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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Prevalence of human immunodeficiency virus 1 infection in the last decade among entry travelers in Yunnan Province, China

Authors: Binghui Wang, Yaobo Liang, Yue Feng, Yaping Li, Yajuan Wang, A-Mei Zhang, Zulqarnain Baloch, Li Liu, Weihong Qin, Xueshan Xia

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Yunnan is not only considered the region with the most concerning human immunodeficiency virus (HIV)-1 prevalence, but is also the central hub for the spread of HIV-1 from Southeast Asia to the other provinces of China. Yunnan has the highest proportion of entry travelers who have transmitted HIV from neighbored Southeast Asian countries to mainland of China.

Methods

Between 2003 and 2012, we recruited 280,961 entry travelers at land ports located in 7 bordering prefectures respectively in the Yunnan Province for HIV-1 screening. Based on the detection of HIV-1 antibody, the HIV-1 infection rate was determined.

Results

Among the recruited entry travelers, 2380 were determined HIV-1 positive with infection rate of 0.85%. Travelers entering the Dehong port had the highest HIV-1 infection rate (5.12%), followed by those entering Baoshan (0.88%), Lincang (0.83%), and Honghe (0.71%). For all HIV-1 positive cases, travelers aged 21–30 and 31–40 were the most commonly infected individuals, accounting for 38.45% and 37.77% of all cases, respectively. The most common occupation of the infected population was driver (42.38%), and the proportion of industrials had increased yearly. Based on the reported risk factors, sexual transmission was the main HIV-1 infection route (77.11%) of this population.

