TY - JOUR
T1 - Trends in human immunodeficiency virus diagnoses among men who have sex with men in North America, Western Europe, and Australia, 2000–2014
AU - Chapin-Bardales, Johanna
AU - Schmidt, Axel J.
AU - Guy, Rebecca J.
AU - Kaldor, John M.
AU - McGregor, Skye
AU - Sasse, André
AU - Archibald, Chris
AU - Rank, Claudia
AU - Casabona Barbarà, Jordi
AU - Folch, Cinta
AU - Vives, Núria
AU - Cowan, Susan A.
AU - Cazein, Françoise
AU - Velter, Annie
AU - an der Heiden, Matthias
AU - Gunsenheimer-Bartmeyer, Barbara
AU - Marcus, Ulrich
AU - Op de Coul, Eline L.M.
AU - van Sighem, Ard
AU - Aldir, Isabel
AU - Cortes Martins, Helena
AU - Berglund, Torsten
AU - Velicko, Inga
AU - Gebhardt, Martin
AU - Delpech, Valerie
AU - Hughes, Gwenda
AU - Nardone, Anthony
AU - Hall, H. Irene
AU - Johnson, Anna S.
AU - Sullivan, Patrick S.
N1 - Publisher Copyright:
© 2018 Elsevier Inc.
PY - 2018/12
Y1 - 2018/12
N2 - Purpose: The aim of the article was to investigate recent trends in human immunodeficiency virus (HIV) diagnosis rates among men who have sex with men (MSM) in high-income countries in North America, Western Europe, and Australia. Methods: Data on annual rates of HIV diagnoses among MSM aged 15 to 65 years from 2000 to 2014 were collected from 13 high-income countries. Joinpoint regression software was used to empirically determine country-specific trend periods. Trends in HIV diagnosis rates and in the proportion of diagnoses occurring in young MSM aged 15 to 24 years were analyzed using Poisson regression and log-binomial regression, respectively. Results: Six countries experienced an increasing trend from 2000 to 2007-08 followed by either a stable or declining trend through 2014. Five countries had recently increasing trends, and two countries had one stable trend from 2000 to 2014. All 13 countries experienced increases in the proportion of diagnoses occurring in young MSM. Conclusions: Since 2008, half of the 13 high-income countries examined experienced stable or decreasing trends. Still, some countries continue to experience increasing HIV trends, and young MSM are increasingly represented among new diagnoses. Efforts to support early sexual health promotion, reduce barriers to pre-exposure prophylaxis, and improve care engagement for young MSM are critical to addressing current HIV trends.
AB - Purpose: The aim of the article was to investigate recent trends in human immunodeficiency virus (HIV) diagnosis rates among men who have sex with men (MSM) in high-income countries in North America, Western Europe, and Australia. Methods: Data on annual rates of HIV diagnoses among MSM aged 15 to 65 years from 2000 to 2014 were collected from 13 high-income countries. Joinpoint regression software was used to empirically determine country-specific trend periods. Trends in HIV diagnosis rates and in the proportion of diagnoses occurring in young MSM aged 15 to 24 years were analyzed using Poisson regression and log-binomial regression, respectively. Results: Six countries experienced an increasing trend from 2000 to 2007-08 followed by either a stable or declining trend through 2014. Five countries had recently increasing trends, and two countries had one stable trend from 2000 to 2014. All 13 countries experienced increases in the proportion of diagnoses occurring in young MSM. Conclusions: Since 2008, half of the 13 high-income countries examined experienced stable or decreasing trends. Still, some countries continue to experience increasing HIV trends, and young MSM are increasingly represented among new diagnoses. Efforts to support early sexual health promotion, reduce barriers to pre-exposure prophylaxis, and improve care engagement for young MSM are critical to addressing current HIV trends.
KW - HIV
KW - HIV diagnoses
KW - HIV trends
KW - High-income countries
KW - International
UR - http://www.scopus.com/inward/record.url?scp=85055631023&partnerID=8YFLogxK
U2 - 10.1016/j.annepidem.2018.09.006
DO - 10.1016/j.annepidem.2018.09.006
M3 - Article
C2 - 30389234
AN - SCOPUS:85055631023
SN - 1047-2797
VL - 28
SP - 874
EP - 880
JO - Annals of Epidemiology
JF - Annals of Epidemiology
IS - 12
ER -