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국내 Human Immunodeficiency Virus 감염의 감염 경로: 한국 HIV/AIDS 코호트 연구

Title
국내 Human Immunodeficiency Virus 감염의 감염 경로: 한국 HIV/AIDS 코호트 연구
Other Titles
Mode of Human Immunodeficiency Virus Transmission in Korea: The Korea HIV/AIDS Cohort Study
Author
최보율
Keywords
인간면역결핍바이러스; 인간면역결핍바이러스 감염; 후천면역결핍증; 감염경로; 동성애; HIV; HIV infections; Acquired immune deficiency syndrome; Disease transmission; Infectious; Homosexuality
Issue Date
2018-08
Publisher
대한내과학회
Citation
대한내과학회지, v. 93, no. 4, page. 379-389
Abstract
Background/Aims: Global efforts to prevent human immunodeficiency virus (HIV) infection and strengthen treatment programs have reduced the annual incidence of HIV infection. However, the incidence recently increased unexpectedly in Korea. Therefore, to understand the cause of the increase in HIV infection incidence in Korea, it is important to identify the mode of HIV transmission. Methods: We included HIV-infected individuals enrolled in the Korea HIV/AIDS (acquired immune deficiency syndrome) Cohort from December 2006 to January 2018. The subjects were older than 18 years and were receiving care at 21 participating hospitals. They were interviewed by their physician at enrollment, and an epidemiological survey was conducted using a stand ardized questionnaire provided by a professional counseling nurse. Results: There were 1,474 subjects: 1,377 men and 97 women. Their mean age was 41.4 ± 12.6 years, and the male-to-female ratio was 14.2. The transmission modes were as follows: homosexual and bisexual contacts in 885 (60.1%), heterosexual contacts in 508 (34.6%), blood transfusion and blood products in 5 (0.3%), and injected drug use in 1 (0.0%). Regarding age, the proportion infected by homosexual and bisexual contacts was higher in the younger age groups: 71.5% in subjects aged 18-29 years. When this age group was further subdivided, 92.9% of those aged 18-19 years were determined to be infected via homosexual and bisexual contacts. Conclusions: In Korea, HIV is transmitted predominantly via homosexual and bisexual contacts, which is more common among younger age groups and the cause of infections in most teenagers.
URI
http://ekjm.org/journal/view.php?doi=10.3904/kjm.2018.93.4.379http://repository.hanyang.ac.kr/handle/20.500.11754/119776
ISSN
1738-9364; 2289-0769
DOI
10.3904/kjm.2018.93.4.379
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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