检索结果-南通市图书馆

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

引用

Chinese Medical Journal 2021年第10期134卷 1175-1180页

作者： Xue-Jiao Liu jennifer M.mcgoogan Zun-You Wu National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and PreventionBeijing 102206China Fielding School of Public Health University of CaliforniaLos AngelesCAUSA

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;P<0.001),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;P<0.001),and then a significant decrease was detected for 2005 to 2017(APC:-6.5;95%CI:-7.0,-6.1;P<0.001).A significant increase in AIDS-related mortality rate was detected for 1990 to 2004(APC:10.3;95%CI:9.3,11.3;P<0.001),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;P<0.001).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.

关键词： Prevalence Incidence Mortality HIV Trend China Acquired immunodeficiency syndrome

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Asymptomatic and Pre-Symptomatic COVID-19 in China

引用

Infectious Diseases of Poverty 2020年第3期9卷 1-2页

作者： Zunyou Wu jennifer M.mcgoogan National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and Prevention155 Changbai RoadChangping DistrictBeijing 102206China

As the novel coronavirus disease 2019(COVID-19)pandemic spreads rapidly across the globe many unanswered questions about the basic biology and epidemiology of the disease hamper our response strategies and limit our ability to achieve control and prevent a rebound or so-called“second wave”.One such crucial question is:To what degree do asymptomatic cases contribute to transmission?Early,small studies on this subject have found wide ranging estimates of the prevalence of asymptomatic carriers,and just a handful of studies so far have documented viral shedding by asymptomatic cases[1].We recently re-examined China’s COVID-19 case report data to investigate this question[2].This Editorial aims to describe how asymptomatic cases contribute to transmission and what the implications are for control strategies.

关键词： Novel coronavirus disease 2019 Asymptomatic Pre-symptomatic Transmission

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Duration of Human Immunodeficiency Virus Infection at Diagnosis among New Human Immunodeficiency Virus Cases in Dehong, Yunnan, China, 2008-2015

引用

Chinese Medical Journal 2018年第16期131卷 1936-1943页

作者： Ai-Hua Li Zun-You Wu Zhen Jiang jennifer M. mcgoogan Yan Zhao Song Duan National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and Prevention Beijing 102206 China Department of Epidemiology University of California Los Angeles California USA Dehong Prefecture Center for Disease Control and Prevention Mangshi Yunnan 678400 China

Background： On diagnosis of human immunodeficiency virus （HIV） infection, a person may have been infected already for many years. This study aimed to estimate the duration of HIV infection at the time of diagnosis. Methods： Newly diagnosed HIV cases in Dehong, China, from 2008 to 2015 were studied. Duration of infection at the time of diagnosis was calculated using the first CD4 cell count result after diagnosis and a CD4 depletion model of disease progression. Multiple linear regression analysis was used to investigate the associated risk factors. Results： A total of 5867 new HIV cases were enrolled. Overall, mean duration of infection was 6.3 years （95% confidence interval [CI]： 6.2, 6.5）. After adjusting for confounding, significantly shorter durations of infection were observed among participants who were female （beta： -0.37, 95% CI： -0.64, -0.09）, Dai ethnicity （beta： -0.28, 95% CI： -0.57, 0.01 ）, and infected through injecting drug use （beta： -1.82, 95% CI： -2.25, -1.39）. Compared to the hospital setting, durations were shorter for those diagnosed in any other settings, and compared to 2008, durations were shorter for those diagnosed all years after 2010. Conclusion： Although the reduction in duration of infection at the time of diagnosis observed in Dehong was significant, it may not have had a meaningful impact.

