HIV Testing and Diagnosis Rates in Kiev, Ukraine: April 2013-March 2014
Simmons, Ruth (University College London)
Malyuta, Ruslan (Perinatal Prevention of AIDS Initiative (Odessa, Ukraïna))
Chentsova, Nelli (Kyiv City AIDS Center (Kyiv, Ukraïna))
Medoeva, Antonia (Kyiv City AIDS Center (Kyiv, Ukraïna))
Kruglov, Yuri (Institute of Epidemiology (Kyiv, Ukraïna))
Yurchenko, Alexander (Kyiv City AIDS Center (Kyiv, Ukraïna))
Copas, Andrew (University College London)
Porter, Kholoud (University College London)
CASCADE Collaboration in EuroCoord

Data:	2015
Resum:	Data from Ukraine on risk factors for HIV acquisition are limited. We describe the characteristics of individuals testing for HIV in the main testing centres of the Ukrainian capital Kiev, including HIV risk factors, testing rates, and positivity rates. As part of a larger study to estimate HIV incidence within Kiev City, we included questions on possible risk factors for HIV acquisition and testing history to existing systems in 4 infectious disease clinics. Data were provided by the person requesting an HIV test using a handheld electronic tablet. All persons (≥16 yrs) presenting for an HIV test April 2013-March 2014 were included. Rates per 100,000 were calculated using region-specific denominators for Kiev. During the study period 6370 individuals tested for HIV, equivalent to a testing rate of 293. 2 per 100,000. Of these, 467 (7. 8%) were HIV-positive, with the highest proportion positive among 31-35 year olds (11. 2%), males (9. 4%), people who inject drugs (PWID) (17. 9%) and men who have sex with men (MSM) (24. 1%). Using published population size estimates of MSM, diagnosis rates for MSM ranged from 490. 6 to 1548. 3/100,000. A higher proportion of heterosexual women compared to heterosexual men reported contact with PWID, (16% vs. 4. 7%) suggesting a bridging in risk between PWID and their sexual partners. Collection of HIV risk factor information in Kiev, essential for the purposes of developing effective HIV prevention and response tools, is feasible. The high percentage of MSM among those testing positive for HIV, may indicate a significant level of undisclosed sex between men in national figures.
Ajuts:	European Commission 260694
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	PloS one, Vol. 10 Núm. 8 (august 2015) , ISSN 1932-6203

DOI: 10.1371/journal.pone.0137062
PMID: 26322977

10 p, 194.9 KB

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