Mode of Human Immunodeficiency Virus Transmission in Korea: The Korea HIV/AIDS Cohort Study

김준명,; 최준용,; 정우용,; Seong, Hye; 김신우,; 김우주,; ), 최희정 ( Hee Jung Choi; 김민자,; 우준희,; 김윤정,; 최보율,; 최윤수,; 기미경,; 김기순,; 한국HIV,; AIDS코호트연구,

doi:10.3904/kjm.2018.93.4.379

Cited by 11 publications

(9 citation statements)

References 6 publications

(4 reference statements)

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“…In 2017, there were 1,191 patients with new HIV infection, and 12,320 were reported for the cumulative infection status of domestic HIV/AIDS in Korea. Approximately 11.7% of these patients were registered in the study, this is large rather than the other HIV studies [22-24]. The cohort data showed similar sex ratio (approximately 93% of men and 7% of women) and the most common transmission route (sexual behavior) with the HIV/AIDS notification report.…”

Section: Discussionsupporting

confidence: 57%

“…Approximately 60% of these infections were contacted with same-sex or bi-sex, and this was higher than the result of the survey by expert in the public health center [15], which found that, of 11,604 respondents with infection, approximately 42.6% obtained the infection through heterosexual behavior, and 33% through homosexual or bisexual behavior. As mentioned in previous studies, building rapport with medical professionals through institution visits for treatment for a long period rather than relying on the epidemiological report, which is designed for a one-time investigation to report infections, might have attributed to the results [24].…”

Section: Discussionmentioning

confidence: 99%

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Epidemiological characteristics of HIV infected Korean: Korea HIV/AIDS Cohort Study

Choi

Kim

et al. 2019

Epidemiol Health

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OBJECTIVESTo manage evidence-based diseases, it is important to identify the characteristics of patients in each country.METHODSThe Korea HIV/AIDS Cohort Study seeks to identify the epidemiological characteristics of 1,442 Korean individuals with human immunodeficiency virus (HIV) infection (12% of Korean individuals with HIV infection in 2017) who visited 21 university hospitals nationwide. The descriptive statistics were presented using the Korea HIV/AIDS cohort data (2006-2016).RESULTSMen accounted for 93.3% of the total number of respondents, and approximately 55.8% of respondents reported having an acute infection symptom. According to the transmission route, infection caused by sexual contact accounted for 94.4%, of which 60.4% were caused by sexual contact with the same sex or both males and females. Participants repeatedly answered the survey to decrease depression and anxiety scores. Of the total participants, 89.1% received antiretroviral therapy (ART). In the initial ART, 95.3% of patients were treated based on the recommendation. The median CD4 T-cell count at the time of diagnosis was 229.5 and improved to 331 after the initial ART. Of the patients, 16.6% and 9.4% had tuberculosis and syphilis, respectively, and 26.7% had pneumocystis pneumonia. In the medical history, sexually transmitted infectious diseases showed the highest prevalence, followed by endocrine diseases. The main reasons for termination were loss to follow-up (29.9%) and withdrawal of consent (18.7%).CONCLUSIONSEarly diagnosis and ART should be performed at an appropriate time to prevent the development of new infection.

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Epidemiological characteristics of HIV infected Korean: Korea HIV/AIDS Cohort Study

Choi

Kim

et al. 2019

Epidemiol Health

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“…The reason for the discrepancy between the statistics and the assumption of experts is that, due to negative views on homosexual contact, infected people are likely not to disclose it. In fact, via the 'The Korea HIV/AIDS Cohort Study', Kim et al [2] reported that the HIV infection route in Korea was homosexual and bisexual contact in 60.1% of cases and heterosexual contact in 34.6% of cases. Further, the rate of homosexual and bisexual contact was higher in younger age groups of 18 -29 years old accounting for 71.5%, and even more surprisingly, teens 18-19 years of age accounting for 92.9%.…”

