Recent declines in HIV infections at Silom Community Clinic Bangkok, Thailand corresponding to HIV prevention scale up: An open cohort assessment 2005–2018

Objectives: We assessed HIV-1 infection among men who have sex with men (MSM) attending Silom Community Clinic (SCC) in Bangkok, Thailand from 2005 to 2018. Since 2014, Thailand increased implementation of HIV prevention strategies including pre-exposure prophylaxis and Treatment as Prevention. Meth...

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Main Authors: Sarika Pattanasin, Frits van Griensven, Philip A. Mock, Wichuda Sukwicha, Santi Winaitham, Kesinee Satumay, Siobhan O’Connor, Andrew C. Hickey, Taweesap Siraprapasiri, Joseph V. Woodring, Pachara Sirivongrangson, Timothy H. Holtz, Eileen F. Dunne
Format: Article
Language:English
Published: Elsevier 2020-10-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971220305506
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author Sarika Pattanasin
Frits van Griensven
Philip A. Mock
Wichuda Sukwicha
Santi Winaitham
Kesinee Satumay
Siobhan O’Connor
Andrew C. Hickey
Taweesap Siraprapasiri
Joseph V. Woodring
Pachara Sirivongrangson
Timothy H. Holtz
Eileen F. Dunne
author_facet Sarika Pattanasin
Frits van Griensven
Philip A. Mock
Wichuda Sukwicha
Santi Winaitham
Kesinee Satumay
Siobhan O’Connor
Andrew C. Hickey
Taweesap Siraprapasiri
Joseph V. Woodring
Pachara Sirivongrangson
Timothy H. Holtz
Eileen F. Dunne
author_sort Sarika Pattanasin
collection DOAJ
description Objectives: We assessed HIV-1 infection among men who have sex with men (MSM) attending Silom Community Clinic (SCC) in Bangkok, Thailand from 2005 to 2018. Since 2014, Thailand increased implementation of HIV prevention strategies including pre-exposure prophylaxis and Treatment as Prevention. Methods: MSM attending SCC were tested for HIV using rapid tests. We assessed trends in HIV prevalence, incidence and compared incidence before and after 2014. Results: From 2005 to 2018, 14,034 clients attended SCC for HIV testing. The HIV prevalence increased from 19.2% in 2005–2006 to 34–0% in 2010, remained stable until 2016 and decreased to 17.2% in 2018 (p < 0.0001). The HIV incidence was 4.1 per 100 person-years (PY), with an inverted U-shape trend and a peak in 2009 (p < 0.0001). Incidence among young MSM aged 13–21 years remained high at 10.0 per 100 PY. Among those aged 22–29 years, lower incidence was found from Q 3 2016, with a relative risk reduction of 46.2% (p < 0.001); and a similar reduction among those aged ≥30 years from Q4 2014, corresponding to scale up of HIV prevention strategies. Conclusion: We found a decline in HIV infection among Thai MSM. However, incidence remained high among young MSM.
