Advanced Search

CN 34-1304/RISSN 1674-3679

Volume 24 Issue 12
Jan.  2021
Turn off MathJax
Article Contents
XU Yuan-yuan, WU Su-shu, GOU Li-li, LIU Li, GUO Lu, LI Xin, SHI Hong-jie, ZHU Zheng-ping. Progress towards the UNAIDS 90-90-90 targets and factors associated with achieving these targets[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(12): 1407-1411. doi: 10.16462/j.cnki.zhjbkz.2020.12.009
Citation: XU Yuan-yuan, WU Su-shu, GOU Li-li, LIU Li, GUO Lu, LI Xin, SHI Hong-jie, ZHU Zheng-ping. Progress towards the UNAIDS 90-90-90 targets and factors associated with achieving these targets[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(12): 1407-1411. doi: 10.16462/j.cnki.zhjbkz.2020.12.009

Progress towards the UNAIDS 90-90-90 targets and factors associated with achieving these targets

doi: 10.16462/j.cnki.zhjbkz.2020.12.009
Funds:

Nanjing Municipal Medical Development Program YKK18176

Nanjing Municipal Medical Development Program ZKX19050

More Information
  • Corresponding author: ZHU Zheng-ping, E-mail:zzp@njcdc.cn
  • Received Date: 2020-03-12
  • Rev Recd Date: 2020-08-11
  • Publish Date: 2020-12-10
  •   Objective  To analyze the current status towards the UNAIDS 90-90-90 targets and factors associated with achieving these targets in Nanjing.  Methods  Data from the Chinese HIV/AIDS Comprehensive Response Information Management System regarding testing, ART and VL in Nanjing were collected. Multivariate Logistic regression analysis was performed to analyze the associated factors with achieving the 90-90-90 targets.  Results  The progress towards the 90-90-90 UNAIDS targets was at 74.0%, 88.5%, and 96.7% in Nanjing by 2018. HIV/AIDS infected by homosexual contact were less likely to be diagnosed (χ2 =86.15, P < 0.001) People living with HIV (PLWH) infected through injecting drug use (aOR=0.263, 95% CI:0.156-0.442, P < 0.001), aged < 25 years (aOR=0.697, 95% CI:0.540-0.899, P=0.005) and identified from custodial institutions (aOR=0.353, 95% CI:0.193-0.646, P=0.001) were less likely to engage on ART. PLWH infected through homosexual contact (aOR=1.840, 95% CI:1.390-2.434, P < 0.001), aged 35-44 years (aOR=1.826, 95% CI:1.260-2.645, P=0.001), ethnic group of Han (aOR=1.797, 95% CI:1.038-3.109, P=0.036), of college degree or above (aOR=1.652, 95% CI:1.005-2.717, P=0.048) and married (aOR=1.466, 95% CI:1.051-2.046, P=0.024) were more likely to engage on ART.  Conclusions  Nanjing is rapidly moving towards achieving the UN targets. However, some challenges still exist. We need to continue to expand HIV testing and strengthen the treatment and care services for drug users, young people and the elderly.
  • loading
  • [1]
    Karim SS, Karim QA. Antiretroviral prophylaxis: a defining moment in HIV control[J]. Lancet, 2011, 378(9809):e23-e25. DOI: 10.1016/S0140-6736(11)61136-7.
    [2]
    Mayer K, Gazzard B, Zuniga JM, et al. Controlling the HIV epidemic with antiretrovirals: IAPAC consensusstatement on treatment as prevention and preexposure prophylaxis[J]. J IntAssocProvid AIDS Care, 2013, 12(3):208-216. DOI: 10.1177/2325957413475839.
    [3]
    Cohen MS, Gay CL. Treatment to prevent transmission of HIV-1[J]. Clin Infect Dis, 2010, 50 Suppl 3(3):S85-S95. DOI: 10.1086/651478.
    [4]
    Cohen MS, Chen YQ, McCauley M, et al. Prevention of HIV-1 infection with early antiretroviral therapy[J]. N Engl MED, 2011, 365(6):493-505. DOI: 10.1056/NEJMoa1105243.
    [5]
    The Joint United Nations Programme on HIV and AIDS (UNAIDS). 90-90-90- An ambitious treatment target to help end the AIDS epidemic[EB/OL]. (2017-01-01)[2020-09-30]. https://www.unaids.org/en/resources/documents/2017/90-90-90.
    [6]
    吴尊友.我国实现艾滋病防治策略三个90%的进展与挑战[J].中华疾病控制杂志, 2016, 20(12):1187-1189. DOI: 10.16462/j.cnki.zhjbkz.2016.12.001.

