Suppr超能文献

2007年至2012年越南海防市艾滋病毒、乙型肝炎病毒和丙型肝炎病毒流行趋势的差异。

Discrepancies in prevalence trends for HIV, hepatitis B virus, and hepatitis C virus in Haiphong, Vietnam from 2007 to 2012.

作者信息

Ishizaki Azumi, Tran Vuong Thi, Nguyen Cuong Hung, Tanimoto Tomoaki, Hoang Huyen Thi Thanh, Pham Hung Viet, Phan Chung Thi Thu, Bi Xiuqiong, Pham Thuc Van, Ichimura Hiroshi

机构信息

Department of Viral infection and International Health, Graduate school of Medical Sciences, Kanazawa University, Kanazawa, Japan.

Hai Phong University of Medicine and Pharmacy, Hai Phong, Viet Nam.

出版信息

PLoS One. 2017 Jun 29;12(6):e0179616. doi: 10.1371/journal.pone.0179616. eCollection 2017.

Abstract

We previously reported a significant reduction in the prevalence of human immunodeficiency virus type 1 (HIV) from 2007 to 2012 in people who inject drugs (PWID; 35.9% to 18.5%, p < 0.001) and female sex workers (FSW; 23.1% to 9.8%, p < 0.05), but not in blood donors (BD) or pregnant women, in Haiphong, Vietnam. Our aim in the present study was to assess trends in the prevalence of infection with hepatitis B and C viruses (HBV and HCV, respectively). We also investigated the coinfection rates of HBV and HCV with HIV in the same groups. Between 2007 and 2012, HBV prevalence was significantly decreased in BD (18.1% vs. 9.0%, p = 0.007) and slightly decreased in FSW (11.0% vs. 3.9%, p = 0.21), but not in PWID (10.7% vs. 11.1%, p = 0.84). HCV prevalence was significantly decreased in PWID (62.1% in 2007 vs. 42.7% in 2008, p < 0.0001), but it had rebounded to 58.4% in 2012 (2008 vs. 2012, p < 0.0001). HCV prevalence also increased in FSW: 28.6% in 2007 and 2009 vs. 35.3% in 2012; however, this difference was not significant (2007 vs. 2012, p = 0.41). Rates of coinfection with HBV and HCV among HIV-infected PWID and FSW did not change significantly during the study period. Our findings suggest that the current harm reduction programs designed to prevent HIV transmission in PWID and FSW may be insufficient to prevent the transmission of hepatitis viruses, particularly HCV, in Haiphong, Vietnam. New approaches, such as the introduction of catch-up HBV vaccination to vulnerable adult populations and the introduction of HCV treatment as prevention, should be considered to reduce morbidity and mortality due to HIV and hepatitis virus coinfection in Vietnam.

摘要

我们之前报道过,2007年至2012年期间,越南海防市注射毒品者(PWID;患病率从35.9%降至18.5%,p<0.001)和女性性工作者(FSW;患病率从23.1%降至9.8%,p<0.05)中人类免疫缺陷病毒1型(HIV)的患病率显著下降,但献血者(BD)和孕妇中未出现这种情况。我们在本研究中的目的是评估乙型和丙型肝炎病毒(分别为HBV和HCV)感染率的趋势。我们还调查了同一组人群中HBV和HCV与HIV的合并感染率。2007年至2012年期间,BD中HBV患病率显著下降(18.1%对9.0%,p = 0.007),FSW中略有下降(11.0%对3.9%,p = 0.21),但PWID中未下降(10.7%对11.1%,p = 0.84)。PWID中HCV患病率显著下降(2007年为62.1%,2008年为42.7%,p<0.0001),但在2012年回升至58.4%(2008年对2012年,p<0.0001)。FSW中HCV患病率也有所上升:2007年和2009年为28.6%,2012年为35.3%;然而,这种差异不显著(2007年对2012年,p = 0.41)。在研究期间,HIV感染的PWID和FSW中HBV和HCV的合并感染率没有显著变化。我们的研究结果表明,目前旨在预防PWID和FSW中HIV传播的减少伤害项目可能不足以预防越南海防市肝炎病毒的传播,尤其是HCV。应考虑采取新方法,如对易感染的成年人群引入补种HBV疫苗以及引入HCV治疗作为预防措施,以降低越南因HIV和肝炎病毒合并感染导致的发病率和死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7599/5491323/8022ea5829f6/pone.0179616.g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验