| 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. |
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