Patterns and risk of HIV-1 transmission network among men who have sex with men in Guangxi, China

Abstract The prevalence of HIV-1 in Guangxi is very high, and the rate of HIV-1 infection among men who have sex with men (MSM) has been increasing. Therefore, it is necessary to explore the patterns and risk factors of HIV transmission in Guangxi. For this purpose, individuals diagnosed with HIV-1...

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Autores principales: Xianwu Pang, Hui Wei, Jinghua Huang, Qin He, Kailing Tang, Ningye Fang, Xinjuan Zhou, Qiuying Zhu, Xiuling Wu, Guanghua Lan, Zhiyong Shen, Mei Lin, Shujia Liang
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:f5498dac228440f6af56611b85b52bf62021-12-02T14:01:34ZPatterns and risk of HIV-1 transmission network among men who have sex with men in Guangxi, China10.1038/s41598-020-79951-22045-2322https://doaj.org/article/f5498dac228440f6af56611b85b52bf62021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-79951-2https://doaj.org/toc/2045-2322Abstract The prevalence of HIV-1 in Guangxi is very high, and the rate of HIV-1 infection among men who have sex with men (MSM) has been increasing. Therefore, it is necessary to explore the patterns and risk factors of HIV transmission in Guangxi. For this purpose, individuals diagnosed with HIV-1 during 2013–2018 in Guangxi were recruited. Phylogenetic relationship, transmission clusters, and genotypic drug resistance analyses were performed based on HIV-1 pol sequences. Related factors were analysed to assess for their association with HIV-1 transmission. CRF07_BC (50.4%) and CRF01_AE (33.4%) were found to be the predominant subtypes. The analysed 1633 sequences (50.15%, Guangxi; 49.85%, other provinces) were segregated into 80 clusters (size per cluster, 2–704). We found that 75.3% of the individuals were in three clusters (size ˃ 100), and 73.8% were high-risk spreaders (links ≥ 4). Infection time, marital status, and subtype were significantly associated with HIV-1 transmission. Additionally, 80.2% of recent infections were linked to long-term infections, and 46.2% were linked to other provinces. A low level of transmitted drug resistance was detected (4.8%). Our findings indicated superclusters and high-risk HIV-1 spreaders among the MSM in Guangxi. Effective strategies blocking the route of transmission should be developed.Xianwu PangHui WeiJinghua HuangQin HeKailing TangNingye FangXinjuan ZhouQiuying ZhuXiuling WuGuanghua LanZhiyong ShenMei LinShujia LiangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Xianwu Pang
Hui Wei
Jinghua Huang
Qin He
Kailing Tang
Ningye Fang
Xinjuan Zhou
Qiuying Zhu
Xiuling Wu
Guanghua Lan
Zhiyong Shen
Mei Lin
Shujia Liang
Patterns and risk of HIV-1 transmission network among men who have sex with men in Guangxi, China
description Abstract The prevalence of HIV-1 in Guangxi is very high, and the rate of HIV-1 infection among men who have sex with men (MSM) has been increasing. Therefore, it is necessary to explore the patterns and risk factors of HIV transmission in Guangxi. For this purpose, individuals diagnosed with HIV-1 during 2013–2018 in Guangxi were recruited. Phylogenetic relationship, transmission clusters, and genotypic drug resistance analyses were performed based on HIV-1 pol sequences. Related factors were analysed to assess for their association with HIV-1 transmission. CRF07_BC (50.4%) and CRF01_AE (33.4%) were found to be the predominant subtypes. The analysed 1633 sequences (50.15%, Guangxi; 49.85%, other provinces) were segregated into 80 clusters (size per cluster, 2–704). We found that 75.3% of the individuals were in three clusters (size ˃ 100), and 73.8% were high-risk spreaders (links ≥ 4). Infection time, marital status, and subtype were significantly associated with HIV-1 transmission. Additionally, 80.2% of recent infections were linked to long-term infections, and 46.2% were linked to other provinces. A low level of transmitted drug resistance was detected (4.8%). Our findings indicated superclusters and high-risk HIV-1 spreaders among the MSM in Guangxi. Effective strategies blocking the route of transmission should be developed.
format article
author Xianwu Pang
Hui Wei
Jinghua Huang
Qin He
Kailing Tang
Ningye Fang
Xinjuan Zhou
Qiuying Zhu
Xiuling Wu
Guanghua Lan
Zhiyong Shen
Mei Lin
Shujia Liang
author_facet Xianwu Pang
Hui Wei
Jinghua Huang
Qin He
Kailing Tang
Ningye Fang
Xinjuan Zhou
Qiuying Zhu
Xiuling Wu
Guanghua Lan
Zhiyong Shen
Mei Lin
Shujia Liang
author_sort Xianwu Pang
title Patterns and risk of HIV-1 transmission network among men who have sex with men in Guangxi, China
title_short Patterns and risk of HIV-1 transmission network among men who have sex with men in Guangxi, China
title_full Patterns and risk of HIV-1 transmission network among men who have sex with men in Guangxi, China
title_fullStr Patterns and risk of HIV-1 transmission network among men who have sex with men in Guangxi, China
title_full_unstemmed Patterns and risk of HIV-1 transmission network among men who have sex with men in Guangxi, China
title_sort patterns and risk of hiv-1 transmission network among men who have sex with men in guangxi, china
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/f5498dac228440f6af56611b85b52bf6
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