Programmatic Implications of National Recent HIV Infection Surveillance in Cambodia

Abstract We compared characteristics of HIV diagnosis and recent HIV infection (ie, likely acquired within the last year) in Cambodia. We included individuals ≥ 15 years old accessing HIV testing. From August 2020 to August 2022, 53 031 people were tested for HIV, 6868 were newly diagnosed, and 192...

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Published in:The Journal of infectious diseases 2023-11, Vol.228 (10), p.1347-1351
Main Authors: Suthar, Amitabh Bipin, Ouk, Vichea, Samreth, Sovannarith, Ngauv, Bora, Bain, Rommel, Eng, Bunthoeun, Hy, Chhaily, Ernst, Alexandra, Rutherford, George W, Yang, Chunfu, Ly, Vanthy, Albalak, Rachel
Format: Article
Language:English
Subjects:
Adolescent
Cambodia - epidemiology
Diagnosis
Disease transmission
Epidemiology
Female
Gays & lesbians
Health risks
Health surveillance
HIV
HIV Infections - diagnosis
HIV Infections - epidemiology
Homosexuality, Male
Human immunodeficiency virus
Humans
Male
Mass Screening
Medical diagnosis
Mens health
Sex industry
Sexual and Gender Minorities
Transgender Persons
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Summary:Abstract We compared characteristics of HIV diagnosis and recent HIV infection (ie, likely acquired within the last year) in Cambodia. We included individuals ≥ 15 years old accessing HIV testing. From August 2020 to August 2022, 53 031 people were tested for HIV, 6868 were newly diagnosed, and 192 were recently infected. We found differences in geographical burden and risk behaviors with diagnosis and recency (eg, men who have sex with men, transgender women, and entertainment workers had a nearly 2-fold increased odds of testing positive for recent infection compared to being diagnosed with HIV). Recent infection surveillance may provide unique insights into ongoing HIV acquisition to inform programs. Recent infection surveillance likely provides unique geographic and risk insights to inform HIV programs, complementing traditional diagnostic HIV case surveillance data.
ISSN:0022-1899
1537-6613
DOI:10.1093/infdis/jiad082