Titre :
|
Differences between women and men in serial HIV prevalence and incidence trends. (2008)
|
Auteurs :
|
Isabel-Hurtado NAVARRO ;
I. ALASTRUE ;
DEL AMO (J.) : ESP. Dpto Salud Pública. Universidad Miguel Hernández de Alicante. Alicante. ;
I. FERREROS ;
PEREZ-HOYOS (S.) : ESP. Dpto Enfermeria Comunitaria. Medicina Preventiva y Salud Pública e Historia de la Ciencia. Universidad de Alicante. Alicante. ;
C. SANTOS ;
T. TASA ;
Centro de Informacion y Prevencion del Sida de Valencia. Valencia. ESP ;
Unitat d'Epidemiologia i Estadistica. Escola Valenciana d'Estudis en Salut. Valencia. ESP
|
Type de document :
|
Article
|
Dans :
|
European journal of epidemiology (vol. 23, n° 6, 2008)
|
Pagination :
|
435-440
|
Langues:
|
Anglais
|
Mots-clés :
|
Sérologie
;
Etude comparée
;
Femme
;
Homme
;
Sida
;
VIH
;
Prévalence
;
Incidence
;
Tendance séculaire
;
Dépistage
;
Diagnostic
;
Sexe
;
Epidémiologie
;
Virose
;
Infection
;
Rétrovirus
;
Virus
;
Immunopathologie
|
Résumé :
|
[BDSP. Notice produite par INIST-CNRS 8EFER0xF. Diffusion soumise à autorisation]. To measure trends in HIV incidence and serial prevalence by sex in a intravenous drug users (IDUs) and heterosexuals (HT) cohort recruited in a counselling centre in Valencia (1988-2005). Serial prevalence and incidence rates were calculated and modelled by logistic and Poisson regression respectively. 5948 IDUs and 13343 HT were recruited. Prevalence was higher among female IDUs (46% vs. 41%), and female HT (4.1% vs. 2%). For IDUs, an interaction (P=0.005) between sex and calendar was detected. Age-adjusted prevalence showed faster yearly decline in men (OR=0.87 95% CI : 0.85-0.88) than in women (OR=0.91 95% CI : 0.88-0.93). Incidence was higher in female IDUs (9.79% p-y) than in men, (5.38% p-y) with an annual decrease for both of 11%. HIV incidence was higher in female HT (0.62% p-y) compared to men 0.23% p-y with a 21% yearly decline. Gender differences in HIV prevalence and incidence trends have been detected. Women showed an increased vulnerability to infection in a country whose HIV epidemic has been largely driven by IDUs.
|