دورية أكاديمية

Clusters of Rapid HIV Transmission Among Gay, Bisexual, and Other Men Who Have Sex with Men - United States, 2018-2021.

التفاصيل البيبلوغرافية
العنوان: Clusters of Rapid HIV Transmission Among Gay, Bisexual, and Other Men Who Have Sex with Men - United States, 2018-2021.
المؤلفون: Perez SM; Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, CDC., Panneer N; Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, CDC., France AM; Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, CDC., Carnes N; Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, CDC., Curran KG; Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, CDC., Denson DJ; Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, CDC., Oster AM; Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, CDC.
المصدر: MMWR. Morbidity and mortality weekly report [MMWR Morb Mortal Wkly Rep] 2022 Sep 23; Vol. 71 (38), pp. 1201-1206. Date of Electronic Publication: 2022 Sep 23.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: U.S. Centers for Disease Control Country of Publication: United States NLM ID: 7802429 Publication Model: Electronic Cited Medium: Internet ISSN: 1545-861X (Electronic) Linking ISSN: 01492195 NLM ISO Abbreviation: MMWR Morb Mortal Wkly Rep Subsets: MEDLINE
أسماء مطبوعة: Publication: Atlanta, GA : U.S. Centers for Disease Control
Original Publication: [Atlanta] U. S. Dept. of Health, Education, and Welfare, Public Health Service, Center for Disease Control.
مواضيع طبية MeSH: HIV Infections*/prevention & control , Sexual and Gender Minorities*, Female ; Gender Identity ; Homosexuality, Male ; Humans ; Male ; Sexual Behavior ; United States/epidemiology
مستخلص: Gay, bisexual, and other men who have sex with men (MSM) accounted for 68% of new HIV diagnoses in the United States in 2020* (1). Despite advances in treatment and prevention, HIV transmission among MSM continues, in part because of stigma and barriers to accessing prevention and treatment services (2). HIV cluster detection and response, a core strategy of the Ending the HIV Epidemic in the United States initiative, is an important tool for early identification and response to rapid HIV transmission, including among MSM. To better understand rapid HIV transmission among this population, CDC characterized large HIV molecular clusters detected using analysis of HIV-1 nucleotide sequence data from the National HIV Surveillance System (NHSS). § Among 38 such clusters first detected during 2018-2019 that had grown to include more than 25 persons by December 2021, 29 occurred primarily among MSM. Clusters primarily among MSM occurred in all geographic regions, and 97% involved multiple states. Clusters were heterogeneous in age, gender identity, and race and ethnicity and had rapid growth rates (median = nine persons added per year). The overall transmission rate at cluster detection was 22 transmission events per 100 person-years, more than six times that of previously estimated national transmission rates (3). Most clusters of rapid HIV transmission occur among MSM. Swift response to reach diverse persons and communities with early, tailored, and focused interventions is essential to reducing HIV transmission (4).
Competing Interests: All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.
References: Am J Prev Med. 2021 Nov;61(5 Suppl 1):S130-S142. (PMID: 34686282)
J Infect Dis. 2020 Sep 2;222(Suppl 5):S239-S249. (PMID: 32877545)
MMWR Morb Mortal Wkly Rep. 2021 Dec 03;70(48):1669-1675. (PMID: 34855721)
AIDS Res Hum Retroviruses. 2019 Apr;35(4):368-375. (PMID: 30403157)
MMWR Morb Mortal Wkly Rep. 2022 Sep 09;71(36):1141-1147. (PMID: 36074735)
MMWR Morb Mortal Wkly Rep. 2018 Mar 22;68(11):267-272. (PMID: 30897075)
Viruses. 2021 Mar 30;13(4):. (PMID: 33808053)
J Acquir Immune Defic Syndr. 2018 Dec 15;79(5):543-550. (PMID: 30222659)
تواريخ الأحداث: Date Created: 20220922 Date Completed: 20220926 Latest Revision: 20221013
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC9531569
DOI: 10.15585/mmwr.mm7138a1
PMID: 36136909
قاعدة البيانات: MEDLINE
الوصف
تدمد:1545-861X
DOI:10.15585/mmwr.mm7138a1