Document Detail


High percentage of recent HIV infection among HIV-positive individuals newly diagnosed at voluntary counseling and testing sites in Poland.
MedLine Citation:
PMID:  23343475     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To gain insight into HIV transmission we estimated the proportion of those recently infected. We examined data from HIV-positive patients and a random 10% sample of HIV-negative patients tested at Voluntary Counseling and Testing sites in Poland in 2006. Archived samples from positive patients were tested by three assays to differentiate recent from long-standing infection. Using logistic regression, we examined the association of recent infection (at least one assay) with age, sex, HIV exposure category, and the interval between self-reported HIV exposure and previous HIV test. Of 13,511 tests, 154 (1.1%) were HIV positive, representing 19.7% (n=783) of new diagnoses in Poland in 2006. Demographic and behavioral data were linked for 95, of whom 45 (47%) were recently infected and 1,001 were HIV negative. New diagnoses were more likely to be injectors (17% vs. 2%), men who have sex with men (MSM) (37% vs. 12%), and less frequent condom users (7.8% vs. 14% always) compared to HIV negatives. The median number of partners during the past 12 months was one and two among positives and negatives, but was higher among MSM-four and three, respectively. Ever injectors were less likely to be recently infected (adjusted OR=0.15, 95%CI=0.03-0.73). Having two or more sexual partners in the past 12 months was an independent predictor of recent infection (4.01, 1.4-11.49). We found no evidence that age or sex predicted recent infection. These data reinforce health education campaigns for safe sex messages, especially among MSM. They also suggest, albeit based on a subset of new diagnoses, that interventions should not be limited to selected age/sex groups.
Authors:
Magdalena Rosińska; Anna Marzec-Bogustawska; Janusz Janiec; Joanna Smoleń-Dzirba; Tomasz Wąsik; Joanna Gniewosz; Małgorzata Zalewska; Gary Murphy; Elaine McKinney; Kholoud Porter;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2013-02-26
Journal Detail:
Title:  AIDS research and human retroviruses     Volume:  29     ISSN:  1931-8405     ISO Abbreviation:  AIDS Res. Hum. Retroviruses     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-04-26     Completed Date:  2013-08-30     Revised Date:  2014-02-20    
Medline Journal Info:
Nlm Unique ID:  8709376     Medline TA:  AIDS Res Hum Retroviruses     Country:  United States    
Other Details:
Languages:  eng     Pagination:  805-13     Citation Subset:  IM; X    
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MeSH Terms
Descriptor/Qualifier:
AIDS Serodiagnosis / statistics & numerical data
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Counseling
HIV Infections / diagnosis,  epidemiology*,  transmission
Homosexuality, Male / statistics & numerical data
Humans
Male
Middle Aged
Poland / epidemiology
Sex Factors
Sexual Behavior
Substance Abuse, Intravenous / complications
Time Factors
Young Adult
Grant Support
ID/Acronym/Agency:
MC_U122886351//Medical Research Council
Investigator
Investigator/Affiliation:
Julia Del Amo / ; Laurence Meyer / ; Heiner C Bucher / ; Osamah Hamouda / ; Deenan Pillay / ; Maria Prins / ; Magda Rosinska / ; Caroline Sabin / ; Giota Touloumi / ; Kholoud Porter / ; Ashley Olson / ; Kate Coughlin / ; Sarah Walker / ; Abdel Babiker / ; Heiner C Bucher / ; Andrea De Luca / ; Martin Fisher / ; Roberto Muga / ; Robert Zangerle / ; Tony Kelleher / ; David Cooper / ; Pat Grey / ; Robert Finlayson / ; Mark Bloch / ; Tony Kelleher / ; Tim Ramacciotti / ; Linda Gelgor / ; David Cooper / ; Don Smith / ; John Gill / ; Tartu Ülikool / ; Irja Lutsar / ; Francois Dabis / ; Rodolphe Thiebaut / ; Bernard Masquelier / ; Dominique Costagliola / ; Marguerite Guiguet / ; Philippe Vanhems / ; Marie-Laure Chaix / ; Jade Ghosn / ; Laurence Meyer / ; Faroudy Boufassa / ; Osamah Hamouda / ; Claudia Kücherer / ; Barbara Bartmeyer / ; P Gargalianos-Kakolyris / ; M Lazanas / ; Giota Touloumi / ; Nikos Pantazis / ; Olga Katsarou / ; Giovanni Rezza / ; Maria Dorrucci / ; Antonella d'Arminio Monforte / ; Andrea De Luca / ; Maria Prins / ; Ronald Geskus / ; Jannie van der Helm / ; Hanneke Schuitemaker / ; Mette Sannes / ; Oddbjorn Brubakk / ; Anne-Marte Bakken Kran / ; Magdalena Rosinska / ; Roberto Muga / ; Jordi Tor / ; Patricia Garcia de Olalla / ; Joan Cayla / ; Julia del Amo / ; Santiago Moreno / ; Susana Monge / ; Julia Del Amo / ; Jorge del Romero / ; Santiago Pérez-Hoyos / ; Heiner C Bucher / ; Martin Rickenbach / ; Patrick Francioli / ; Gary Murphy / ; Caroline Sabin / ; Kholoud Porter / ; Anne Johnson / ; Andrew Phillips / ; Abdel Babiker / ; Deenan Pillay / ; Charles Morrison / ; Robert Salata / ; Roy Mugerwa / ; Tsungai Chipato / ; Pauli N Amornkul / ; Jill Gilmour / ; Anatoli Kamali / ; Etienne Karita / ; Dominique Costagliola / ; Carlo Giaquinto / ; Ruslan Malyuta / ; Julia Del Amo / ; Di Gibb / ; Jesper Grarup / ; Københavns Universitet / ; Ole Kirk / ; Københavns Universitet / ; Bruno Ledergerber / ; Laurence Meyer / ; Alex Panteleev / ; Andrew Phillips / ; Kholoud Porter / ; Caroline Sabin / ; Claire Thorne / ; Stephen Welch / ; Jean-Pierre Aboulker / ; Jan Albert / ; Silvia Asandi / ; Dominique Costagliola / ; Antonella d'Arminio Monforte / ; Stéphane De Wit / ; Frank De Wolf / ; Julia Del Amo / ; José Gatell / ; Carlo Giaquinto / ; Osamah Hamouda / ; Igor Karpov / ; Bruno Ledergerber / ; Jens Lundgren / ; Claus Møller / ; Andrew Phillips / ; Kholoud Porter / ; Maria Prins / ; Jürgen Rockstroh / ; Magda Rosinska / ; Claire Thorne / ; Alain Volny Anne / ; David Cooper / ; Nikos Dedes / ; Kevin Fenton / ; David Pizzuti / ; Marco Vitoria / ; Kate Coughlin / ; Michelle Ellefson / ; Københavns Universitet / ; Silvia Faggion / ; Richard Frost / ; Christine Schwimmer / ; Martin Scott /

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