Evidence map›Paper›PMID 41146047›Full record

ArticleBMC infectious diseases2025

Disease burden of HIV and its behavioral risks among adults aged 20-54 years in China and the Western Pacific Region from 1990 to 2021: an analysis based on the Global Burden of Disease Study 2021.

Haixia Liu, Qi Jing, Muzi Meng, Chenyu Sun, Qiyu Zhu, Christy Huang, Tianming Zhao

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Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Haixia Liu *Department of Public Health and General Medicine, School of Life Sciences, Anhui University of Chinese Medicine, Hefei, China.
Qi Jing *The First Affiliated Hospital of Anhui University of Science and Technology, Huainan, China.
Muzi MengQueen's University, Kingston, Canada.
Chenyu SunDivision of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, USA.
Qiyu ZhuNational Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Christy HuangCollege of Osteopathic Medicine, Touro University Nevada, Henderson, USA.
Tianming ZhaoSchool of Health Management, Anhui Medical University, No. 81 Meishan Road, Hefei, People's Republic of China. zhaotianming@ahmu.edu.cn.

Funding

Anhui University of Chinese Medicine Support Program for Talents DT2400001276Research start-up funds from Anhui Medical University 0501051201
6 · The paper itself

Abstract

backgroundThe HIV epidemic remains a significant public health concern among individuals aged 20–54 years. However, comprehensive studies evaluating trends in HIV-related health burdens and associated behavioral risks in China and the Western Pacific Region are limited.

methodsThis study utilizes data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2021 to examine HIV burden indicators—including the age specific rates (ASR) for prevalence (ASPR), incidence (ASIR), mortality (ASMR) and DALYs (ASDR)—among individuals aged 20–54 years in China and the Western Pacific Region from 1990 to 2021. Long-term trends were analyzed using average annual percentage changes (AAPCs), while short-term trends were assessed through annual percentage changes (APCs). Furthermore, trends in HIV-related DALYs associated with behavioral risks were analyzed.

resultsIn China, ASPR increased by 751.27% (AAPC = 7.19, 95%CI: 7.02–7.35), ASIR by 232.26% (AAPC = 3.8, 95%CI: 2.62–4.99), ASMR by 1535.29% (AAPC = 9.07, 95%CI: 8.51–9.63), and ASDR by 1379.27% (AAPC = 8.72, 95%CI: 8.22–9.23). In the Western Pacific Region, ASPR increased by 1101.91% (AAPC = 8.34, 95%CI: 8.2–8.47), ASIR by 354.24% (AAPC = 4.68, 95%CI: 3.91–5.45), ASMR by 1241.67% (AAPC = 8.56, 95%CI: 8.05–9.08), and ASDR by 1135.86% (AAPC = 8.28, 95%CI: 7.83–8.73). Regarding the HIV-related DALYs rate attributable to behavioral risks, the corresponding rate for unsafe sex, intimate partner violence, and drug use showed a significant increase from 1990 to 2021 in China and the Western Pacific Region (all AAPC > 0, p < 0.05). Notably, the HIV burden was consistently higher in males than females in both regions, with most of gender disparities widening over time.

conclusionDespite significant progress in HIV/AIDS response, the burden remains substantial, with notable gender differences. Strengthened international cooperation, targeted prevention strategies, and expanded access to treatment are crucial to mitigating new HIV infections and improving health outcomes.

Indexed as

HIV InfectionsAdultChinaDisability-Adjusted Life YearsFemaleGlobal Burden of DiseaseHumansIncidenceMaleMiddle AgedPrevalenceRisk FactorsRisk-TakingSexual BehaviorYoung AdultBehavioral risksDALYsGlobal Burden of Disease StudyHIVIncidenceMortalityPrevalence

Identifiers

PMID41146047
PMCPMC12560427

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