High Percentage of Recent HIV Infection Leading to Onward Transmission in Odessa, Ukraine Associated with Young Adults
The proportion of new HIV diagnoses between May and December 2009 across Odessa recently-infected was estimated using the BED-CEIA assay. Logistic regression models were used to explore factors associated with testing as recent. Of 1,313 newly-diagnosed individuals, 321 (24 %) were classified as rec...
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| Veröffentlicht in: | AIDS and behavior 2014-02, Vol.18 (2), p.411-418 |
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| creator | Simmons, Ruth Semenenko, Igor Tolpina, Maria Tereschenko, Rostislav Kotlik, Ludmila Zasyptka, Lyubov Murphy, Gary Mckinney, Elaine Copas, Andrew Malyuta, Ruslan Porter, Kholoud |
| description | The proportion of new HIV diagnoses between May and December 2009 across Odessa recently-infected was estimated using the BED-CEIA assay. Logistic regression models were used to explore factors associated with testing as recent. Of 1,313 newly-diagnosed individuals, 321 (24 %) were classified as recent. Recent infection was less likely among older adults [odds ratio (OR) = 0.70 per 10-year increase, 95 % CI 0.60–0.82]. Compared to men residing in Odessa city, women in rural Odessa and non-resident men were more likely to be recently-infected (OR 1.85, 1.26–2.71 and 2.83, 1.15–6.97, respectively). Reason for test was not associated with recent infection. In sensitivity analysis, after excluding individuals tested due to clinical indications, the proportion recently-infected and the association with age remained virtually unchanged. Our findings suggest a high risk of onward transmission, particularly in younger age groups. These findings highlight the need for tailored prevention strategies and ongoing RITA testing to monitor and evaluate effectiveness of prevention programmes. |
| doi_str_mv | 10.1007/s10461-013-0518-9 |
| format | Article |
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Logistic regression models were used to explore factors associated with testing as recent. Of 1,313 newly-diagnosed individuals, 321 (24 %) were classified as recent. Recent infection was less likely among older adults [odds ratio (OR) = 0.70 per 10-year increase, 95 % CI 0.60–0.82]. Compared to men residing in Odessa city, women in rural Odessa and non-resident men were more likely to be recently-infected (OR 1.85, 1.26–2.71 and 2.83, 1.15–6.97, respectively). Reason for test was not associated with recent infection. In sensitivity analysis, after excluding individuals tested due to clinical indications, the proportion recently-infected and the association with age remained virtually unchanged. Our findings suggest a high risk of onward transmission, particularly in younger age groups. These findings highlight the need for tailored prevention strategies and ongoing RITA testing to monitor and evaluate effectiveness of prevention programmes.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-013-0518-9</identifier><identifier>PMID: 23686153</identifier><identifier>CODEN: AIBEFC</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Acquired Immune Deficiency Syndrome ; Adolescent ; Adult ; Age Factors ; CD4 Lymphocyte Count ; Cities ; Disease transmission ; Elderly ; Epidemiology ; Female ; Health Psychology ; HIV ; HIV Infections - diagnosis ; HIV Infections - epidemiology ; HIV Infections - transmission ; HIV Infections - virology ; HIV-1 - isolation & purification ; Human immunodeficiency virus ; Humans ; Immunoenzyme Techniques - methods ; Incidence ; Infectious Diseases ; Logistic Models ; Male ; Medicine ; Medicine & Public Health ; Odds Ratio ; Older people ; Original Paper ; Population Surveillance ; Prevention ; Public Health ; Risk ; Risk Factors ; Rural Areas ; Sensitivity analysis ; Sexual behavior ; Ukraine ; Ukraine - epidemiology ; Urban Population - statistics & numerical data ; Viral Load ; Young Adult ; Young Adults</subject><ispartof>AIDS and behavior, 2014-02, Vol.18 (2), p.411-418</ispartof><rights>Springer Science+Business Media New York 2013</rights><rights>Springer Science+Business Media New York 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-ad936847e13a32488328b6702a330d9b8b688f28b29f2d2c23375041424f4c643</citedby><cites>FETCH-LOGICAL-c438t-ad936847e13a32488328b6702a330d9b8b688f28b29f2d2c23375041424f4c643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-013-0518-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-013-0518-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27321,27901,27902,33751,33752,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23686153$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Simmons, Ruth</creatorcontrib><creatorcontrib>Semenenko, Igor</creatorcontrib><creatorcontrib>Tolpina, Maria</creatorcontrib><creatorcontrib>Tereschenko, Rostislav</creatorcontrib><creatorcontrib>Kotlik, Ludmila</creatorcontrib><creatorcontrib>Zasyptka, Lyubov</creatorcontrib><creatorcontrib>Murphy, Gary</creatorcontrib><creatorcontrib>Mckinney, Elaine</creatorcontrib><creatorcontrib>Copas, Andrew</creatorcontrib><creatorcontrib>Malyuta, Ruslan</creatorcontrib><creatorcontrib>Porter, Kholoud</creatorcontrib><creatorcontrib>CASCADE collaboration in EuroCoord</creatorcontrib><creatorcontrib>On behalf of CASCADE