    Wu ZY. The progress and challenges of promoting HIV/AIDS 90-90-90 Strategies in China[J]. Chin J Dis Control Prev, 2016, 20(12):1187-1189. DOI: 10.16462/j.cnki.zhjbkz.2016.12.001.
    [7]
    张娜, 黄涛, 杨兴光, 等.山东省2015年艾滋病防治策略"三个90%"目标进展状况分析[J].中华流行病学杂志, 2017, 38(10):1367-1371. DOI: 10.3760/cma.j.issn.0254-6450.2017.10.014.

    Zhang N, Huang T, Yang XG, et al. A cross-sectional study on HIV/AIDS "90-90-90" treatment target in Shandong Province, 2015[J]. Chin J Epidemiol, 2017, 38(10):1367-1371. DOI: 10.3760/cma.j.issn.0254-6450.2017.10.014.
    [8]
    Liu Y, Sun X, Qian HZ, et al. Qualitative assessment of barriers and facilitators of access to HIV testing among men who have sex with men in China[J]. AIDS Patient Care STDS, 2015, 29(9):481-489. DOI: 10.1089/apc.2015.0083.
    [9]
    徐园园, 朱正平, 吴苏姝, 等.南京市男男性行为者新型毒品使用情况及相关因素[J].中华疾病控制杂志, 2019, 23(12):1476-1481. DOI: 10.16462/j.cnki.zhjbkz.2019.12.009.

    Xu YY, Zhu ZP, Wu SS, et al. Status and associated factors of recreational drug use among man who have sex with man in Nanjing[J]. Chin J Dis Control Prev, 2019, 23(12):1476-1481. DOI: 10.16462/j.cnki.zhjbkz.2019.12.009.
    [10]
    李萌, 魏洪霞, 步凯, 等.南京和运城市HIV感染者及艾滋病患者终止抗病毒治疗情况及其影响因素[J].中华流行病学杂志, 2015, 36(10):1113-1118. DOI: 10.3760/cma.j.issn.0254-6450.2015.10.017.

    Li M, Wei HX, Bu K, et al. Drop out of antiretroviral therapy in people living with AIDS/HIV and related factors in Nanjing and Yuncheng[J]. Chin J Epidemiol, 2015, 36(10):1113-1118. DOI:10.3760/cma.j.issn. 0254-6450.2015.10.017.
    [11]
    Laut KG, Shepherd L, Gottfredsson M, et al. Variation in antiretroviral treatment coverage and virological suppression among three HIV key populations[J]. AIDS, 2018, 32(18):2807-2819. DOI: 10.1097/QAD.0000000000002035.
    [12]
    陈洋, 申莉梅, 李豫, 等.贵州省艾滋病病人退出抗病毒治疗的情况及其影响因素分析[J].中国艾滋病性病, 2017, 23(5):397-401. DOI: 10.13419/j.cnki.aids.2017.05.08.

    Chen Y, Shen LM, Li Y, et al. Impact factors of withdramal from antiretrovial therapy among HIV/AIDS patients in Guizhou province[J]. China J AIDS STD, 2017, 23(5):397-401. DOI: 10.13419/j.cnki.aids.2017.05.08.
    [13]
    丁昌棉, 杨银梅, 王威, 等.武汉市PLWHA抗病毒治疗服药依从性及相关因素[J].中华疾病控制杂志, 2018, 22(12): 1234-1237. DOI: 10.16462/j.cnki.zhjbkz.2018.12.008.

    Ding CM, YM, Wang W, et al. Study on adherence to antiretroviral therapy and its associated factors among people living with HIV/AIDS in Wuhan City[J]. Chin J Dis Control Prev, 2018, 22(12): 1234-1237. DOI: 10.16462/j.cnki.zhjbkz.2018.12.008.
    [14]
    周莹, 卢静, 张之, 等.江苏省艾滋病一线药物抗病毒治疗失败病人的耐药特征及影响因素分析[J].中华疾病控制杂志, 2017, 21(12):1191-1194. DOI: 10.16462/j.cnki.zhjbkz.2017.12.002

    Zhou Y, Lu J, Zhang Z, et al. Risk factors associated with HIV drug resistance among ART virological failure patients taking first-line antiviral treatment from Jiangsu Province[J]. Chin J Dis Control Prev, 2017, 21(12):1191-1194. DOI: 10.16462/j.cnki.zhjbkz.2017.12.002.
    [15]
    Joint United Nations Programme on HIV/AIDS (UNAIDS). Ending HIV progress towards the 90-90-90 targets[EB/OL].(2017-01-01)[2020-09-30].https://www.unaids.org/en/resources/documents/2017/20170720_Global_AIDS_update_2017.
    [16]
    GisslénM, Svedhem V, Lindborg L, et al. Sweden, the first country to achieve the Joint United Nations Programme on HIV/AIDS (UNAIDS)/World Health Organization (WHO) 90-90-90 continuum of HIV care targets[J]. HIV Med, 2017, 18(4):305-307. DOI: 10.1111/hiv.12431.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(2)

    Article Metrics

    Article views (441) PDF downloads(75) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return