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spelling doaj.art-c39bd80fc21b4a43a22a993d03690e522022-12-21T19:21:25ZengElsevierInternational Journal of Infectious Diseases1201-97122020-10-0199131137Recent declines in HIV infections at Silom Community Clinic Bangkok, Thailand corresponding to HIV prevention scale up: An open cohort assessment 2005–2018Sarika Pattanasin0Frits van Griensven1Philip A. Mock2Wichuda Sukwicha3Santi Winaitham4Kesinee Satumay5Siobhan O’Connor6Andrew C. Hickey7Taweesap Siraprapasiri8Joseph V. Woodring9Pachara Sirivongrangson10Timothy H. Holtz11Eileen F. Dunne12Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA; Thailand Ministry of Public Health – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, ThailandThe Thai Red Cross AIDS Research Centre, Bangkok, Thailand; Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, USADivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA; Thailand Ministry of Public Health – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, ThailandDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA; Thailand Ministry of Public Health – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, ThailandDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA; Thailand Ministry of Public Health – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, ThailandDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA; Thailand Ministry of Public Health – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, ThailandDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USADivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA; Thailand Ministry of Public Health – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, ThailandDepartment of Disease Control, Ministry of Public Health, Nonthaburi, ThailandDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA; Thailand Ministry of Public Health – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, ThailandDepartment of Disease Control, Ministry of Public Health, Nonthaburi, ThailandDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA; Thailand Ministry of Public Health – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, ThailandDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA; Thailand Ministry of Public Health – U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand; Corresponding author at: DHAP Thailand, Thailand MOPH-US CDC Collaboration, DDC 7 Building, 4th Floor, Ministry of Public Health, Soi 4, Nonthaburi 11000, Thailand.Objectives: We assessed HIV-1 infection among men who have sex with men (MSM) attending Silom Community Clinic (SCC) in Bangkok, Thailand from 2005 to 2018. Since 2014, Thailand increased implementation of HIV prevention strategies including pre-exposure prophylaxis and Treatment as Prevention. Methods: MSM attending SCC were tested for HIV using rapid tests. We assessed trends in HIV prevalence, incidence and compared incidence before and after 2014. Results: From 2005 to 2018, 14,034 clients attended SCC for HIV testing. The HIV prevalence increased from 19.2% in 2005–2006 to 34–0% in 2010, remained stable until 2016 and decreased to 17.2% in 2018 (p < 0.0001). The HIV incidence was 4.1 per 100 person-years (PY), with an inverted U-shape trend and a peak in 2009 (p < 0.0001). Incidence among young MSM aged 13–21 years remained high at 10.0 per 100 PY. Among those aged 22–29 years, lower incidence was found from Q 3 2016, with a relative risk reduction of 46.2% (p < 0.001); and a similar reduction among those aged ≥30 years from Q4 2014, corresponding to scale up of HIV prevention strategies. Conclusion: We found a decline in HIV infection among Thai MSM. However, incidence remained high among young MSM.http://www.sciencedirect.com/science/article/pii/S1201971220305506Pre-exposure prophylaxisTreat allMen who have sex with menHIV infectionThailand
spellingShingle Sarika Pattanasin
Frits van Griensven
Philip A. Mock
Wichuda Sukwicha
Santi Winaitham
Kesinee Satumay
Siobhan O’Connor
Andrew C. Hickey
Taweesap Siraprapasiri
Joseph V. Woodring
Pachara Sirivongrangson
Timothy H. Holtz
Eileen F. Dunne
Recent declines in HIV infections at Silom Community Clinic Bangkok, Thailand corresponding to HIV prevention scale up: An open cohort assessment 2005–2018
International Journal of Infectious Diseases
Pre-exposure prophylaxis
Treat all
Men who have sex with men
HIV infection
Thailand
title Recent declines in HIV infections at Silom Community Clinic Bangkok, Thailand corresponding to HIV prevention scale up: An open cohort assessment 2005–2018
title_full Recent declines in HIV infections at Silom Community Clinic Bangkok, Thailand corresponding to HIV prevention scale up: An open cohort assessment 2005–2018
title_fullStr Recent declines in HIV infections at Silom Community Clinic Bangkok, Thailand corresponding to HIV prevention scale up: An open cohort assessment 2005–2018
title_full_unstemmed Recent declines in HIV infections at Silom Community Clinic Bangkok, Thailand corresponding to HIV prevention scale up: An open cohort assessment 2005–2018
title_short Recent declines in HIV infections at Silom Community Clinic Bangkok, Thailand corresponding to HIV prevention scale up: An open cohort assessment 2005–2018
title_sort recent declines in hiv infections at silom community clinic bangkok thailand corresponding to hiv prevention scale up an open cohort assessment 2005 2018
topic Pre-exposure prophylaxis
Treat all
Men who have sex with men
HIV infection
Thailand
url http://www.sciencedirect.com/science/article/pii/S1201971220305506
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