Declining HIV Incidence Among Patients Attending Sexually Transmitted Infection Clinics in Pune, India
OBJECTIVE:A recent report suggesting declining HIV transmission rates in southern India has been based on HIV seroprevalence data to estimate HIV incidence. We analyzed HIV incidence rates among 3 cohorts (male, female non-sex worker, female sex worker [FSW]) presenting to sexually transmitted infec...
Gespeichert in:
| Veröffentlicht in: | Journal of acquired immune deficiency syndromes (1999) 2007-08, Vol.45 (5), p.564-569 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 569 |
|---|---|
| container_issue | 5 |
| container_start_page | 564 |
| container_title | Journal of acquired immune deficiency syndromes (1999) |
| container_volume | 45 |
| creator | Mehendale, Sanjay M Gupte, Nikhil Paranjape, Ramesh S Brahme, Radhika G Kohli, Rewa Joglekar, Neelam Godbole, Sheela V Joshi, Smita N Ghate, Manisha V Sahay, Seema Kumar, B Kishore Gangakhedkar, Raman R Risbud, Arun R Brookmeyer, Ron S Bollinger, Robert C |
| description | OBJECTIVE:A recent report suggesting declining HIV transmission rates in southern India has been based on HIV seroprevalence data to estimate HIV incidence. We analyzed HIV incidence rates among 3 cohorts (male, female non-sex worker, female sex worker [FSW]) presenting to sexually transmitted infection (STI) clinics in Pune, India over 10 years.
METHODS:Between 1993 and 2002, consenting HIV-uninfected individuals were enrolled in a prospective study of the risks for HIV seroconversion. Standardized HIV incidence estimates were calculated separately for the 3 cohorts.
RESULTS:HIV acquisition risk declined by more than 70% for FSWs (P = 0.02) and men (P < 0.001) attending the STI clinics. There was no significant reduction in HIV incidence among women attending STI clinics (P = 0.74). The decline in HIV acquisition risk among male patients with STIs was associated with an increase in reported condom use with recent FSW contact and a decrease in genital ulcer disease.
CONCLUSIONS:We report the first direct evidence for a decline in HIV incidence rates in FSWs and male patients with STIs over time. The lack of change in HIV infection risk among non-sex worker women highlights the need for additional targeted HIV prevention interventions. |
| doi_str_mv | 10.1097/QAI.0b013e3180d0a6ba |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68220828</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1325127331</sourcerecordid><originalsourceid>FETCH-LOGICAL-c488a-c720807705fa4800cd1ca1959d1e9524d78f490008bf01eafbbb9d2edd5974053</originalsourceid><addsrcrecordid>eNqFkU9v1DAQxSMEoqXwDRCKkOBEyji2E_u4Wv50pUoUUbhajj2mLo5T7ESl3x5Hu1KlHuBky_N7b2b8quolgVMCsn__dbM7hQEIRUoEWNDdoB9Vx0Qy1vRCsMflzlveMEL5UfUs52sA0jEmn1ZHpOdcUMqPK_cBTfDRx5_12e5HvYvGW4wG6804lbcLPXuMc64384zRrtg3_LPoEO7qy6RjHn0p2KJzaGY_xXq7uplc-1hfLBHflZL1-nn1xOmQ8cXhPKm-f_p4uT1rzr983m03541hQujG9C0I6HvgTjMBYCwxmkguLUHJW2Z74ZgEADE4IKjdMAzStmgtlz0DTk-qt3vfmzT9XjDPavTZYAg64rRk1Ym2dGjFf8HSVBDoV8fXD8DraUmxLKFaSjsmKVshtodMmnJO6NRN8qNOd4qAWtNSJS31MK0ie3XwXoYR7b3oEE8B3hwAnY0Orvy48fmeE7ITEmjhxJ67ncKMKf8Kyy0mdYU6zFf_nuEv8cmv4A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>233649345</pqid></control><display><type>article</type><title>Declining HIV Incidence Among Patients Attending Sexually Transmitted Infection Clinics in Pune, India</title><source>MEDLINE</source><source>Journals@Ovid LWW Legacy Archive</source><source>Journals@Ovid Complete</source><source>Free E- Journals</source><creator>Mehendale, Sanjay M ; Gupte, Nikhil ; Paranjape, Ramesh S ; Brahme, Radhika G ; Kohli, Rewa ; Joglekar, Neelam ; Godbole, Sheela V ; Joshi, Smita N ; Ghate, Manisha V ; Sahay, Seema ; Kumar, B Kishore ; Gangakhedkar, Raman R ; Risbud, Arun R ; Brookmeyer, Ron S ; Bollinger, Robert C</creator><creatorcontrib>Mehendale, Sanjay M ; Gupte, Nikhil ; Paranjape, Ramesh S ; Brahme, Radhika G ; Kohli, Rewa ; Joglekar, Neelam ; Godbole, Sheela V ; Joshi, Smita N ; Ghate, Manisha V ; Sahay, Seema ; Kumar, B Kishore ; Gangakhedkar, Raman R ; Risbud, Arun R ; Brookmeyer, Ron S ; Bollinger, Robert C</creatorcontrib><description>OBJECTIVE:A recent report suggesting declining HIV transmission rates in southern India has been based on HIV seroprevalence data to estimate HIV incidence. We analyzed HIV incidence rates among 3 cohorts (male, female non-sex worker, female sex worker [FSW]) presenting to sexually transmitted infection (STI) clinics in Pune, India over 10 years.
