Dramatic decline in new HIV diagnoses in persons born in France in a large nationwide HIV cohort
As trends in new HIV diagnoses represent a measure of the HIV epidemic, we conducted a 6-year longitudinal study to evaluate the change in rates of new HIV diagnosis, stratified by birthplace, HIV risk groups and CD4 cell count at diagnosis in a large French multicentre cohort. We performed a retros...
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| Veröffentlicht in: | Public health (London) 2021-07, Vol.196, p.129-134 |
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| creator | Le Guillou, A. Cabie, A. Delpierre, C. Pugliese, P. Jacomet, C. Hentzien, M. Duvivier, C. Zaegel-Faucher, O. Cotte, L. Raffi, F. Bani-Sadr, F. |
| description | As trends in new HIV diagnoses represent a measure of the HIV epidemic, we conducted a 6-year longitudinal study to evaluate the change in rates of new HIV diagnosis, stratified by birthplace, HIV risk groups and CD4 cell count at diagnosis in a large French multicentre cohort.
We performed a retrospective cohort study using data from the mainland French Dat’AIDS cohort.
Data were obtained for subjects with a new HIV diagnosis date between 2013 and 2018. HIV diagnosis date was defined as the date of the first known positive HIV serology.
Between 2013 and 2018, a total of 68,376 people living with HIV (PLHIV) were followed in the Dat’AIDS cohort; 9543 persons were newly diagnosed with HIV. The annual number of new HIV diagnoses decreased from 1856 in 2013, to 1149 in 2018 (−38.1%), P = 0.01; it was more pronounced among subjects born in France, from 858 to 484 (−43.6%), P |
| doi_str_mv | 10.1016/j.puhe.2021.05.027 |
| format | Article |
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We performed a retrospective cohort study using data from the mainland French Dat’AIDS cohort.
Data were obtained for subjects with a new HIV diagnosis date between 2013 and 2018. HIV diagnosis date was defined as the date of the first known positive HIV serology.
Between 2013 and 2018, a total of 68,376 people living with HIV (PLHIV) were followed in the Dat’AIDS cohort; 9543 persons were newly diagnosed with HIV. The annual number of new HIV diagnoses decreased from 1856 in 2013, to 1149 in 2018 (−38.1%), P = 0.01; it was more pronounced among subjects born in France, from 858 to 484 (−43.6%), P < 0.01, than in those born abroad (−23.8%, from 821 to 626, P = 0.13). Among subjects born in France, the decrease over the period was −46.7% among men who have sex with men (MSM), −43.5% for heterosexual women and −33.3% for heterosexual men.
Our findings show changes in HIV epidemiology in PLHIV born in France, with a decline around 40% in new HIV diagnoses, and a more pronounced decrease among MSM and heterosexual women. Our results support the long-term effectiveness of the antiretroviral therapy as a prevention strategy among the various tools for HIV prevention.</description><identifier>ISSN: 0033-3506</identifier><identifier>EISSN: 1476-5616</identifier><identifier>DOI: 10.1016/j.puhe.2021.05.027</identifier><identifier>PMID: 34192605</identifier><language>eng</language><publisher>Houndsmill: Elsevier Ltd</publisher><subject>90–90–90 target ; Acquired immune deficiency syndrome ; AIDS ; Antiretroviral agents ; Antiretroviral therapy ; Birth place ; Cascade of care ; CD4 antigen ; Cohort analysis ; Dat’AIDS cohort ; Diagnosis ; Epidemics ; Epidemiology ; Health risks ; Heterosexuality ; HIV ; HIV epidemiology ; Human immunodeficiency virus ; Immune response ; Life Sciences ; Long term ; Medical diagnosis ; Men ; Men who have sex with men ; New HIV diagnoses ; Newly diagnosed ; PrEP ; Prevention ; Prevention programs ; Preventive medicine ; Public health ; Risk groups ; Serology ; Sexually transmitted