collaboration in EuroCoord</creatorcontrib><title>High Percentage of Recent HIV Infection Leading to Onward Transmission in Odessa, Ukraine Associated with Young Adults</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>The proportion of new HIV diagnoses between May and December 2009 across Odessa recently-infected was estimated using the BED-CEIA assay. Logistic regression models were used to explore factors associated with testing as recent. Of 1,313 newly-diagnosed individuals, 321 (24 %) were classified as recent. Recent infection was less likely among older adults [odds ratio (OR) = 0.70 per 10-year increase, 95 % CI 0.60–0.82]. Compared to men residing in Odessa city, women in rural Odessa and non-resident men were more likely to be recently-infected (OR 1.85, 1.26–2.71 and 2.83, 1.15–6.97, respectively). Reason for test was not associated with recent infection. In sensitivity analysis, after excluding individuals tested due to clinical indications, the proportion recently-infected and the association with age remained virtually unchanged. Our findings suggest a high risk of onward transmission, particularly in younger age groups. These findings highlight the need for tailored prevention strategies and ongoing RITA testing to monitor and evaluate effectiveness of prevention programmes.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>CD4 Lymphocyte Count</subject><subject>Cities</subject><subject>Disease transmission</subject><subject>Elderly</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health Psychology</subject><subject>HIV</subject><subject>HIV Infections - diagnosis</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - transmission</subject><subject>HIV Infections - virology</subject><subject>HIV-1 - isolation & purification</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Immunoenzyme Techniques - methods</subject><subject>Incidence</subject><subject>Infectious Diseases</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Odds Ratio</subject><subject>Older people</subject><subject>Original Paper</subject><subject>Population Surveillance</subject><subject>Prevention</subject><subject>Public Health</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Rural Areas</subject><subject>Sensitivity analysis</subject><subject>Sexual behavior</subject><subject>Ukraine</subject><subject>Ukraine - epidemiology</subject><subject>Urban Population - statistics & numerical data</subject><subject>Viral Load</subject><subject>Young Adult</subject><subject>Young 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EuroCoord</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High Percentage of Recent HIV Infection Leading to Onward Transmission in Odessa, Ukraine Associated with Young Adults</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>18</volume><issue>2</issue><spage>411</spage><epage>418</epage><pages>411-418</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><coden>AIBEFC</coden><abstract>The proportion of new HIV diagnoses between May and December 2009 across Odessa recently-infected was estimated using the BED-CEIA assay. Logistic regression models were used to explore factors associated with testing as recent. Of 1,313 newly-diagnosed individuals, 321 (24 %) were classified as recent. Recent infection was less likely among older adults [odds ratio (OR) = 0.70 per 10-year increase, 95 % CI 0.60–0.82]. Compared to men residing in Odessa city, women in rural Odessa and non-resident men were more likely to be recently-infected (OR 1.85, 1.26–2.71 and 2.83, 1.15–6.97, respectively). Reason for test was not associated with recent infection. In sensitivity analysis, after excluding individuals tested due to clinical indications, the proportion recently-infected and the association with age remained virtually unchanged. Our findings suggest a high risk of onward transmission, particularly in younger age groups. These findings highlight the need for tailored prevention strategies and ongoing RITA testing to monitor and evaluate effectiveness of prevention programmes.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>23686153</pmid><doi>10.1007/s10461-013-0518-9</doi><tpages>8</tpages></addata></record> |
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| ispartof | AIDS and behavior, 2014-02, Vol.18 (2), p.411-418 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; Sociological Abstracts |
| subjects | Acquired Immune Deficiency Syndrome Adolescent Adult Age Factors CD4 Lymphocyte Count Cities Disease transmission Elderly Epidemiology Female Health Psychology HIV HIV Infections - diagnosis HIV Infections - epidemiology HIV Infections - transmission HIV Infections - virology HIV-1 - isolation & purification Human immunodeficiency virus Humans Immunoenzyme Techniques - methods Incidence Infectious Diseases Logistic Models Male Medicine Medicine & Public Health Odds Ratio Older people Original Paper Population Surveillance Prevention Public Health Risk Risk Factors Rural Areas Sensitivity analysis Sexual behavior Ukraine Ukraine - epidemiology Urban Population - statistics & numerical data Viral Load Young Adult Young Adults |
| title | High Percentage of Recent HIV Infection Leading to Onward Transmission in Odessa, Ukraine Associated with Young Adults |
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