| Literature DB >> 21881127 |
Bluma G Brenner1, Michel Roger, David Stephens, Daniela Moisi, Isabelle Hardy, Jonathan Weinberg, Reuven Turgel, Hugues Charest, James Koopman, Mark A Wainberg.
Abstract
Phylodynamic analysis and epidemiologic data identified 3 patterns of spread of primary human immunodeficiency virus type 1 infection (PHI) among men who have sex with men (2001-2009): 420 unique PHIs, 102 small clusters (2-4 PHIs per cluster, n = 280), and 46 large clusters (5-31 PHIs per cluster, n = 450). Large clusters disproportionately increased from 25.2% of PHIs in 2005 to 39.1% in 2009 (χ(2) = 33.9, P < .001). Scalar expansion of large clusters over 11 months (interquartile range, 3.5-25.5 months) correlated with cluster membership size (r(2) = 0.174, F = 4.424, P = .047). PHI cohort data revealed variations in social networks and risk behaviors among the 3 groups, suggesting the need for tailored prevention measures.Entities:
Mesh:
Year: 2011 PMID: 21881127 PMCID: PMC3164430 DOI: 10.1093/infdis/jir468
Source DB: PubMed Journal: J Infect Dis ISSN: 0022-1899 Impact factor: 5.226