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Estimates of hiv prevalence in a highly endemic area of china: dehong prefecture, yunnan province
Jia, Yujiang2,3; Sun, Jiangping1; Fan, Lu1; Song, Duan4; Tian, Shuming5; Yang, Yuecheng4; Jia, Manhong6; Lu, Lin6; Sun, Xinhua7; Zhang, Sanguo8
刊名International journal of epidemiology
2008-12-01
卷号37期号:6页码:1287-1296
ISSN号0300-5771
DOI10.1093/ije/dyn196
通讯作者Sun, jiangping(jpsun@chinaids.org.cn)
英文摘要Background dehong prefecture in yunnan province, china, borders myanmar. its proximity to the golden triangle, one of the worlds largest illicit drug production and distribution centre, contributes to drug trafficking and ready availability of heroin. dehongs 1.1 million people confront a serious hiv problem fuelled by injection drug use. the aim of this study is to improve the 2005 estimates of the true status of the hiv/aids epidemic in dehong prefecture. methods we estimated the hiv prevalence by synthesizing the results from several data sources (hiv/aids case reports, surveys, surveillance activities and epidemiological studies). we applied three different statistical procedures for estimations: (i) the workbook method, adapted to meet the estimation needs in dehong prefecture; (ii) an estimate based on antenatal clinical data; and (iii) a dynamic model based on the local epidemic pattern. results we estimated that the population prevalence for hiv infections in dehong prefecture is 1.3 (likely range from low/high of three estimates: 0.91.7) such that 13 500 people were living with hiv/aids in dehong prefecture (likely range: 820018 300) in 2005. infections remain concentrated among injection drug users, female sex workers and their clients with an uneven geographical distribution of estimated cases. conclusion more reliable estimates of hiv prevalence can be made by synthesizing multiple data sources using several procedures. current hiv prevention, care and treatment challenges are judged substantial in dehong prefecture, regardless of what modelling strategy is used.
WOS关键词HUMAN-IMMUNODEFICIENCY-VIRUS ; UNITED-STATES ; DRUG-USE ; POPULATION ; INFECTION ; RISK
WOS研究方向Public, Environmental & Occupational Health
WOS类目Public, Environmental & Occupational Health
语种英语
出版者OXFORD UNIV PRESS
WOS记录号WOS:000261461700016
内容类型期刊论文
URI标识http://www.corc.org.cn/handle/1471x/2391333
专题中国科学院大学
通讯作者Sun, Jiangping
作者单位1.China Ctr Dis Control & Prevent, Natl Ctr AIDS STD Control & Prevent, Beijing 100050, Peoples R China
2.Vanderbilt Univ, Sch Med, Inst Global Hlth, Nashville, TN 37232 USA
3.Vanderbilt Univ, Sch Med, Dept Pediat, Nashville, TN 37232 USA
4.Dehong Prefecture Ctr Dis Control & Prevent, Mang City 678400, Yunnan Province, Peoples R China
5.Dehong Prefecture Hlth Bur, Mang City, Yunnan Province, Peoples R China
6.Yunnan Ctr Dis Control & Prevent, Kunming 650022, Yunnan Province, Peoples R China
7.Minist Hlth, Div Aids, Bur Dis Control, Beijing 100044, Peoples R China
8.Chinese Acad Sci, Grad Univ, Sch Math Sci, Beijing 100049, Peoples R China
9.Univ Alabama, Sch Publ Hlth, Birmingham, AL 35025 USA
推荐引用方式
GB/T 7714
Jia, Yujiang,Sun, Jiangping,Fan, Lu,et al. Estimates of hiv prevalence in a highly endemic area of china: dehong prefecture, yunnan province[J]. International journal of epidemiology,2008,37(6):1287-1296.
APA Jia, Yujiang.,Sun, Jiangping.,Fan, Lu.,Song, Duan.,Tian, Shuming.,...&Vermund, Sten H..(2008).Estimates of hiv prevalence in a highly endemic area of china: dehong prefecture, yunnan province.International journal of epidemiology,37(6),1287-1296.
MLA Jia, Yujiang,et al."Estimates of hiv prevalence in a highly endemic area of china: dehong prefecture, yunnan province".International journal of epidemiology 37.6(2008):1287-1296.
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