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Estimation of hospital-based HIV seroprevalence as a nationwide scale by novel method; 2002-2008 in Korea

BACKGROUND: In Korea, approximately 70% of HIV-positive individuals are currently diagnosed in hospitals, while most HIV-positive patients were diagnosed at public health centers in 1980 s and 1990 s. However, there are no reporting systems to identify how many HIV tests are performed in the Korean...

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Autores principales: Lee, Jin-Hee, Hong, Kee-Jong, Wang, Jin-Sook, Kim, Sung Soon, Kee, Mee-Kyung
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3012044/
https://www.ncbi.nlm.nih.gov/pubmed/21114869
http://dx.doi.org/10.1186/1471-2458-10-739
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author Lee, Jin-Hee
Hong, Kee-Jong
Wang, Jin-Sook
Kim, Sung Soon
Kee, Mee-Kyung
author_facet Lee, Jin-Hee
Hong, Kee-Jong
Wang, Jin-Sook
Kim, Sung Soon
Kee, Mee-Kyung
author_sort Lee, Jin-Hee
collection PubMed
description BACKGROUND: In Korea, approximately 70% of HIV-positive individuals are currently diagnosed in hospitals, while most HIV-positive patients were diagnosed at public health centers in 1980 s and 1990 s. However, there are no reporting systems to identify how many HIV tests are performed in the Korean hospitals different from public health centers and Blood centers. We estimated how many HIV tests were performed in hospitals and analyzed the nationwide hospital-based HIV seroprevalence in the present study. METHODS: Between 2002 and 2008, data included HIV tests on insurance claims in hospitals and the proportion of computerized insurance claims from the Health Insurance Review and Assessment Services. The number of HIV tests from the survey in the External Quality Assurance Scheme for hospital laboratories was collected to calculate the insurance claim proportion. HIV seroprevalence was estimated using data of tested individuals, including infected individuals. Statistical analysis was confirmed with the 95% confidence interval. Statistical significance was defined at p-values < 0.05. RESULTS: The number of HIV tests in hospitals increased from 2.7 million in 2002 to 5.0 million in 2008. The trend of HIV seroprevalence was decrease (1.5-1.3 per 10,000 individuals, P < 0.0028), except in 2002. The number of women tested was greater than men, and the proportion increased in older individuals and in small towns. Men had a higher annual HIV seroprevalence than women (P < 0.0001). The annual seroprevalence decreased in men (P = 0.0037), but was stable in women. The seroprevalence in the 30-39 year age group demonstrated higher than other age groups except 2008. CONCLUSIONS: The nationwide hospital-based number of HIV tests and seroprevalence were estimated using a new method and seroprevalence trends were identified. This information will facilitate improvement in national HIV prevention strategies.
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spelling pubmed-30120442010-12-30 Estimation of hospital-based HIV seroprevalence as a nationwide scale by novel method; 2002-2008 in Korea Lee, Jin-Hee Hong, Kee-Jong Wang, Jin-Sook Kim, Sung Soon Kee, Mee-Kyung BMC Public Health Research Article BACKGROUND: In Korea, approximately 70% of HIV-positive individuals are currently diagnosed in hospitals, while most HIV-positive patients were diagnosed at public health centers in 1980 s and 1990 s. However, there are no reporting systems to identify how many HIV tests are performed in the Korean hospitals different from public health centers and Blood centers. We estimated how many HIV tests were performed in hospitals and analyzed the nationwide hospital-based HIV seroprevalence in the present study. METHODS: Between 2002 and 2008, data included HIV tests on insurance claims in hospitals and the proportion of computerized insurance claims from the Health Insurance Review and Assessment Services. The number of HIV tests from the survey in the External Quality Assurance Scheme for hospital laboratories was collected to calculate the insurance claim proportion. HIV seroprevalence was estimated using data of tested individuals, including infected individuals. Statistical analysis was confirmed with the 95% confidence interval. Statistical significance was defined at p-values < 0.05. RESULTS: The number of HIV tests in hospitals increased from 2.7 million in 2002 to 5.0 million in 2008. The trend of HIV seroprevalence was decrease (1.5-1.3 per 10,000 individuals, P < 0.0028), except in 2002. The number of women tested was greater than men, and the proportion increased in older individuals and in small towns. Men had a higher annual HIV seroprevalence than women (P < 0.0001). The annual seroprevalence decreased in men (P = 0.0037), but was stable in women. The seroprevalence in the 30-39 year age group demonstrated higher than other age groups except 2008. CONCLUSIONS: The nationwide hospital-based number of HIV tests and seroprevalence were estimated using a new method and seroprevalence trends were identified. This information will facilitate improvement in national HIV prevention strategies. BioMed Central 2010-11-30 /pmc/articles/PMC3012044/ /pubmed/21114869 http://dx.doi.org/10.1186/1471-2458-10-739 Text en Copyright ©2010 Lee et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Lee, Jin-Hee
Hong, Kee-Jong
Wang, Jin-Sook
Kim, Sung Soon
Kee, Mee-Kyung
Estimation of hospital-based HIV seroprevalence as a nationwide scale by novel method; 2002-2008 in Korea
title Estimation of hospital-based HIV seroprevalence as a nationwide scale by novel method; 2002-2008 in Korea
title_full Estimation of hospital-based HIV seroprevalence as a nationwide scale by novel method; 2002-2008 in Korea
title_fullStr Estimation of hospital-based HIV seroprevalence as a nationwide scale by novel method; 2002-2008 in Korea
title_full_unstemmed Estimation of hospital-based HIV seroprevalence as a nationwide scale by novel method; 2002-2008 in Korea
title_short Estimation of hospital-based HIV seroprevalence as a nationwide scale by novel method; 2002-2008 in Korea
title_sort estimation of hospital-based hiv seroprevalence as a nationwide scale by novel method; 2002-2008 in korea
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3012044/
https://www.ncbi.nlm.nih.gov/pubmed/21114869
http://dx.doi.org/10.1186/1471-2458-10-739
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