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Comparative Study
. 2014 Jan;18 Suppl 1(0 1):S5-10.
doi: 10.1007/s10461-013-0520-2.

Emerging disparity in HIV/AIDS disease progression and mortality for men who have sex with men, Jiangsu Province, China

Hongjing Yan  1 , Haitao Yang, Jianjun Li, Chongyi Wei, Jinshui Xu, Xiaoyan Liu, Xiaoqin Xu, Willi McFarland
Affiliations
Comparative Study

Emerging disparity in HIV/AIDS disease progression and mortality for men who have sex with men, Jiangsu Province, China

Hongjing Yan et al. AIDS Behav. 2014 Jan.

Abstract

Few data exist on HIV disease progression and antiretroviral treatment (ART) impact among men who have sex with men (MSM) in China. Using data from the national case reporting system from 2004 to 2010, we describe changes in CD4 cell count before and after ART initiation, disease progression, and mortality among MSM in Jiangsu province compared with other persons living with HIV/AIDS. Median CD4 cell count among MSM at HIV diagnosis was 432 and decreased rapidly in 12 months to below the level of heterosexuals (slope: MSM -38.0, heterosexuals -15.5, injection drug users [IDU] -8.0, blood donors -10.5). Among those initiating ART, median CD4 cell count among MSM was 157, yet the increase in count was slower than for other groups (slope: MSM 26.9, heterosexuals 31.9, IDU 29.0, blood donors 35.0). Progression to AIDS was faster among MSM than heterosexuals and IDU. For the present, the mortality rate was lower for MSM compared with heterosexuals and blood donors; however, against a backdrop of more recent infection (ie, MSM had younger age, and 93.8 % were diagnosed after 2008), findings suggest a survival rate for MSM that will fall behind other groups. Improved medical and psychosocial supportive care is needed for this stigmatized population lest disparities become greater.

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Conflict of interest statement

Conflict of interest There are no conflicts of interest.

Figures

Fig. 1
Fig. 1
Reported HIV/AIDS cases by risk and disease progression, Jiangsu province, China, 2004–2010
Fig. 2
Fig. 2
Trends in CD4 cell counts by risk before ART eligibility, Jiangsu Province, China, 2004–2010
Fig. 3
Fig. 3
Trends in CD4 cell counts by risk after ART initiation, Jiangsu Province, China, 2004–2010
Fig. 4
Fig. 4
Disease progression from HIV to AIDS by risk, Jiangsu province, China, 2004–2010
Fig. 5
Fig. 5
Disease progression from AIDS to death (all causes) by risk, Jiangsu province, China, 2004–2010
See this image and copyright information in PMC

References

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