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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Format: | Article |
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Elsevier
2020-10-01
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Series: | International Journal of Infectious Diseases |
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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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format | Article |
id | doaj.art-c39bd80fc21b4a43a22a993d03690e52 |
institution | Directory Open Access Journal |
issn | 1201-9712 |
language | English |
last_indexed | 2024-12-21T00:50:20Z |
publishDate | 2020-10-01 |
publisher | Elsevier |
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series | International Journal of Infectious Diseases |
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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