METHODS:Between 1993 and 2002, consenting HIV-uninfected individuals were enrolled in a prospective study of the risks for HIV seroconversion. Standardized HIV incidence estimates were calculated separately for the 3 cohorts.
RESULTS:HIV acquisition risk declined by more than 70% for FSWs (P = 0.02) and men (P < 0.001) attending the STI clinics. There was no significant reduction in HIV incidence among women attending STI clinics (P = 0.74). The decline in HIV acquisition risk among male patients with STIs was associated with an increase in reported condom use with recent FSW contact and a decrease in genital ulcer disease.
CONCLUSIONS:We report the first direct evidence for a decline in HIV incidence rates in FSWs and male patients with STIs over time. The lack of change in HIV infection risk among non-sex worker women highlights the need for additional targeted HIV prevention interventions.</description><identifier>ISSN: 1525-4135</identifier><identifier>EISSN: 1944-7884</identifier><identifier>DOI: 10.1097/QAI.0b013e3180d0a6ba</identifier><identifier>PMID: 17558335</identifier><identifier>CODEN: JDSRET</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adult ; AIDS/HIV ; Biological and medical sciences ; Cohort Studies ; Condoms - trends ; Disease transmission ; Epidemiology ; Female ; Fundamental and applied biological sciences. Psychology ; HIV ; HIV Infections - prevention & control ; HIV-1 ; HIV-2 ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Incidence ; India - epidemiology ; Infectious diseases ; Male ; Medical sciences ; Microbiology ; Miscellaneous ; Prospective Studies ; Regression Analysis ; Risk Factors ; Safe Sex ; Sex Work ; Sexually transmitted diseases ; STD ; Studies ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Virology</subject><ispartof>Journal of acquired immune deficiency syndromes (1999), 2007-08, Vol.45 (5), p.564-569</ispartof><rights>2007 Lippincott Williams & Wilkins, Inc.</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Aug 15, 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c488a-c720807705fa4800cd1ca1959d1e9524d78f490008bf01eafbbb9d2edd5974053</citedby><cites>FETCH-LOGICAL-c488a-c720807705fa4800cd1ca1959d1e9524d78f490008bf01eafbbb9d2edd5974053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18968903$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17558335$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mehendale, Sanjay M</creatorcontrib><creatorcontrib>Gupte, Nikhil</creatorcontrib><creatorcontrib>Paranjape, Ramesh S</creatorcontrib><creatorcontrib>Brahme, Radhika G</creatorcontrib><creatorcontrib>Kohli, Rewa</creatorcontrib><creatorcontrib>Joglekar, Neelam</creatorcontrib><creatorcontrib>Godbole, Sheela V</creatorcontrib><creatorcontrib>Joshi, Smita N</creatorcontrib><creatorcontrib>Ghate, Manisha V</creatorcontrib><creatorcontrib>Sahay, Seema</creatorcontrib><creatorcontrib>Kumar, B Kishore</creatorcontrib><creatorcontrib>Gangakhedkar, Raman R</creatorcontrib><creatorcontrib>Risbud, Arun R</creatorcontrib><creatorcontrib>Brookmeyer, Ron S</creatorcontrib><creatorcontrib>Bollinger, Robert C</creatorcontrib><title>Declining HIV Incidence Among Patients Attending Sexually Transmitted Infection Clinics in Pune, India</title><title>Journal of acquired immune deficiency syndromes (1999)</title><addtitle>J Acquir Immune Defic Syndr</addtitle><description>OBJECTIVE:A recent report suggesting declining HIV transmission rates in southern India has been based on HIV seroprevalence data to estimate HIV incidence. We analyzed HIV incidence rates among 3 cohorts (male, female non-sex worker, female sex worker [FSW]) presenting to sexually transmitted infection (STI) clinics in Pune, India over 10 years.
METHODS:Between 1993 and 2002, consenting HIV-uninfected individuals were enrolled in a prospective study of the risks for HIV seroconversion. Standardized HIV incidence estimates were calculated separately for the 3 cohorts.
