Human immunodeficiency virus/acquired immunodeficiency syndrome prevalence,incidence,and mortality in China,1990 to 2017:a secondary analysis of the Global Burden of Disease Study 2017 data

作     者：Xue-Jiao Liu Jennifer M.McGoogan Zun-You Wu Liu Xue-Jiao;McGoogan Jennifer M.;Wu Zun-You

作者机构：National Center for AIDS/STD Control and PreventionChinese Center for Disease Control and PreventionBeijing 102206China Fielding School of Public HealthUniversity of CaliforniaLos AngelesCAUSA 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2021年第134卷第10期

页      面：1175-1180页

核心收录：

学科分类：1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100102[医学-免疫学] 10[医学] 

基　　金：supported by a grant from the National Health Commission of the People’s Republic of China(No.2018ZX10721102) 

主　　题：Prevalence Incidence Mortality HIV Trend China Acquired immunodeficiency syndrome 

摘      要：Background:Despite almost two decades of well-funded and comprehensive response efforts by the Chinese Government,human immunodeficiency virus/acquired immunodeficiency syndrome(HIV/AIDS)remains a major problem in ***,few studies have recently examined long-term trends in HIV/AIDS prevalence,incidence,and mortality at the national *** study aimed to determine the prevalence,incidence,and mortality trends for HIV/AIDS over the past 28 years in ***:We conducted a descriptive,epidemiological,secondary analysis of the Global Burden of Diseases,Injuries,and Risk Factors Study 2017 *** evaluate trends in prevalence,incidence,and mortality over the study period from 1990 to 2017,we calculated values for annual percentage change(APC)and corresponding 95%confidence intervals(CIs)using joinpoint regression ***:A significant increase in HIV/AIDS prevalence was observed for 1990 to 2009(APC:10.7;95%CI:10.4,11.0;P0.001),and then remained stable for 2009 to 2017(APC:0.7;95%CI:-0.3,1.7;P=0.1).A significant increase in HIV incidence was also observed for 1990 to 2005(APC:13.0;95%CI:12.6,13.4;P0.001),and then a significant decrease was detected for 2005 to 2017(APC:-6.5;95%CI:-7.0,-6.1;P0.001).A significant increase in AIDS-related mortality rate was detected for 1990 to 2004(APC:10.3;95%CI:9.3,11.3;P0.001),followed by a period of stability for 2004 to 2013(APC:1.3;95%CI:-0.7,3.3;P=0.2),and then another significant increase for 2013 to 2017(APC:15.3;95%CI:8.7,22.2;P0.001).Conclusions:Although prevalence has stabilized and incidence has declined,AIDS-related mortality has risen sharply in recent *** findings suggest more must be done to bring people into treatment earlier,retain them in treatment more effectively,actively seek to reenter them in treatment if they dropout,and improve the quality of treatment and care regimens.