Xiangjun Zhang1, Na Wang2, Sten H Vermund3, Huachun Zou4, Xianhong Li5, Fujie Zhang6,7, Han-Zhu Qian8,9. 1. School of Community Health Sciences, University of Nevada, Reno, Reno, NV, USA. 2. School of Public Health, Guilin Medical University, Guilin, China. 3. Yale School of Public Health, New Haven, CT, USA. 4. School of Public Health (Shenzhen), Sun Yat-sen University, Guangzhou, China. 5. Xiangya School of Nursing, Central South University, Changsha, China. 6. Clinical and Research Center of Infectious Disease, Beijing Ditan Hospital, Capital Medical University, Beijing, China. 7. Clinical Center for HIV/AIDS, Capital Medical University, Beijing, China. 8. Yale School of Public Health, New Haven, CT, USA. han-zhu.qian@yale.edu. 9. SJTU-Yale Joint Center for Biostatistics and Data Science, Shanghai Jiao Tong University, Shanghai, China. han-zhu.qian@yale.edu.
Abstract
PURPOSE OF REVIEW: To describe HIV epidemic and interventions for improving HIV continuum of care in China. RECENT FINDINGS: The reported HIV epidemic has been continuously increasing, partially due to the expansion of active HIV testing campaign. Public health intervention programs have been effective in containing HIV spread among former plasma donors and people who inject drugs (PWID), but more infections occur among heterosexual men and women and young men who have sex with men. Of 1.25 million Chinese people are living with HIV, one-third do not know their status. About two-thirds of diagnosed individuals have used antiretroviral therapy (ART) and two-thirds of those on ART have achieved viral suppression, but some risk groups such as PWID have lower rates. The national free ART program has reduced adult and pediatric mortality and reduced heterosexual transmission. China faces great challenges to reduce HIV sexual transmission, improve the HIV continuum of care, and close the gaps to the UNAIDS Three "90" Targets.
PURPOSE OF REVIEW: To describe HIV epidemic and interventions for improving HIV continuum of care in China. RECENT FINDINGS: The reported HIV epidemic has been continuously increasing, partially due to the expansion of active HIV testing campaign. Public health intervention programs have been effective in containing HIV spread among former plasma donors and people who inject drugs (PWID), but more infections occur among heterosexual men and women and young men who have sex with men. Of 1.25 million Chinese people are living with HIV, one-third do not know their status. About two-thirds of diagnosed individuals have used antiretroviral therapy (ART) and two-thirds of those on ART have achieved viral suppression, but some risk groups such as PWID have lower rates. The national free ART program has reduced adult and pediatric mortality and reduced heterosexual transmission. China faces great challenges to reduce HIV sexual transmission, improve the HIV continuum of care, and close the gaps to the UNAIDS Three "90" Targets.
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