RESULTS:HIV acquisition risk declined by more than 70% for FSWs (P = 0.02) and men (P < 0.001) attending the STI clinics. There was no significant reduction in HIV incidence among women attending STI clinics (P = 0.74). The decline in HIV acquisition risk among male patients with STIs was associated with an increase in reported condom use with recent FSW contact and a decrease in genital ulcer disease.
CONCLUSIONS:We report the first direct evidence for a decline in HIV incidence rates in FSWs and male patients with STIs over time. The lack of change in HIV infection risk among non-sex worker women highlights the need for additional targeted HIV prevention interventions.</description><subject>Adult</subject><subject>AIDS/HIV</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Condoms - trends</subject><subject>Disease transmission</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>HIV</subject><subject>HIV Infections - prevention & control</subject><subject>HIV-1</subject><subject>HIV-2</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>India - epidemiology</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microbiology</subject><subject>Miscellaneous</subject><subject>Prospective Studies</subject><subject>Regression Analysis</subject><subject>Risk Factors</subject><subject>Safe Sex</subject><subject>Sex Work</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Studies</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Virology</subject><issn>1525-4135</issn><issn>1944-7884</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU9v1DAQxSMEoqXwDRCKkOBEyji2E_u4Wv50pUoUUbhajj2mLo5T7ESl3x5Hu1KlHuBky_N7b2b8quolgVMCsn__dbM7hQEIRUoEWNDdoB9Vx0Qy1vRCsMflzlveMEL5UfUs52sA0jEmn1ZHpOdcUMqPK_cBTfDRx5_12e5HvYvGW4wG6804lbcLPXuMc64384zRrtg3_LPoEO7qy6RjHn0p2KJzaGY_xXq7uplc-1hfLBHflZL1-nn1xOmQ8cXhPKm-f_p4uT1rzr983m03541hQujG9C0I6HvgTjMBYCwxmkguLUHJW2Z74ZgEADE4IKjdMAzStmgtlz0DTk-qt3vfmzT9XjDPavTZYAg64rRk1Ym2dGjFf8HSVBDoV8fXD8DraUmxLKFaSjsmKVshtodMmnJO6NRN8qNOd4qAWtNSJS31MK0ie3XwXoYR7b3oEE8B3hwAnY0Orvy48fmeE7ITEmjhxJ67ncKMKf8Kyy0mdYU6zFf_nuEv8cmv4A</recordid><startdate>20070815</startdate><enddate>20070815</enddate><creator>Mehendale, Sanjay M</creator><creator>Gupte, Nikhil</creator><creator>Paranjape, Ramesh S</creator><creator>Brahme, Radhika G</creator><creator>Kohli, Rewa</creator><creator>Joglekar, Neelam</creator><creator>Godbole, Sheela V</creator><creator>Joshi, Smita N</creator><creator>Ghate, Manisha V</creator><creator>Sahay, Seema</creator><creator>Kumar, B Kishore</creator><creator>Gangakhedkar, Raman R</creator><creator>Risbud, Arun R</creator><creator>Brookmeyer, Ron S</creator><creator>Bollinger, Robert C</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7T5</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7U1</scope><scope>7U2</scope><scope>7X8</scope></search><sort><creationdate>20070815</creationdate><title>Declining HIV Incidence Among Patients Attending Sexually Transmitted Infection Clinics in Pune, India</title><author>Mehendale, Sanjay M ; Gupte, Nikhil ; Paranjape, Ramesh S ; Brahme, Radhika G ; Kohli, Rewa ; Joglekar, Neelam ; Godbole, Sheela V ; Joshi, Smita N ; Ghate, Manisha V ; Sahay, Seema ; Kumar, B Kishore ; Gangakhedkar, Raman R ; Risbud, Arun R ; Brookmeyer, Ron S ; Bollinger, Robert C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488a-c720807705fa4800cd1ca1959d1e9524d78f490008bf01eafbbb9d2edd5974053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>AIDS/HIV</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Condoms - trends</topic><topic>Disease transmission</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>HIV</topic><topic>HIV Infections - prevention & control</topic><topic>HIV-1</topic><topic>HIV-2</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Incidence</topic><topic>India - epidemiology</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microbiology</topic><topic>Miscellaneous</topic><topic>Prospective Studies</topic><topic>Regression Analysis</topic><topic>Risk Factors</topic><topic>Safe Sex</topic><topic>Sex Work</topic><topic>Sexually transmitted diseases</topic><topic>STD</topic><topic>Studies</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Virology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mehendale, Sanjay M</creatorcontrib><creatorcontrib>Gupte, Nikhil</creatorcontrib><creatorcontrib>Paranjape, Ramesh S</creatorcontrib><creatorcontrib>Brahme, Radhika G</creatorcontrib><creatorcontrib>Kohli, Rewa</creatorcontrib><creatorcontrib>Joglekar, Neelam</creatorcontrib><creatorcontrib>Godbole, Sheela