Does the recent increase in HIV diagnoses among men who have sex with men in the UK reflect a rise in HIV incidence or increased uptake of HIV testing?

Sexually Transmitted Infections

Volumn 83, Issue 2, 2007, Pages 120-125

  Dougan, Sarah ^a,b   Elford, Jonathan ^b   Chadborn, Timothy R ^a   Brown, Alison E ^a   Roy, Kirsty ^c   Murphy, Gary ^a  

^a PUBLIC HEALTH ENGLAND   (United Kingdom)

^b CITY UNIVERSITY   (United Kingdom)

^c HEALTH PROTECTION SCOTLAND   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CD4 LYMPHOCYTE COUNT; CONTROLLED STUDY; DIAGNOSTIC TEST; GEOGRAPHIC DISTRIBUTION; HEALTH SURVEY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INCIDENCE; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; SEROCONVERSION; SEROLOGY; SEXUAL INTERCOURSE; UROGENITAL SYSTEM;

ADULT; AGE DISTRIBUTION; AMBULATORY CARE; HIV INFECTIONS; HOMOSEXUALITY, MALE; HUMANS; INCIDENCE; LONDON; MALE; PATIENT ACCEPTANCE OF HEALTH CARE; RESIDENCE CHARACTERISTICS;

EID: 34248223153     PISSN: 13684973     EISSN: None     Source Type: Journal    
DOI: 10.1136/sti.2006.021428     Document Type: Article

References (30)

1. The UK Collaborative Group for HIV and STI Surveillance. Mapping the issues. HIV and other sexually transmitted infections in the United Kingdom in 2004. London: Health Protection Agency, Centre for Infections, 2005.
2. National Centre in HIV Epidemiology and Clinical Research. HIV/AIDS, viral hepatitis and sexually transmissible infections in Australia. Annual Surveillance Report 2004. National Centre in HIV Epidemiology and Clinical Research, The University of New South Wales, Sydney, NSW; Australian Institute of Health and Welfare, Canberra, ACT, 2004.
3. Dukers NTM, Spaargaren J, Geskus RB, et al. HIV incidence on the increase among homosexual men attending an Amsterdam sexually transmitted disease clinic: using a novel approach for detecting recent infections. AIDS 2002;16:F19-24.
4. Centers for Disease Control and Prevention. Increases in HIV diagnoses - 29 States, 1999-2002. MMWR 2003;52:1145-8.
5. Macdonald N, Dougan S, McGarrigle CA, et al. Recent trends in diagnoses of HIV and other sexually transmitted infections in England and Wales amongst men who have sex with men. Sex Transm Infect 2004;80:492-7.
6. Wasserheit JN. Epidemiological synergy: interrelationships between human immunodeficiency virus infection and other sexually transmitted diseases. Sex Transm Dis 1992;19:61-77.
7. Dodds JP, Mercey DE, Parry JV, et al. Increasing risk behaviour and high levels of undiagnosed HIV infection in a community sample of homosexual men. Sex Transm Infect 2004;80:236-40.
8. Reid D, Weatherburn P, Hickson F, et al. On the move: findings from the United Kingdom's gay men's sex survey 2003. London: Sigma Research, 2004.
9. Elford J, Bolding G, Davis M, et al. Trends in sexual behaviour among London homosexual men 1998-2003: implications for HIV prevention and sexual health promotion. Sex Transm Infect 2004;80:451-4.
10. Hart GJ, Williamson LM. Increase in HIV sexual risk behaviour in gay men in Scotland, 1996-2002: prevention failure. Sex Transm Infect, 2005;81, 367-72.
11. Mercer CH, Fenton KA, Copas AJ, et al. Increasing prevalence of male homosexual partnerships and practices in Britain 1990-2000: evidence from national probability surveys. AIDS 2004;18:1453-8.
12. Department of Health. The national strategy for sexual health and HIV. London: DOH, 2001.
13. Hickson F, Nutland W, Weatherburn P, et al. Making it count: a collaborative planning framework to reduce the incidence of HIV infection during sex between men, 3rd edn. London: Sigma Research, 2003.
14. Scottish Executive. Respect & responsibility - strategy and action plan for improving sexual health. Edinburgh: Scottish Executive, 2005.
15. Janssen RS, Satten GA, Stramer SL, et al. New testing strategy to detect early HIV-1 infection for use in incidence estimates and for clinical and prevention purposes. JAMA 1998;280:42-8.
16. Murphy G, Charlett A, Jordan LF, et al. HIV incidence appears constant in men who have sex with men despite widespread use of effective antiretroviral therapy. AIDS 2004;18:265-72.
17. Murphy G, Charlett A, Brown AE, et al. Is HIV incidence increasing in homo/ bisexual men attending STI clinics in England, Wales and Northern Ireland? Commun Dis Pub Health 2004;7:11-14.
18. Dodds JP, Nardone A, Mercey DE, et al. Increasing high risk sexual behaviour amongst gay men in London 1996-1998: a repeated cross sectional questionnaire study. BMJ 2000;320:1510-11.
19. Elford J, Bolding G, Sherr L, et al. High-risk sexual behaviour among London gay men: no longer increasing. AIDS, 2005;19, 2171-4.
20. Mortimer JY, Salathiel JA. 'Soundex' codes of surnames provide confidentiality and accuracy in a national HIV database. Commun Dis Rep 1995;15:R183-6.
21. Heptonstall J, Gill ON. The legal and ethical basis for unlinked anonymous testing. Commun Dis Rep Rev 1989;48:3-6.
22. Medical Research Council. Guidance on collections of human tissue and biological samples for use in human research. London: Medical Research Council, 2001.
23. Department of Health, Clinical Ethics and Human Tissue Branch. The use of human organs and tissue - an interim statement. London: DOH, 2003.
24. Human tissue and biological samples for use in research: operational and ethical guidelines, 2001. http://mrc.ac.uk (accessed 19 Dec 2006).
25. PHLS Communicable Disease Surveillance Centre. Quarterly communicable disease review October to December 2001: Caldicott, Confidentiality and the Patient Information Advisory Group. J Pub Health Med 2002;24:138-44.
26. Dougan S, Elford J, Sinka K, et al. Men who have sex with men who are born abroad and diagnosed with HIV in England and Wales: an epidemiological perspective. Int J STD AIDS 2005;16:618-21.
27. Dougan S, Elford J, Rice B, et al. The epidemiology of HIV among black and minority ethnic men who have sex with men in England and Wales. Sex Transm Infect 2005;81:345-50.
28. Office for National Statistics. Census 2001. www.statistics.gov.uk (accessed 19 Dec 2006).
29. van der Bij AK, Stolte IG, Coutinho RA, et al. Increase of sexually transmitted infections, but not HIV, among young homosexual men in Amsterdam: are STIs still reliable markers for HIV transmission? Sex Transm Infect 2005;81:34-7.
30. Elford J. Changing patterns of sexual behaviour in the era of highly active antiretroviral therapy. Curr Opin Infect Dis 2006;19:26-32.