关键词： China Delayed Diagnosis Human lmmunodeficiency Virus Infection

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Uptake of HIV Self-testing among Men Who have Sex with Men in Beijing, China： a Cross-sectional Study

引用

Biomedical and Environmental Sciences 2017年第6期30卷 407-417页

作者： REN Xian Long WU Zun You MI Guo Dong mcgoogan jennifer ROU Ke Ming ZHAO Yan Division of Prevention Intervention National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and Prevention Beijing 102206 China National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and Prevention Beijing 102206 China Office of the Director National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and Prevention Beijing 102206 China Division of Treatment and Care National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and Prevention Beijing 102206 China

Objective To examine HIV self-testing uptake and its determinates among men who have sex with men （MSM） in Beijing, China. Methods A cross-sectional online survey was conducted in Beijing, China in 2016. Participants were users of a popular Chinese gay networking application and had an unknown or negative HIV status. Univariate and multivariate logistic regression analyses were conducted to examine factors associated with HIV self-testing based on adjusted odds ratio （AOR） and 95% confidence interval （CI）. Results Among the 5,996 MSM included in the study, 2,383 （39.7%） reported to have used HIV self-testing kits. Willingness to use an HIV self-test kit in the future was expressed by 92% of the participants. High monthly income （AOR = 1.49; CI = 1.10-2.02; P = 0.010）, large number of male sex partners （≥2： AOR = 1.24; CI = 2.09-1.43; P = 0.002）, sexual activity with commercial male sex partners （〉 2： AOR = 1.94; CI = 1.34 -2.82; P = 0.001）, long-term drug use （AOR = 1.42; CI = 1.23-1.62; P 〈 0.001）, and long-term HIV voluntary counseling and testing （VCT） attendance （AOR = 3.62; CI = 3.11-4.22; P 〈 0.001） were all associated with increased odds of HIV self-testing uptake. Conclusion The nearly 40% rate of HIV self-testing uptake among MSM in our sample was high. In addition, an over 90% willingness to use kits in the future was encouraging. HIV self-testing could be an important solution to help China achieve the global target of having 90% of all people living with HIV diagnosed by 2020.

关键词： Men who have sex with men HIV self-testing Associated factors Beijing

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

COVID-19 seeding time and doubling time model:an early epidemic risk assessment tool

引用

Infectious Diseases of Poverty 2020年第3期9卷 3-11页

作者： Lei Zhou Jiang-Mei Liu Xiao-Ping Dong jennifer M.mcgoogan Zun-You Wu Public Health Emergency Center Chinese Center for Disease Control and Prevention155 Changbai RoadChangping DistrictBeijing 102206China National Center for Chronic and Noncommunicable Disease Control and Prevention Chinese Center for Disease Control and Prevention155 Changbai RoadChangping DistrictBeijing 102206China Global Health Center Chinese Center for Disease Control and Prevention155 Changbai RoadChangping DistrictBeijing 102206China National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and Prevention155 Changbai RoadChangping DistrictBeijing 102206China

Background:As COVID-19 makes its way around the globe,each nation must decide when and how to *** many knowledge gaps persist,and many countries lack the capacity to develop complex models to assess risk and *** paper aimed to meet this need by developing a model that uses case reporting data as input and provides a four-tiered risk assessment ***:We used publicly available,country/territory level case reporting data to determine median seeding number,mean seeding time(ST),and several measures of mean doubling time(DT)for *** then structured our model as a coordinate plane with ST on the x-axis,DT on the y-axis,and mean ST and mean DT dividing the plane into four quadrants,each assigned a risk *** analysis was performed and countries/territories early in their outbreaks were assessed for ***:Our main finding was that among 45 countries/territories evaluated,87%were at high risk for their outbreaks entering a rapid growth phase *** furthermore found that the model was sensitive to changes in DT,and that these changes were consistent with what is officially known of cases reported and control strategies implemented in those ***:Our main finding is that the ST/DT Model can be used to produce meaningful assessments of the risk of escalation in country/territory-level COVID-19 epidemics using only case reporting *** model can help support timely,decisive action at the national level as leaders and other decision makers face of the serious public health threat that is COVID-19.