V</creatorcontrib><creatorcontrib>Joshi, Smita N</creatorcontrib><creatorcontrib>Ghate, Manisha V</creatorcontrib><creatorcontrib>Sahay, Seema</creatorcontrib><creatorcontrib>Kumar, B Kishore</creatorcontrib><creatorcontrib>Gangakhedkar, Raman R</creatorcontrib><creatorcontrib>Risbud, Arun R</creatorcontrib><creatorcontrib>Brookmeyer, Ron S</creatorcontrib><creatorcontrib>Bollinger, Robert C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of acquired immune deficiency syndromes (1999)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mehendale, Sanjay M</au><au>Gupte, Nikhil</au><au>Paranjape, Ramesh S</au><au>Brahme, Radhika G</au><au>Kohli, Rewa</au><au>Joglekar, Neelam</au><au>Godbole, Sheela V</au><au>Joshi, Smita N</au><au>Ghate, Manisha V</au><au>Sahay, Seema</au><au>Kumar, B Kishore</au><au>Gangakhedkar, Raman R</au><au>Risbud, Arun R</au><au>Brookmeyer, Ron S</au><au>Bollinger, Robert C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Declining HIV Incidence Among Patients Attending Sexually Transmitted Infection Clinics in Pune, India</atitle><jtitle>Journal of acquired immune deficiency syndromes (1999)</jtitle><addtitle>J Acquir Immune Defic Syndr</addtitle><date>2007-08-15</date><risdate>2007</risdate><volume>45</volume><issue>5</issue><spage>564</spage><epage>569</epage><pages>564-569</pages><issn>1525-4135</issn><eissn>1944-7884</eissn><coden>JDSRET</coden><abstract>OBJECTIVE:A recent report suggesting declining HIV transmission rates in southern India has been based on HIV seroprevalence data to estimate HIV incidence. We analyzed HIV incidence rates among 3 cohorts (male, female non-sex worker, female sex worker [FSW]) presenting to sexually transmitted infection (STI) clinics in Pune, India over 10 years.
METHODS:Between 1993 and 2002, consenting HIV-uninfected individuals were enrolled in a prospective study of the risks for HIV seroconversion. Standardized HIV incidence estimates were calculated separately for the 3 cohorts.
RESULTS:HIV acquisition risk declined by more than 70% for FSWs (P = 0.02) and men (P < 0.001) attending the STI clinics. There was no significant reduction in HIV incidence among women attending STI clinics (P = 0.74). The decline in HIV acquisition risk among male patients with STIs was associated with an increase in reported condom use with recent FSW contact and a decrease in genital ulcer disease.
CONCLUSIONS:We report the first direct evidence for a decline in HIV incidence rates in FSWs and male patients with STIs over time. The lack of change in HIV infection risk among non-sex worker women highlights the need for additional targeted HIV prevention interventions.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>17558335</pmid><doi>10.1097/QAI.0b013e3180d0a6ba</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1525-4135 |
| ispartof | Journal of acquired immune deficiency syndromes (1999), 2007-08, Vol.45 (5), p.564-569 |
| issn | 1525-4135 1944-7884 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68220828 |
| source | MEDLINE; Journals@Ovid LWW Legacy Archive; Journals@Ovid Complete; Free E- Journals |
| subjects | Adult AIDS/HIV Biological and medical sciences Cohort Studies Condoms - trends Disease transmission Epidemiology Female Fundamental and applied biological sciences. Psychology HIV HIV Infections - prevention & control HIV-1 HIV-2 Human immunodeficiency virus Human viral diseases Humans Incidence India - epidemiology Infectious diseases Male Medical sciences Microbiology Miscellaneous Prospective Studies Regression Analysis Risk Factors Safe Sex Sex Work Sexually transmitted diseases STD Studies Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Virology |
| title | Declining HIV Incidence Among Patients Attending Sexually Transmitted Infection Clinics in Pune, India |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-19T11%3A34%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Declining%20HIV%20Incidence%20Among%20Patients%20Attending%20Sexually%20Transmitted%20Infection%20Clinics%20in%20Pune,%20India&rft.jtitle=Journal%20of%20acquired%20immune%20deficiency%20syndromes%20(1999)&rft.au=Mehendale,%20Sanjay%20M&rft.date=2007-08-15&rft.volume=45&rft.issue=5&rft.spage=564&rft.epage=569&rft.pages=564-569&rft.issn=1525-4135&rft.eissn=1944-7884&rft.coden=JDSRET&rft_id=info:doi/10.1097/QAI.0b013e3180d0a6ba&rft_dat=%3Cproquest_cross%3E1325127331%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=233649345&rft_id=info:pmid/17558335&rfr_iscdi=true |