| High percentage of recent HIV infection among HIV-positive individuals newly-diagnosed at voluntary counselling and testing sites in Poland. | |
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MedLine Citation:
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PMID: 23343475 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objective: To gain insights into HIV transmission by estimating the proportion recently-infected. Design / Methods: We examined data from HIV-positive and a random 10% sample of HIV-negatives tested at Voluntary Counselling and Testing sites in Poland in 2006. Archived samples from positives were tested by 3 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, interval between self-reported HIV exposure and previous HIV test. Results: Of 13511 tests, 154 (1.1%) were HIV-positive, representing 19.7% (n=783) of new diagnoses in Poland in 2006. Demographic and behavioural data were linked for 95, of whom 45 (47%) were recently-infected, and 1001 HIV-negatives. 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 negatives. Median number of partners during past 12 months was 1 and 2 among positives and negatives, but higher among MSM; 4 and 3 respectively. Ever injectors were less likely to be recently infected (adjusted OR= 0.15, 95%CI=0.03 - 0.73). Having ≥2 sexual partners in 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. Conclusion: These data reinforce health education campaigns for safe sex messages, especially among MSM. They also suggest that, albeit based on a subset of new diagnoses, that interventions should not be limited to selected age /sex groups. |
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Authors:
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Magdalena Rosinska; Anna Marzec-Boguslawska; Janusz Janiec; Joanna Smoleń-Dzirba; Tomasz Wąsik; Joanna Gniewosz; Małgorzata Zalewska; Gary Murphy; Elaine McKinney; Kholoud Porter |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2013-1-24 |
Journal Detail:
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Title: AIDS research and human retroviruses Volume: - ISSN: 1931-8405 ISO Abbreviation: AIDS Res. Hum. Retroviruses Publication Date: 2013 Jan |
Date Detail:
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Created Date: 2013-1-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8709376 Medline TA: AIDS Res Hum Retroviruses Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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National Institute of Public Health - National Institute of Hygiene, Epidemiology, Chocimska24, Warszawa, Poland, 00-791; mrosinska@pzh.gov.pl. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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