diseases ; STD ; TasP ; Treatment as prevention ; UNAIDS ; Women</subject><ispartof>Public health (London), 2021-07, Vol.196, p.129-134</ispartof><rights>2021 The Royal Society for Public Health</rights><rights>Copyright Elsevier Science Ltd. Jul 2021</rights><rights>Attribution - NonCommercial</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-f1c7570238720a20583f55335b19565d2c5278fc447ab4be25808b2dee4b21b43</citedby><cites>FETCH-LOGICAL-c439t-f1c7570238720a20583f55335b19565d2c5278fc447ab4be25808b2dee4b21b43</cites><orcidid>0000-0001-5696-4173 ; 0000-0002-4791-418X ; 0000-0003-2729-9420 ; 0000-0002-4063-9250 ; 0000-0002-0831-080X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.puhe.2021.05.027$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://ut3-toulouseinp.hal.science/hal-04157518$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Le Guillou, A.</creatorcontrib><creatorcontrib>Cabie, A.</creatorcontrib><creatorcontrib>Delpierre, C.</creatorcontrib><creatorcontrib>Pugliese, P.</creatorcontrib><creatorcontrib>Jacomet, C.</creatorcontrib><creatorcontrib>Hentzien, M.</creatorcontrib><creatorcontrib>Duvivier, C.</creatorcontrib><creatorcontrib>Zaegel-Faucher, O.</creatorcontrib><creatorcontrib>Cotte, L.</creatorcontrib><creatorcontrib>Raffi, F.</creatorcontrib><creatorcontrib>Bani-Sadr, F.</creatorcontrib><creatorcontrib>the Dat’AIDS study group</creatorcontrib><title>Dramatic decline in new HIV diagnoses in persons born in France in a large nationwide HIV cohort</title><title>Public health (London)</title><description>As trends in new HIV diagnoses represent a measure of the HIV epidemic, we conducted a 6-year longitudinal study to evaluate the change in rates of new HIV diagnosis, stratified by birthplace, HIV risk groups and CD4 cell count at diagnosis in a large French multicentre cohort.
We performed a retrospective cohort study using data from the mainland French Dat’AIDS cohort.
Data were obtained for subjects with a new HIV diagnosis date between 2013 and 2018. HIV diagnosis date was defined as the date of the first known positive HIV serology.
Between 2013 and 2018, a total of 68,376 people living with HIV (PLHIV) were followed in the Dat’AIDS cohort; 9543 persons were newly diagnosed with HIV. The annual number of new HIV diagnoses decreased from 1856 in 2013, to 1149 in 2018 (−38.1%), P = 0.01; it was more pronounced among subjects born in France, from 858 to 484 (−43.6%), P < 0.01, than in those born abroad (−23.8%, from 821 to 626, P = 0.13). Among subjects born in France, the decrease over the period was −46.7% among men who have sex with men (MSM), −43.5% for heterosexual women and −33.3% for heterosexual men.
Our findings show changes in HIV epidemiology in PLHIV born in France, with a decline around 40% in new HIV diagnoses, and a more pronounced decrease among MSM and heterosexual women. Our results support the long-term effectiveness of the antiretroviral therapy as a prevention strategy among the various tools for HIV prevention.</description><subject>90–90–90 target</subject><subject>Acquired immune deficiency syndrome</subject><subject>AIDS</subject><subject>Antiretroviral agents</subject><subject>Antiretroviral therapy</subject><subject>Birth place</subject><subject>Cascade of care</subject><subject>CD4 antigen</subject><subject>Cohort analysis</subject><subject>Dat’AIDS cohort</subject><subject>Diagnosis</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Health risks</subject><subject>Heterosexuality</subject><subject>HIV</subject><subject>HIV epidemiology</subject><subject>Human immunodeficiency virus</subject><subject>Immune response</subject><subject>Life Sciences</subject><subject>Long term</subject><subject>Medical diagnosis</subject><subject>Men</subject><subject>Men who have sex with