HIV subtypes and molecular transmission characteristics among elderly HIV-infected individuals aged 50 and above: a cross-sectional study in Huzhou City, Eastern China Article Swipe
Meihua Jin
,
Xiaojuan Zhu
,
Zhongrong Yang
,
Xiaoqi Liu
,
Jing Li
,
Zhenqian Wu
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/bmjopen-2024-085646
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/bmjopen-2024-085646
Objective To analyse the HIV-1 subtypes and molecular transmission characteristics of HIV-infected older individuals aged 50 and above in Huzhou City, and provide a scientific basis for prevention and treatment strategies for them. Design A cross-sectional study with clustered molecular transmission network cases was performed, and basic epidemiological information was retrieved from the Chinese Centres for Disease Prevention and Control (CDC) Information System. Setting and participants A molecular epidemiological study was conducted in 899 newly diagnosed HIV-infected individuals from January 2019 and March 2023 in Huzhou city, Zhejiang province, Eastern China. Out of these, HIV sequences were successfully obtained from 673 individuals, including 274 who were older individuals aged 50 and above. Primary and secondary outcomes Reverse transcription-polymerase chain reaction (PCR) and nested PCR were used to amplify the polymerase gene of HIV-1, and gene sequencing was performed. We used univariate and multivariate logistic regression to describe the association of clustered molecular transmission network cases. Results In total, 274 valid HIV sequences of older individuals were obtained, which revealed 14 subtypes. Circulating recombinant forms (CRF) 07_BC accounted for 55.8% and CRF01_AE accounted for 20.1% of the subtypes. Data of 150 older individuals were included in the molecular transmission network, and the proportion of elderly individuals in clustered cases is 52.26% (150/287). The results of multivariable logistic regression analysis showed that the older age group (60–82 years) and CRF07_BC subtype were associated with case clustering (transmission risk). Conclusions The key high-risk transmission network was mainly composed of the older age group (60–82 years) and CRF07_BC subtype. It is necessary to further strengthen AIDS health promotion and education for individuals aged 60 years and above, as well as for patients with the CRF07_BC subtype, to reduce HIV transmission and clustering risk.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/bmjopen-2024-085646
- https://bmjopen.bmj.com/content/bmjopen/14/5/e085646.full.pdf
- OA Status
- gold
- Cited By
- 3
- References
- 20
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4399169519
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4399169519Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1136/bmjopen-2024-085646Digital Object Identifier
- Title
-
HIV subtypes and molecular transmission characteristics among elderly HIV-infected individuals aged 50 and above: a cross-sectional study in Huzhou City, Eastern ChinaWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-01Full publication date if available
- Authors
-
Meihua Jin, Xiaojuan Zhu, Zhongrong Yang, Xiaoqi Liu, Jing Li, Zhenqian WuList of authors in order
- Landing page
-
https://doi.org/10.1136/bmjopen-2024-085646Publisher landing page
- PDF URL
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https://bmjopen.bmj.com/content/bmjopen/14/5/e085646.full.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
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https://bmjopen.bmj.com/content/bmjopen/14/5/e085646.full.pdfDirect OA link when available
- Concepts
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Medicine, Cross-sectional study, Human immunodeficiency virus (HIV), China, Transmission (telecommunications), Epidemiology, Environmental health, Public health, Demography, Virology, Gerontology, Family medicine, Internal medicine, Pathology, Sociology, Political science, Law, Engineering, Electrical engineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
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3Total citation count in OpenAlex
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-
2025: 2, 2024: 1Per-year citation counts (last 5 years)
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20Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.conducted | 71 |
| abstract_inverted_index.diagnosed | 75 |
| abstract_inverted_index.education | 265 |
| abstract_inverted_index.high-risk | 239 |
| abstract_inverted_index.including | 102 |
| abstract_inverted_index.molecular | 7, 39, 67, 151, 196 |
| abstract_inverted_index.necessary | 257 |
| abstract_inverted_index.obtained, | 166 |
| abstract_inverted_index.promotion | 263 |
| abstract_inverted_index.province, | 88 |
| abstract_inverted_index.retrieved | 50 |
| abstract_inverted_index.secondary | 114 |
| abstract_inverted_index.sequences | 95, 161 |
| abstract_inverted_index.subtypes. | 170, 186 |
| abstract_inverted_index.treatment | 29 |
| abstract_inverted_index.(150/287). | 210 |
| abstract_inverted_index.Prevention | 57 |
| abstract_inverted_index.associated | 230 |
| abstract_inverted_index.clustering | 233, 287 |
| abstract_inverted_index.performed, | 44 |
| abstract_inverted_index.performed. | 137 |
| abstract_inverted_index.polymerase | 129 |
| abstract_inverted_index.prevention | 27 |
| abstract_inverted_index.proportion | 201 |
| abstract_inverted_index.regression | 144, 216 |
| abstract_inverted_index.scientific | 24 |
| abstract_inverted_index.sequencing | 135 |
| abstract_inverted_index.strategies | 30 |
| abstract_inverted_index.strengthen | 260 |
| abstract_inverted_index.univariate | 140 |
| abstract_inverted_index.Circulating | 171 |
| abstract_inverted_index.Conclusions | 236 |
| abstract_inverted_index.Information | 61 |
| abstract_inverted_index.association | 148 |
| abstract_inverted_index.individuals | 13, 77, 107, 164, 191, 204, 267 |
| abstract_inverted_index.information | 48 |
| abstract_inverted_index.recombinant | 172 |
| abstract_inverted_index.HIV-infected | 11, 76 |
| abstract_inverted_index.individuals, | 101 |
| abstract_inverted_index.multivariate | 142 |
| abstract_inverted_index.participants | 65 |
| abstract_inverted_index.successfully | 97 |
| abstract_inverted_index.transmission | 8, 40, 152, 197, 240, 285 |
| abstract_inverted_index.(transmission | 234 |
| abstract_inverted_index.multivariable | 214 |
| abstract_inverted_index.characteristics | 9 |
| abstract_inverted_index.cross-sectional | 35 |
| abstract_inverted_index.epidemiological | 47, 68 |
| abstract_inverted_index.transcription-polymerase | 117 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5019669488 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 6 |
| corresponding_institution_ids | https://openalex.org/I3018263800 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.699999988079071 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.81535909 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |