Global, regional, and national burdens of HIV/AIDS acquired through sexual transmission 1990-2019: an observational study.

IF 1.8 4区医学 Q3 INFECTIOUS DISEASES Sexual health Pub Date : 2024-08-01 DOI:10.1071/SH24056

Xinsheng Wu, Xinyi Zhou, Yuanyi Chen, Yi-Fan Lin, Yuwei Li, Leiwen Fu, Qi Liu, Huachun Zou

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Abstract

Background Sexual transmission accounts for a substantial proportion of HIV infections. Although some countries are experiencing an upward trend in HIV infections, there has been a lack of studies assessing the global burden of HIV/AIDS acquired through sexual transmission. We assessed the global, regional, and national burdens of HIV/AIDS acquired through sexual transmission from 1990 to 2019. Methods Data on deaths, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALY) of HIV/AIDS acquired through sexual transmission in 204 countries and territories from 1990 to 2019 were retrieved from the Global Burden of Disease Study (GBD) 2019. The burdens and trends were evaluated using the age-standardised rates (ASR) and estimated annual percentage change (EAPC). Results Globally, HIV/AIDS acquired through sexual transmission accounted for ~695.8 thousand (95% uncertainty interval 628.0-811.3) deaths, 33.0million (28.7-39.9) YLLs, 3.4million (2.4-4.6) YLDs, and 36.4million (32.2-43.1) DALYs in 2019. In 2019, Southern sub-Saharan Africa (11350.94), Eastern sub-Saharan Africa (3530.91), and Western sub-Saharan Africa (2037.74) had the highest ASR of DALYs of HIV/AIDS acquired through sexual transmission per 100,000. In most regions of the world, the burden of HIV/AIDS acquired through sexual transmission has been increasing from 1990 to 2019, mainly in Oceania (EAPC 17.20, 95% confidence interval 12.82-21.75), South Asia (9.00, 3.94-14.30), and Eastern Europe (7.09, 6.35-7.84). Conclusions HIV/AIDS acquired through sexual transmission results in a major burden globally, regionally, and nationally.

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1990-2019 年全球、地区和国家通过性传播感染艾滋病毒/艾滋病的负担：一项观察研究。

背景在艾滋病毒感染中，性传播占很大比例。尽管一些国家的艾滋病感染率呈上升趋势，但一直缺乏对通过性传播感染艾滋病的全球负担进行评估的研究。我们评估了 1990 年至 2019 年全球、地区和国家通过性传播感染艾滋病的负担。方法我们从《2019 年全球疾病负担研究》（GBD）中检索了 1990 年至 2019 年期间 204 个国家和地区通过性传播感染艾滋病毒/艾滋病的死亡人数、生命损失年数（YLLs）、残疾生存年数（YLDs）和残疾调整生命年数（DALY）的数据。使用年龄标准化比率（ASR）和估计年度百分比变化（EAPC）对负担和趋势进行了评估。结果在全球范围内，2019 年通过性传播感染艾滋病毒/艾滋病的死亡人数约为 695,800,000 人（95% 不确定区间为 628.0-811.3 人），死亡年限为 33,000,000 年（28,700,000-39,900,000 年），死亡年限为 3,400,000 年（2,400,000-4,600,000 年），残疾调整寿命年数为 36,400,000 年（32,200,000-43,100,000 年）。2019年，撒哈拉以南非洲南部（11350.94）、撒哈拉以南非洲东部（3530.91）和撒哈拉以南非洲西部（2037.74）每10万人中通过性传播感染艾滋病毒/艾滋病的残疾调整寿命年数的ASR最高。在世界大多数地区，通过性传播感染艾滋病毒/艾滋病的负担从 1990 年到 2019 年一直在增加，主要集中在大洋洲（EAPC 17.20，95% 置信区间 12.82-21.75）、南亚（9.00，3.94-14.30）和东欧（7.09，6.35-7.84）。结论通过性传播感染艾滋病毒/艾滋病给全球、地区和国家造成了沉重负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sexual health 医学-传染病学

CiteScore

2.30

自引率

12.50%

发文量

121

审稿时长

6-12 weeks

期刊介绍： Sexual Health publishes original and significant contributions to the fields of sexual health including HIV/AIDS, Sexually transmissible infections, issues of sexuality and relevant areas of reproductive health. This journal is directed towards those working in sexual health as clinicians, public health practitioners, researchers in behavioural, clinical, laboratory, public health or social, sciences. The journal publishes peer reviewed original research, editorials, review articles, topical debates, case reports and critical correspondence. Officially sponsored by: The Australasian Chapter of Sexual Health Medicine of RACP Sexual Health Society of Queensland Sexual Health is the official journal of the International Union against Sexually Transmitted Infections (IUSTI), Asia-Pacific, and the Asia-Oceania Federation of Sexology.