men</subject><subject>New HIV diagnoses</subject><subject>Newly diagnosed</subject><subject>PrEP</subject><subject>Prevention</subject><subject>Prevention programs</subject><subject>Preventive medicine</subject><subject>Public health</subject><subject>Risk groups</subject><subject>Serology</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>TasP</subject><subject>Treatment as prevention</subject><subject>UNAIDS</subject><subject>Women</subject><issn>0033-3506</issn><issn>1476-5616</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kU9v1DAQxS0EotuFL8ApEhc4JIz_TJyVuFSFdiutxKXlahxn0vUqay92tlW_PUkXceiB02hGv_c0M4-xDxwqDrz-sqsOxy1VAgSvACsQ-hVbcKXrEmtev2YLAClLiVCfsfOcdwATIvEtO5OKr0QNuGC_viW7t6N3RUdu8IEKH4pAj8X65mfReXsfYqY8Dw-Ucgy5aGMKc3-VbHDPuC0Gm-6pCJNPDI--o2e1i9uYxnfsTW-HTO__1iW7u_p-e7kuNz-uby4vNqVTcjWWPXcaNQjZaAFWADayR5QSW77CGjvhUOimd0pp26qWBDbQtKIjUq3grZJL9vnku7WDOSS_t-nJROvN-mJj5hkojhp588An9tOJPaT4-0h5NHufHQ2DDRSP2QhUGqUAOdt-fIHu4jGF6ZKJqleKT-vBRIkT5VLMOVH_bwMOZs7K7MyclZmzMoBmDmLJvp5ENL3lwVMy2Xmaftr5RG40XfT_k_8B6P-XqA</recordid><startdate>202107</startdate><enddate>202107</enddate><creator>Le Guillou, A.</creator><creator>Cabie, A.</creator><creator>Delpierre, C.</creator><creator>Pugliese, P.</creator><creator>Jacomet, C.</creator><creator>Hentzien, M.</creator><creator>Duvivier, C.</creator><creator>Zaegel-Faucher, O.</creator><creator>Cotte, L.</creator><creator>Raffi, F.</creator><creator>Bani-Sadr, F.</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><general>Elsevier</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>ASE</scope><scope>C1K</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0001-5696-4173</orcidid><orcidid>https://orcid.org/0000-0002-4791-418X</orcidid><orcidid>https://orcid.org/0000-0003-2729-9420</orcidid><orcidid>https://orcid.org/0000-0002-4063-9250</orcidid><orcidid>https://orcid.org/0000-0002-0831-080X</orcidid></search><sort><creationdate>202107</creationdate><title>Dramatic decline in new HIV diagnoses in persons born in France in a large nationwide HIV cohort</title><author>Le Guillou, A. ; Cabie, A. ; Delpierre, C. ; Pugliese, P. ; Jacomet, C. ; Hentzien, M. ; Duvivier, C. ; Zaegel-Faucher, O. ; Cotte, L. ; Raffi, F. ; Bani-Sadr, F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-f1c7570238720a20583f55335b19565d2c5278fc447ab4be25808b2dee4b21b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>90–90–90 target</topic><topic>Acquired immune deficiency syndrome</topic><topic>AIDS</topic><topic>Antiretroviral agents</topic><topic>Antiretroviral therapy</topic><topic>Birth place</topic><topic>Cascade of care</topic><topic>CD4 antigen</topic><topic>Cohort analysis</topic><topic>Dat’AIDS cohort</topic><topic>Diagnosis</topic><topic>Epidemics</topic><topic>Epidemiology</topic><topic>Health risks</topic><topic>Heterosexuality</topic><topic>HIV</topic><topic>HIV epidemiology</topic><topic>Human immunodeficiency virus</topic><topic>Immune response</topic><topic>Life Sciences</topic><topic>Long term</topic><topic>Medical diagnosis</topic><topic>Men</topic><topic>Men who have sex with men</topic><topic>New HIV diagnoses</topic><topic>Newly diagnosed</topic><topic>PrEP</topic><topic>Prevention</topic><topic>Prevention programs</topic><topic>Preventive medicine</topic><topic>Public health</topic><topic>Risk groups</topic><topic>Serology</topic><topic>Sexually transmitted diseases</topic><topic>STD</topic><topic>TasP</topic><topic>Treatment as prevention</topic><topic>UNAIDS</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Le Guillou, A.</creatorcontrib><creatorcontrib>Cabie, A.</creatorcontrib><creatorcontrib>Delpierre, C.</creatorcontrib><creatorcontrib>Pugliese, P.</creatorcontrib><creatorcontrib>Jacomet, C.</creatorcontrib><creatorcontrib>Hentzien, M.</creatorcontrib><creatorcontrib>Duvivier, C.