关键词： Seeding time Doubling time Case report Risk assessment SARS-CoV-2 COVID-19

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

HIV care-seeking behaviour after HIV selftesting among men who have sex with men in Beijing,China:a cross-sectional study

引用

Infectious Diseases of Poverty 2017年第1期6卷 1001-1011页

作者： Xian-Long Ren Zun-You Wu Guo-Dong Mi jennifer M.mcgoogan Ke-Ming Rou Yan Zhao Nanci Zhang Division of Prevention Intervention National Center for AIDS/STD Control and PreventionChinese Center for Disease Control and Prevention155 Changbai RoadChangping DistrictBeijing 102206People’s Republic of China Office of the Director National Center for AIDS/STD Control and PreventionChinese Center for Disease Control and Prevention155 Changbai RoadChangping DistrictBeijing 102206People’s Republic of China Division of Treatment and Care National Center for AIDS/STD Control and PreventionChinese Center for Disease Control and Prevention155 Changbai RoadChangping DistrictBeijing 102206People’s Republic of China

Background:Men who have sex with men(MSM)has become the group with the fastest growing HIV epidemic in *** many Chinese MSM are conducting HIV self-testing,we aimed to determine the rate of HIV care seeking after self-testing,examine characteristics of“seekers”compared to“non-seekers,”and explore factors associated with HIV care-seeking ***:A cross-sectional study design was used and an online survey was conducted in Beijing,China in 2016,among users of a popular Chinese gay networking smart phone ***-square test was used to compare characteristics of those who sought HIV care(“seekers”)and those who did not(“non-seekers”).Univariate and multivariate logistic regression analyses were conducted to assess factors associated with HIV care ***:Among 21,785 screened,2383 participants(10.9%)were included in the study.A total of 380 participants(15.9%)reported seeking HIV care after HIV self-testing while 2003(84.1%)did *** of knowledge of the“window period”(adjusted odds ratio[AOR]=0.68,95%confidence interval[95%CI]=0.47-0.97,P=0.04)was associated with reduced odds of seeking HIV care,while lower monthly income(AOR=1.29,95%CI=1.03-1.62,P=0.03)and obtaining HIV self-testing kits from health facilities(AOR=2.40,95%CI=1.81-3.17,P<0.001),and non-governmental organizations(AOR=2.44,95%CI=1.79-3.34,P<0.001)was associated with increased odds of seeking HIV *** those who sought HIV care,a large majority(92.4%)had non-reactive HIV self-testing *** 29 out of 265 with reactive,uncertain,or unknown results sought HIV ***:We found a very low rate of HIV care seeking among our sample of urban Chinese *** observation that most with reactive,uncertain,or unknown results did not seek HIV care is a cause for *** people should be paid more attention and helped to enter the care *** findings highlight that interventions aimed at improving linkage to care after HIV self-testing are urgently n

关键词： Men who have sex with men HIV self-testing HIV care Linkage to care Care cascade China

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Coronavirus disease 2019 outbreak in Beijing's Xinfadi Market, China: a modeling study to inform future resurgence response

引用

Infectious Diseases of Poverty 2021年第3期10卷 122-123页

作者： Xiao-Li Wang Xin Lin Peng Yang Zun-You Wu Gang Li jennifer M.mcgoogan Zeng-Tao Jiao Xin-Jun He Si-Qi Li Hong-Hao Shi Jing-Yuan Wang Sheng-Jie Lai Chun Huang Quan-Yi Wang Beijing Research Center for Preventive Medicine Beijing Center for Disease Prevention and ControlBeijingChina School of Computer Science and Engineering Beihang UniversityBeijingChina WorldPop School of Geography and Environmental ScienceUniversity of SouthamptonSouthamptonUK 不详

Background:A local coronavirus disease 2019(COVID-19)case confirmed on June 11,2020 triggered an outbreak in Beijing,China after 56 consecutive days without a newly confirmed ***-pharmaceutical interventions(NPIs)were used to contain the source in Xinfadi(XFD)*** rapidly control the outbreak,both traditional and newly introduced NPIs in eluding large-scale management of high-risk populations and expanded severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)PCR-based screening in the general population were conducted in *** aimed to assess the effectiveness of the response to the COVID-19 outbreak in Beijing's XFD market and inform future response efforts of resurgence across regions.

关键词： Public health Nonpharmaceutical intervention COVID-19 SARS-CoV-2 Beijing

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：