Very high HIV prevalence and incidence among men who have sex with men and transgender women in Indonesia: a retrospective observational cohort study in Bali and Jakarta, 2017–2020 (Q27549): Difference between revisions

abstract

There are no longitudinal HIV incidence data among men who have sex with men (MSM) and transgender women (TGW) in Indonesia. (English)

INTRODUCTION (English)

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2024

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We aimed to estimate HIV prevalence and incidence and identify associated factors among clinic attendees in Jakarta and Bali. (English)

INTRODUCTION (English)

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2024

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We conducted a retrospective cohort study using medical records from five clinics. (English)

METHODS (English)

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2024

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We reviewed HIV tests among MSM/TGW aged ≥18 years who attended the clinics between 1 January 2018 to 31 December 2020 in Jakarta and 1 January 2017 to 31 December 2019 in Bali. (English)

METHODS (English)

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2024

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HIV prevalence was measured at the first test. (English)

METHODS (English)

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2024

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Those with an HIV-negative test and ≥1 follow-up test/s were included in the person-years (PY) at risk to determine HIV incidence. (English)

METHODS (English)

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2024

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The PY at risk calculation started at the first negative test until the last recorded negative test or seroconversion. (English)

METHODS (English)

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2024

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Multivariate Poisson regression was used to determine factors associated with HIV acquisition. (English)

METHODS (English)

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2024

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Among 5203 and 2815 individuals with an HIV test result in Jakarta and Bali, respectively, at the first HIV test, 1205 and 616 were HIV positive (HIV prevalence 23.2% and 21.9%). (English)

RESULTS (English)

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2024

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The longitudinal sample included 1418 and 873 individuals, respectively. (English)

RESULTS (English)

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2024

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The median number of tests among repeat testers was 3 in Jakarta (interquartile range [IQR] = 2-4) and 3 in Bali (IQR = 2-5). (English)

RESULTS (English)

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At baseline, about one-quarter were aged <25 years, >90% were MSM and >35% had been tested for HIV previously. (English)

RESULTS (English)

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In Jakarta, there were 127 HIV seroconversions in 1353 PY (incidence 9.39/100 PY, 95% CI = 7.89-11.17), and in Bali, 71 seroconversions in 982 PY (incidence 7.24/100 PY, 95% CI = 5.73-9.13). (English)

RESULTS (English)

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2024

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Compared to those aged 18-24 years, the incidence rate was lower in older patients (Jakarta-30-39 years: aRR = 0.56, 95% CI = 0.34-0.92; 40+ years: aRR = 0.34, 95% CI = 0.14-0.81; Bali-25-29 years: aRR = 0.44, 95% CI = 0.25-0.79; 30-39 years: aRR = 0.33, 95% CI = 0.18-0.61; 40+ years: aRR = 0.06, 95% CI = 0.01-0.48). (English)

RESULTS (English)

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2024

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In Jakarta, incidence was lower in those with university education than in those without (aRR = 0.66, 95% CI = 0.45-0.96). (English)

RESULTS (English)

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2024

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In Bali, those who had been referred by outreach workers had a higher incidence than those who self-presented for testing (aRR = 1.85, 95% CI = 1.12-3.07). (English)

RESULTS (English)

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2024

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We observed very high HIV prevalence and incidence rate estimates. (English)

CONCLUSIONS (English)

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2024

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Measures to encourage regular testing and effective use of HIV prevention, including pre-exposure prophylaxis scale-up and demand creation, are needed. (English)

CONCLUSIONS (English)

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2024

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November 2024

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Center for Public Health Innovation

date issued

November 2024

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Brigitta Dhyah Kunthi (English)

Wardhani (English)

BDK

University of Indonesia Epidemiology Department

1

1 reference

Andrew E (English)

Grulich (English)

AE

2

1 reference

Nurhayati H (English)

Kawi (English)

NH

University of New South Wales

3

1 reference

Yogi (English)

Prasetia (English)

Y

4

1 reference

Hendry (English)

Luis (English)

H

5

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Gede Benny S (English)

Wirawan (English)

GBS

Center for Public Health Innovation

6

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Putu Erma (English)

Pradnyani (English)

PE

Q27535

University of Indonesia Epidemiology Department

7

1 reference

John (English)

Kaldor (English)

J

8

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Matthew (English)

Law (English)

M

9

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Sudarto (English)

Ronoatmodjo (English)

S

10

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Center for Public Health Innovation

forename

Erik Parulian (English)

Sihotang (English)

EP

11

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Pande Putu (English)

Januraga (English)

PP

Q27536

12

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Benjamin R (English)

Bavinton (English)

BR

13

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27

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issue

11

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Journal of the International AIDS Society

published in

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man who has sex with men

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statistics and numerical data

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statistics and numerical data

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e26386

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page start

e26386

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United States National Library of Medicine

available in database

24 October 2024

citation medium

internet

date data processing ended

25 October 2024

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unknown value

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