Section: Transmission Mode Of Hiv Infection In Koreamentioning

confidence: 99%

History of Acquired Immune Deficiency Syndrome in Korea

Kim

Choi

et al. 2020

Infect Chemother

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The first human immunodeficiency virus (HIV) infection was reported in Korea in 1985. The number of HIV-infected persons domestically increased in the 1990s showing epidemic indigenousization. Since then, the number of new infections gradually increased every year, and recently more than 1,000 newly infected cases were reported per year. A total of 12,522 infected individuals have been reported up to 2015, of which 2,020 died. The male to female ratio was 15.4:1, and 34.2% of them were under 30 years old. The infection route was homosexual and bisexual contact in 60.1% of cases and heterosexual contact in 34.6% of cases. Candidiasis, Pneumocystis pneumonia, tuberculosis were common as a AIDS (acquired immune deficiency syndrome)-defining illness. But with the introduction of antiretroviral therapy in the late 1990s, non-AIDS defining illnesses such as metabolic complications, cardiovascular diseases, bone diseases, and neuropsychiatric disorders such as neurocognitive dysfunction, depression, and anxiety are emerging as new health problems. The management policy switched its focus from regulating and monitoring of HIV-infected persons to ensuring access to treatment and promotion of voluntary HIV testing in high-risk groups. Also as the age of the infected persons increases, a need for various supports such as social rehabilitation, life counseling, and welfare has emerged.

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“…According to a report on the HIV status in Korea, the male to female ratio in the patient population was increased continuously from 10.2:1 in 2010 to 15.0:1 in 2015 3 . Also, a study on mode of HIV transmission in Korea predicted that the increase in young male patients in Korea was caused by escalating male-male sexual contacts 18 . Therefore, young male adults, in particular, should have access to specific education to promote HIV prevention.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Adolescents and Young adults with HIV in the Republic of Korea from 2010 through 2015

Yoo

Seong

Yoon

et al. 2020

Sci Rep

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Although the number of newly diagnosed cases of HiV is decreasing worldwide, those in Korea have been steadily on the rise, especially among adolescents (ages 10-19 years) and young adults (ages 20-29 years). To identify the characteristics in the new diagnosis among these age groups, we analyzed HIV testing sizes and HIV prevalence under the national HIV surveillance system in Korea in the last six years. We collected data of HIV tests conducted at Blood Banks (BB), Public Health Centers (PHCs), and Military Manpower Administration (MMA) nationwide every year from 2010 to 2015, except for anonymous tests. HIV prevalence, calculated as the number of new HIV-diagnosed cases per 10,000 test-takers per year, was analyzed according to sex, age, institution, and reason for HIV testing. Data were analyzed using logistic regression. In the three testing institutes, there were new cases of HIV with 50% and 75% of cases diagnosed in young adults and adolescents, respectively. The total size of HIV tests at the three sites was approximately 3.5 million tests per year; 80% of these were conducted in BBs, 10% in PHCs, and 10% in MMA. HIV prevalence, according to age, increased across all age groups for the six years, especially prevalent in young adults doubled during that period (1.01 per 10,000 testtakers in 2010, 2.45 in 2015). HIV prevalence among the "suspected" young male adults who visited PHCs for tests, was highest during the six years, increasing 6.5 times in the last two years (315.79 per 10,000 test-takers in 2014, 335.55 in 2015) compared to before 2014. We identified the characteristics of growing HiV infection in Korea as the increase of HiV prevalence among the suspected of young male adults at PHCs. Further, we propose that HIV prevalence in MMA can be used as an essential index for national HIV surveillance of adolescent boys in Korea. HIV infection, known to the public since the early 1980s, has been rapidly spreading worldwide through sexual contact, vertical transmission, blood transfusions, and needle sharing for injection drug use (IDU). The HIV epidemic has different transmission routes and the speed of spreading across countries 1. Globally, for more than 35 years, approximately 78 million individuals have been infected with HIV, with 35 million HIV-related deaths, and 37 million people are currently living with HIV 2. The first HIV-infection in Korea was identified in 1985, and over the next 30 years or so, approximately 15,000 individuals were identified as HIV-infected. It was reported that more than 99% of individuals diagnosed with HIV in Korea were infected via sexual contact, while transmission through blood transfusion, vertical transmission, and needle sharing for IDU was infrequent 3. Soon after the discovery of HIV in Korea, the country initiated a prevention program focused on HIV transmission reduction by regularly performing HIV screening tests on high-risk groups for sexually transmitted infections (STI) and extending it to other groups 4-6. Hospitals or clinics and public health centr...

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Mode of Human Immunodeficiency Virus Transmission in Korea: The Korea HIV/AIDS Cohort Study

Cited by 11 publications

References 6 publications

Epidemiological characteristics of HIV infected Korean: Korea HIV/AIDS Cohort Study

Epidemiological characteristics of HIV infected Korean: Korea HIV/AIDS Cohort Study

History of Acquired Immune Deficiency Syndrome in Korea

Characteristics of Adolescents and Young adults with HIV in the Republic of Korea from 2010 through 2015

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