</creatorcontrib><creatorcontrib>Zaegel-Faucher, O.</creatorcontrib><creatorcontrib>Cotte, L.</creatorcontrib><creatorcontrib>Raffi, F.</creatorcontrib><creatorcontrib>Bani-Sadr, F.</creatorcontrib><creatorcontrib>the Dat’AIDS study group</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>Public health (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Le Guillou, A.</au><au>Cabie, A.</au><au>Delpierre, C.</au><au>Pugliese, P.</au><au>Jacomet, C.</au><au>Hentzien, M.</au><au>Duvivier, C.</au><au>Zaegel-Faucher, O.</au><au>Cotte, L.</au><au>Raffi, F.</au><au>Bani-Sadr, F.</au><aucorp>the Dat’AIDS study group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dramatic decline in new HIV diagnoses in persons born in France in a large nationwide HIV cohort</atitle><jtitle>Public health (London)</jtitle><date>2021-07</date><risdate>2021</risdate><volume>196</volume><spage>129</spage><epage>134</epage><pages>129-134</pages><issn>0033-3506</issn><eissn>1476-5616</eissn><abstract>As trends in new HIV diagnoses represent a measure of the HIV epidemic, we conducted a 6-year longitudinal study to evaluate the change in rates of new HIV diagnosis, stratified by birthplace, HIV risk groups and CD4 cell count at diagnosis in a large French multicentre cohort.
We performed a retrospective cohort study using data from the mainland French Dat’AIDS cohort.
Data were obtained for subjects with a new HIV diagnosis date between 2013 and 2018. HIV diagnosis date was defined as the date of the first known positive HIV serology.
Between 2013 and 2018, a total of 68,376 people living with HIV (PLHIV) were followed in the Dat’AIDS cohort; 9543 persons were newly diagnosed with HIV. The annual number of new HIV diagnoses decreased from 1856 in 2013, to 1149 in 2018 (−38.1%), P = 0.01; it was more pronounced among subjects born in France, from 858 to 484 (−43.6%), P < 0.01, than in those born abroad (−23.8%, from 821 to 626, P = 0.13). Among subjects born in France, the decrease over the period was −46.7% among men who have sex with men (MSM), −43.5% for heterosexual women and −33.3% for heterosexual men.
Our findings show changes in HIV epidemiology in PLHIV born in France, with a decline around 40% in new HIV diagnoses, and a more pronounced decrease among MSM and heterosexual women. Our results support the long-term effectiveness of the antiretroviral therapy as a prevention strategy among the various tools for HIV prevention.</abstract><cop>Houndsmill</cop><pub>Elsevier Ltd</pub><pmid>34192605</pmid><doi>10.1016/j.puhe.2021.05.027</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-5696-4173</orcidid><orcidid>https://orcid.org/0000-0002-4791-418X</orcidid><orcidid>https://orcid.org/0000-0003-2729-9420</orcidid><orcidid>https://orcid.org/0000-0002-4063-9250</orcidid><orcidid>https://orcid.org/0000-0002-0831-080X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Public health (London), 2021-07, Vol.196, p.129-134 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals (5 years ago - present) |
| subjects | 90–90–90 target Acquired immune deficiency syndrome AIDS Antiretroviral agents Antiretroviral therapy Birth place Cascade of care CD4 antigen Cohort analysis Dat’AIDS cohort Diagnosis Epidemics Epidemiology Health risks Heterosexuality HIV HIV epidemiology Human immunodeficiency virus Immune response Life Sciences Long term Medical diagnosis Men Men who have sex with men New HIV diagnoses Newly diagnosed PrEP Prevention Prevention programs Preventive medicine Public health Risk groups Serology Sexually transmitted diseases STD TasP Treatment as prevention UNAIDS Women |
| title | Dramatic decline in new HIV diagnoses in persons born in France in a large nationwide HIV cohort |
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