implementation.Methods and findingsWe reviewed data for 2005 to 2012 from multiple sources, primarily national HIV case reporting and integrated biobehavioral surveillance (IBBS) studies among key populations. Annually reported HIV cases increased at a progressively slower rate through 2011 with recent increases only among older, more immunosuppressed individuals; cases decreased 2.7% in 2012. Among women ConclusionsThis analysis suggests that Ukraine's HIV epidemic has slowed, with decreasing reported cases and older cases predominating among those diagnosed. Recent decreases in cases and in prevalence support decreased incidence among young PWID and women. Trends among heterosexual men and men who have sex with men (MSM) are less clear; further study and enhanced MSM prevention are needed. FSW appear to have stable prevalence with risk strongly associated with IDU. Current trends suggest the Ukrainian epidemic can be contained with enhanced prevention among key populations and increased treatment access.
Databáze: OpenAIRE
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