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HIV Epidemiology and Prevention in Southwestern China: Trends from 1996-2017

[ Vol. 17 , Issue. 2 ]

Author(s):

Huanhuan Chen, Liuhong Luo, Stephen W. Pan, Guanghua Lan, Qiuying Zhu, Jianjun Li, Jinhui Zhu, Yi Chen, Zhiyong Shen, Xianming Ge, Zhenzhu Tang, Hui Xing, Yiming Shao, Yuhua Ruan* and Wenmin Yang*   Pages 85 - 93 ( 9 )

Abstract:


The aim of this review is to describe long-term HIV epidemiology and prevention trends in Guangxi, a provincial-level region located along a major drug trafficking corridor in southwestern China. Between 1996 and 2006, HIV transmission in Guangxi was primarily fueled by Injection Drug Use (IDU). Since 2006, heterosexual sex has become the dominant mode of HIV transmission, followed by drug injection. Moreover, older, heterosexual adults appear to be at increased risk for HIV. The vast majority of new HIV cases are attributed to local HIV subtypes already circulating within Guangxi (93%), though imported subtypes are associated with younger age groups. Since 2011, HIV incidence in Guangxi has stabilized, due in part to HIV prevention efforts that include expanded HIV testing, antiretroviral treatment, and other intervention measures. Between 1996 and 2017, Guangxi, China experienced dramatic changes in the primary HIV transmission mode and at-risk age group. Due in part to local and National AIDS control and prevention campaigns, HIV incidence trends in Guangxi no longer appear to be increasing.

Keywords:

HIV, transmission, injection drug use, sexual intercourse, antiretroviral therapy, prevention.

Affiliation:

Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, Department of Health and Environmental Sciences, Xi’an Jiaotong-Liverpool University, Suzhou, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, State Key Laboratory of Infectious Disease Prevention and Control (SKLID), National Center for AIDS/STD Control and Prevention (NCAIDS), Chinese Center for Disease Control and Prevention (China CDC), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Beijing, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, Guangxi

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