Conclusions

We have clarified the rate of HIV-1 infection among this bridge population. The characteristics of HIV-1 positive population and high geographical heterogeneity have provided the necessary epidemiological data for monitoring the HIV-1 epidemic among cross-border travelers in Yunnan and to further understand the cross-border spreading of the HIV-1 infection.
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Literature
2.
go back to reference Varma JK, McCarthy KD, Tasaneeyapan T, Monkongdee P, Kimerling ME, Buntheoun E, et al. Bloodstream infections among HIV-infected outpatients. Southeast Asia Emerg Infect Dis. 2010;16(10):1569–75.CrossRefPubMed Varma JK, McCarthy KD, Tasaneeyapan T, Monkongdee P, Kimerling ME, Buntheoun E, et al. Bloodstream infections among HIV-infected outpatients. Southeast Asia Emerg Infect Dis. 2010;16(10):1569–75.CrossRefPubMed
4.
go back to reference Liu Y, Li L, Bao Z, Li H, Zhuang D, Liu S, et al. Identification of a novel HIV type 1 circulating recombinant form (CRF52_01B) in South-East Asia. AIDS Res Hum Retroviruses. 2012;28(10):1357–61.CrossRefPubMedPubMedCentral Liu Y, Li L, Bao Z, Li H, Zhuang D, Liu S, et al. Identification of a novel HIV type 1 circulating recombinant form (CRF52_01B) in South-East Asia. AIDS Res Hum Retroviruses. 2012;28(10):1357–61.CrossRefPubMedPubMedCentral
5.
go back to reference Chow WZ, Al-Darraji H, Lee YM, Takebe Y, Kamarulzaman A, Tee KK. Genome sequences of a novel HIV −1 CRF53_01B identified in Malaysia. J Virol. 2012;86(20):11398–9.CrossRefPubMedPubMedCentral Chow WZ, Al-Darraji H, Lee YM, Takebe Y, Kamarulzaman A, Tee KK. Genome sequences of a novel HIV −1 CRF53_01B identified in Malaysia. J Virol. 2012;86(20):11398–9.CrossRefPubMedPubMedCentral
6.
go back to reference Ng KT, Ong LY, Takebe Y, Kamarulzaman A, Tee KK. Genome sequence of a novel HIV −1 circulating recombinant form 54_01B from Malaysia. J Virol. 2012;86(20):11405–6.CrossRefPubMedPubMedCentral Ng KT, Ong LY, Takebe Y, Kamarulzaman A, Tee KK. Genome sequence of a novel HIV −1 circulating recombinant form 54_01B from Malaysia. J Virol. 2012;86(20):11405–6.CrossRefPubMedPubMedCentral
7.
go back to reference Ng OT, Eyzaguirre LM, Carr JK, Chew KK, Lin L, Chua A, et al. Identification of new CRF51_01B in Singapore using full genome analysis of three HIV type 1 isolates. AIDS Res Hum Retroviruses. 2012;28(5):527–30.PubMedPubMedCentral Ng OT, Eyzaguirre LM, Carr JK, Chew KK, Lin L, Chua A, et al. Identification of new CRF51_01B in Singapore using full genome analysis of three HIV type 1 isolates. AIDS Res Hum Retroviruses. 2012;28(5):527–30.PubMedPubMedCentral
9.
go back to reference Meng Z, Xin R, Zhong P, Zhang C, Abubakar YF, Li J, et al. A New Migration Map of HIV-1 CRF07_BC in China: Analysis of Sequences from 12 Provinces over a Decade. PLoS One. 2012;7(12):e52373.CrossRefPubMedPubMedCentral Meng Z, Xin R, Zhong P, Zhang C, Abubakar YF, Li J, et al. A New Migration Map of HIV-1 CRF07_BC in China: Analysis of Sequences from 12 Provinces over a Decade. PLoS One. 2012;7(12):e52373.CrossRefPubMedPubMedCentral
10.
go back to reference Tee KK, Pybus OG, Li XJ, Han X, Shang H, Kamarulzaman A, et al. Temporal and spatial dynamics of human immunodeficiency virus type 1 circulating recombinant forms 08_BC and 07_BC in Asia. J Virol. 2008;82(18):9206–15.CrossRefPubMedPubMedCentral Tee KK, Pybus OG, Li XJ, Han X, Shang H, Kamarulzaman A, et al. Temporal and spatial dynamics of human immunodeficiency virus type 1 circulating recombinant forms 08_BC and 07_BC in Asia. J Virol. 2008;82(18):9206–15.CrossRefPubMedPubMedCentral
11.
go back to reference Takebe Y, Liao H, Hase S, Uenishi R, Li Y, Li XJ, et al. Reconstructing the epidemic history of HIV-1 circulating recombinant forms CRF07_BC and CRF08_BC in East Asia: the relevance of genetic diversity and phylodynamics for vaccine strategies. Vaccine. 2010;28:B39–44.CrossRefPubMed Takebe Y, Liao H, Hase S, Uenishi R, Li Y, Li XJ, et al. Reconstructing the epidemic history of HIV-1 circulating recombinant forms CRF07_BC and CRF08_BC in East Asia: the relevance of genetic diversity and phylodynamics for vaccine strategies. Vaccine. 2010;28:B39–44.CrossRefPubMed
12.
go back to reference Jia M, Luo H, Ma Y, Wang N, Smith K, Mei J, et al. The HIV Epidemic in Yunnan Province, China, 1989–2007. J Acquir Immune Defic Syndr. 2010;53 Suppl 1:S34–40.CrossRefPubMed Jia M, Luo H, Ma Y, Wang N, Smith K, Mei J, et al. The HIV Epidemic in Yunnan Province, China, 1989–2007. J Acquir Immune Defic Syndr. 2010;53 Suppl 1:S34–40.CrossRefPubMed
