Does the recent increase in HIV diagnoses among men who have sex with men in the UK reflect a rise in HIV incidence or increased uptake of HIV testing?
- 7 November 2006
- journal article
- Published by BMJ in Sexually Transmitted Infections
- Vol. 83 (2) , 120-125
- https://doi.org/10.1136/sti.2006.021428
Abstract
Objectives: To determine whether the increase in HIV diagnoses since 1997 among men who have sex with men (MSM) in the UK reflects a rise in HIV incidence or an increase in HIV testing. Methods: Estimates of HIV incidence were derived using data from UK HIV surveillance systems (HIV diagnoses; CD4 surveillance; unlinked anonymous surveys) for 1997–2004. Data on HIV testing were provided by KC60 statutory returns, voluntary testing and unlinked anonymous surveys in sentinel genitourinary medicine (GUM) clinics. Results: HIV diagnoses among MSM in the UK rose by 54% between 1997 and 2004 (from 1382 to 2124), with variation by age and geographical location. The number of HIV diagnoses among MSM Conclusions: The number of HIV diagnoses increased among MSM in the UK between 1997 and 2004, except among younger MSM in London, in whom there was no change. The increase in HIV diagnoses among MSM in the UK since 1997 seems to reflect an increase in HIV testing rather than a rise in HIV incidence.Keywords
This publication has 19 references indexed in Scilit:
- Changing patterns of sexual behaviour in the era of highly active antiretroviral therapyCurrent Opinion in Infectious Diseases, 2006
- Increasing prevalence of male homosexual partnerships and practices in Britain 1990–2000AIDS, 2004
- Increasing risk behaviour and high levels of undiagnosed HIV infection in a community sample of homosexual menSexually Transmitted Infections, 2004
- Is HIV incidence increasing in homo/bisexual men attending GUM clinics in England, Wales and Northern Ireland?2004
- HIV incidence appears constant in men who have sex with men despite widespread use of effective antiretroviral therapyAIDS, 2004
- Increases in HIV diagnoses--29 States, 1999-2002.2003
- Quarterly communicable disease review October to December 2001 from the PHLS Communicable Disease Surveillance Centre.2002
- Increase in high risk sexual behaviour among homosexual men, London 1996-8: cross sectional, questionnaire studyBMJ, 2000
- 'Soundex' codes of surnames provide confidentiality and accuracy in a national HIV database.1995
- Epidemiological synergy. Interrelationships between human immunodeficiency virus infection and other sexually transmitted diseases.1992