TY - JOUR
T1 - The HIV epidemic in Yunnan province, China, 1989-2007
AU - Jia, Manhong
AU - Luo, Hongbing
AU - Ma, Yanling
AU - Wang, Ning
AU - Smith, Kumi
AU - Mei, Jiangyuan
AU - Lu, Ran
AU - Lu, Jiyun
AU - Fu, Liru
AU - Zhang, Qiang
AU - Wu, Zunyou
AU - Lu, Lin
PY - 2010/2
Y1 - 2010/2
N2 - Objective: To investigate the characteristics and trends in the HIV epidemic in Yunnan province, China, between 1989 and 2007. Methods: Statistical analysis of serological data from voluntary testing and counseling sites, medical case reports, mass screenings, sentinel surveillance, and other sources. Results: By 2007, a cumulative total of 57,325 cases of HIV infection were reported in Yunnan, and unsafe drug injection practices and unsafe sexual behaviors were identified as the dominant modes of transmission. HIV affects injecting drug users most, particularly in Jingpo, Dai, and Yi ethnicities, more than 40% in 7 counties. HIV prevalence rates among female sex workers (FSWs) increased from 0.5% in 1995 to 4.0% in 2007; among men who have sex with men, from 4.0% in 2005 to 13.2% in 2007; among male clients of FSWs, from 0% in 1995-1997 to 1.8% in 2007; among male sexually transmitted disease clinic attendees, from 0% in 1992 to 2.1% in 2007; among pregnant women from 0.16% in 1992 to 0.5% in 2007; and among blood donors, from 0.0075% in 1992 to 0.084% in 2007. Conclusions: The HIV epidemic in Yunnan has progressed to a concentrated epidemic. Future efforts must focus on not only groups at risk for primary infection (injecting drug users, men who have sex with men, and FSWs) but also on their low-risk sexual partners.
AB - Objective: To investigate the characteristics and trends in the HIV epidemic in Yunnan province, China, between 1989 and 2007. Methods: Statistical analysis of serological data from voluntary testing and counseling sites, medical case reports, mass screenings, sentinel surveillance, and other sources. Results: By 2007, a cumulative total of 57,325 cases of HIV infection were reported in Yunnan, and unsafe drug injection practices and unsafe sexual behaviors were identified as the dominant modes of transmission. HIV affects injecting drug users most, particularly in Jingpo, Dai, and Yi ethnicities, more than 40% in 7 counties. HIV prevalence rates among female sex workers (FSWs) increased from 0.5% in 1995 to 4.0% in 2007; among men who have sex with men, from 4.0% in 2005 to 13.2% in 2007; among male clients of FSWs, from 0% in 1995-1997 to 1.8% in 2007; among male sexually transmitted disease clinic attendees, from 0% in 1992 to 2.1% in 2007; among pregnant women from 0.16% in 1992 to 0.5% in 2007; and among blood donors, from 0.0075% in 1992 to 0.084% in 2007. Conclusions: The HIV epidemic in Yunnan has progressed to a concentrated epidemic. Future efforts must focus on not only groups at risk for primary infection (injecting drug users, men who have sex with men, and FSWs) but also on their low-risk sexual partners.
KW - Case report
KW - China
KW - Epidemiology
KW - HIV/AIDS
KW - Sentinel surveillance
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U2 - 10.1097/QAI.0b013e3181c7d6ff
DO - 10.1097/QAI.0b013e3181c7d6ff
M3 - Article
C2 - 20104107
AN - SCOPUS:75749112938
SN - 1525-4135
VL - 53
SP - S34-S40
JO - Journal of Acquired Immune Deficiency Syndromes
JF - Journal of Acquired Immune Deficiency Syndromes
IS - SUPPL. 1
ER -