13.
go back to reference Xiao Y, Kristensen S, Sun J, Lu L, Vermund SH. Expansion of HIV/AIDS in China: Lessons from Yunnan Province. Soc Sci Med. 2007;64(3):665–75.CrossRefPubMed Xiao Y, Kristensen S, Sun J, Lu L, Vermund SH. Expansion of HIV/AIDS in China: Lessons from Yunnan Province. Soc Sci Med. 2007;64(3):665–75.CrossRefPubMed
14.
go back to reference Chen M, Yang L, Ma Y, Su Y, Yang C, Luo H, et al. Emerging Variability in HIV-1 Genetics among Recently Infected Individuals in Yunnan. China PLoS One. 2013;8(3):e60101.CrossRefPubMed Chen M, Yang L, Ma Y, Su Y, Yang C, Luo H, et al. Emerging Variability in HIV-1 Genetics among Recently Infected Individuals in Yunnan. China PLoS One. 2013;8(3):e60101.CrossRefPubMed
15.
go back to reference Li Z, He X, Wang Z, Xing H, Li F, Yang Y, et al. Tracing the origin and history of HIV-1 subtype B’ epidemic by near full-length genome analyses. AIDS. 2012;26(7):877–84.CrossRefPubMed Li Z, He X, Wang Z, Xing H, Li F, Yang Y, et al. Tracing the origin and history of HIV-1 subtype B’ epidemic by near full-length genome analyses. AIDS. 2012;26(7):877–84.CrossRefPubMed
16.
go back to reference Nelson PK, Mathers BM, Cowie B, Hagan H, Des Jarlais D, Horyniak D, et al. Global epidemiology of injecting drug use and HIV among people who inject drugs: a systematic review. Lancet. 2008;372(9651):1733–45.CrossRef Nelson PK, Mathers BM, Cowie B, Hagan H, Des Jarlais D, Horyniak D, et al. Global epidemiology of injecting drug use and HIV among people who inject drugs: a systematic review. Lancet. 2008;372(9651):1733–45.CrossRef
17.
go back to reference Des Jarlais DC, Johnston P, Friedmann P, Kling R, Liu W, Ngu D, et al. Patterns of HIV prevalence among injecting drug users in the cross-border area of Lang Son Province, Vietnam and Ning Ming County, Guangxi Province. China BMCPublicHealt. 2005;5:89. Des Jarlais DC, Johnston P, Friedmann P, Kling R, Liu W, Ngu D, et al. Patterns of HIV prevalence among injecting drug users in the cross-border area of Lang Son Province, Vietnam and Ning Ming County, Guangxi Province. China BMCPublicHealt. 2005;5:89.
18.
go back to reference Li L, Assanangkornchai S, Duo L, McNeil E, Li J. Cross-border activities and association with current methamphetamine use among Chinese injection drug users (IDUs) in a China–Myanmar border region. Drug Alcohol Depend. 2014;138:48–53.CrossRefPubMed Li L, Assanangkornchai S, Duo L, McNeil E, Li J. Cross-border activities and association with current methamphetamine use among Chinese injection drug users (IDUs) in a China–Myanmar border region. Drug Alcohol Depend. 2014;138:48–53.CrossRefPubMed
19.
go back to reference Li XJ, Kusagawa S, Xia X, Yang C, Wang Q, Yokota Y, et al. Molecular Epidemiology of the Heterosexual HIV-1 Transmission in Kunming, Yunnan Province of China Suggests Origin from the Local IDU Epidemic. AIDS Res Hum Retroviruses. 2005;21(11):977–80.CrossRefPubMed Li XJ, Kusagawa S, Xia X, Yang C, Wang Q, Yokota Y, et al. Molecular Epidemiology of the Heterosexual HIV-1 Transmission in Kunming, Yunnan Province of China Suggests Origin from the Local IDU Epidemic. AIDS Res Hum Retroviruses. 2005;21(11):977–80.CrossRefPubMed
20.
go back to reference Yao Y, Wang N, Chu J, Ding G, Jin X, Sun Y, et al. Sexual behavior and risks for HIV infection and transmission among male injecting drug users in Yunnan. China Int J Infect Dis. 2009;13(2):154–61.CrossRefPubMed Yao Y, Wang N, Chu J, Ding G, Jin X, Sun Y, et al. Sexual behavior and risks for HIV infection and transmission among male injecting drug users in Yunnan. China Int J Infect Dis. 2009;13(2):154–61.CrossRefPubMed
21.
go back to reference Chen XS, Yin YP, Liang GJ, Gong XD, Li HS, Poumerol G, et al. Sexually transmitted infections among female sex workers in Yunnan, China. AIDS Patient Care STDS. 2005;19:853–60.CrossRefPubMed Chen XS, Yin YP, Liang GJ, Gong XD, Li HS, Poumerol G, et al. Sexually transmitted infections among female sex workers in Yunnan, China. AIDS Patient Care STDS. 2005;19:853–60.CrossRefPubMed
22.
go back to reference Jin X, Smith K, Chen RY, Ding G, Yao Y, Wang H, et al. HIV prevalence and risk behaviors among male clients of female sex workers in Yunnan. China J Acquir Immune Defic Syndr. 2010;53(1):131–5.CrossRefPubMed Jin X, Smith K, Chen RY, Ding G, Yao Y, Wang H, et al. HIV prevalence and risk behaviors among male clients of female sex workers in Yunnan. China J Acquir Immune Defic Syndr. 2010;53(1):131–5.CrossRefPubMed
23.
go back to reference Chen M, Ma Y, Su Y, Yang L, Zhang R, Yang C, et al. HIV-1 genetic characteristics and transmitted drug resistance among men who have sex with men in Kunming, China. PLoS One. 2014;9(1):e87033.CrossRefPubMedPubMedCentral Chen M, Ma Y, Su Y, Yang L, Zhang R, Yang C, et al. HIV-1 genetic characteristics and transmitted drug resistance among men who have sex with men in Kunming, China. PLoS One. 2014;9(1):e87033.CrossRefPubMedPubMedCentral
24.
go back to reference Jia Y, Sun J, Fan L, Song D, Tian S, Yang Y, et al. Estimates of HIV prevalence in a highly endemic area of China: Dehong Prefecture. Yunnan Province Int J Epidemiol. 2008;37(6):1287–96.CrossRefPubMed Jia Y, Sun J, Fan L, Song D, Tian S, Yang Y, et al. Estimates of HIV prevalence in a highly endemic area of China: Dehong Prefecture. Yunnan Province Int J Epidemiol. 2008;37(6):1287–96.CrossRefPubMed
25.
go back to reference Shan D, Sun J, Yakusik A, Chen Z, Yuan J, Li T, et al. Total HIV/AIDS Expenditures in Dehong Prefecture, Yunnan Province in 2010: The First Systematic Evaluation of Both Health and Non-Health Related HIV/AIDS Expenditures in China. PLoS One. 2013;8(6):e68006.CrossRefPubMedPubMedCentral Shan D, Sun J, Yakusik A, Chen Z, Yuan J, Li T, et al. Total HIV/AIDS Expenditures in Dehong Prefecture, Yunnan Province in 2010: The First Systematic Evaluation of Both Health and Non-Health Related HIV/AIDS Expenditures in China. PLoS One. 2013;8(6):e68006.CrossRefPubMedPubMedCentral
26.
go back to reference Kusagawa S, Sato H, Watanabe S, Nohtomi K, Kato K, Shino T, et al. Genetic and serologic characterization of HIV type 1 prevailing in Myanmar (Burma). AIDS Res Hum Retroviruses. 1998;14(15):1379–85.CrossRefPubMed Kusagawa S, Sato H, Watanabe S, Nohtomi K, Kato K, Shino T, et al. Genetic and serologic characterization of HIV type 1 prevailing in Myanmar (Burma). AIDS Res Hum Retroviruses. 1998;14(15):1379–85.CrossRefPubMed
27.
go back to reference Pang W, Zhang C, Duo L, Zhou YH, Yao ZH, Liu FL, et al. Extensive and complex HIV-1 recombination between B’, C and CRF01_AE among IDUs in south-east Asia. AIDS. 2012;26(9):1121–9.CrossRefPubMed Pang W, Zhang C, Duo L, Zhou YH, Yao ZH, Liu FL, et al. Extensive and complex HIV-1 recombination between B’, C and CRF01_AE among IDUs in south-east Asia. AIDS. 2012;26(9):1121–9.CrossRefPubMed
28.
go back to reference Feng Y, Zhao W, Feng Y, Dai J, Li Z, Zhang X, et al. A novel genotype of GB virus C: its identification and predominance among injecting drug users in Yunnan. China PLoS One. 2011;6:e21151.CrossRefPubMed Feng Y, Zhao W, Feng Y, Dai J, Li Z, Zhang X, et al. A novel genotype of GB virus C: its identification and predominance among injecting drug users in Yunnan. China PLoS One. 2011;6:e21151.CrossRefPubMed
29.
go back to reference Zhang C, Yang R, Xia X, Qin S, Dai J, Zhang Z, et al. High prevalence of HIV-1 and hepatitis C virus coinfection among injection drug users in the southeastern region of Yunnan. China J Acquir Immune Defic Syndr. 2002;29(2):191–6.CrossRefPubMed Zhang C, Yang R, Xia X, Qin S, Dai J, Zhang Z, et al. High prevalence of HIV-1 and hepatitis C virus coinfection among injection drug users in the southeastern region of Yunnan. China J Acquir Immune Defic Syndr. 2002;29(2):191–6.CrossRefPubMed
30.
go back to reference Xia X, Lu L, Tee KK, Zhao W, Wu J, Yu J, et al. The unique HCV genotype distribution and the discovery of a novel subgenotype 6u among IDUs co-infected with HIV-1 in Yunnan. China J Med Virol. 2008;80(7):1142–52.CrossRefPubMed Xia X, Lu L, Tee KK, Zhao W, Wu J, Yu J, et al. The unique HCV genotype distribution and the discovery of a novel subgenotype 6u among IDUs co-infected with HIV-1 in Yunnan. China J Med Virol. 2008;80(7):1142–52.CrossRefPubMed
Metadata
Title
Prevalence of human immunodeficiency virus 1 infection in the last decade among entry travelers in Yunnan Province, China
Authors
Binghui Wang
Yaobo Liang
Yue Feng
Yaping Li
Yajuan Wang
A-Mei Zhang
Zulqarnain Baloch
Li Liu
Weihong Qin
Xueshan Xia
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-1683-8

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