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2019-11-28Zeitschriftenartikel DOI: 10.25646/6605
HIV infections and HIV testing during pregnancy, Germany, 1993 to 2016
dc.contributor.authorMarcus, Ulrich
dc.date.accessioned2020-03-26T10:08:45Z
dc.date.available2020-03-26T10:08:45Z
dc.date.issued2019-11-28none
dc.identifier.other10.2807/1560-7917.ES.2019.24.48.1900078
dc.identifier.urihttp://edoc.rki.de/176904/6563
dc.description.abstractBackground Elimination of mother-to-child transmission (MTCT) of HIV by 2020 is a goal of the World Health Organization (WHO) action plan for the European Region. However, data to monitor progress towards MTCT elimination are not readily available in Germany. Aim We aimed to estimate the number of pregnant women with HIV and MTCT rates in Germany. Methods We triangulated retrospectively obtained data from: (i) healthcare reimbursement for HIV screening tests, (ii) a statutory health insurance subsample of prevalent and incident HIV diagnoses among pregnant women, (iii) a mathematical model of the German HIV epidemic with number, region of origin and risk factors for women of childbearing age, and (iv) the statutory anonymous HIV registry on children infected through HIV MTCT. Results The number of women aged 15–49 years with HIV increased from ca 6,000 in 1993 to ca 11,000 in 2016. Risk of injecting drug use (IDU) declined from 65% in 1993 to 16% in 2016. The annual proportion of women living with HIV giving live birth increased from a mean of 1.9% during 1993 to 1998 to 4.9% in 2011 to 2015. HIV screening rates during pregnancy increased from ca 50% in 2001 to ca 90% in 2016. The HIV MTCT rate dropped from 6.8% in 2001 to 1.1% in 2016. Conclusions The population of women living with HIV in Germany shifted from predominantly IDU-associated infections to predominantly sexually acquired infections, while fertility rates more than doubled. MTCT rates dropped, mainly because of improved detection and management of HIV in pregnancy.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectGermanyeng
dc.subjectHIVeng
dc.subjectHIV pregnancy screeningeng
dc.subjectmother-to-child transmissioneng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleHIV infections and HIV testing during pregnancy, Germany, 1993 to 2016none
dc.typearticle
dc.identifier.urnurn:nbn:de:kobv:0257-176904/6563-8
dc.identifier.doihttp://dx.doi.org/10.25646/6605
dc.type.versionpublishedVersionnone
local.edoc.container-titleEurosurveillancenone
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2019.24.48.1900078#html_fulltextnone
local.edoc.container-publisher-nameInstitut de Veille Sanitairenone
local.edoc.container-volume24none
local.edoc.container-issue48none
local.edoc.container-year2019none
local.edoc.container-firstpage1none
local.edoc.container-lastpage10none
local.edoc.rki-departmentInfektionskrankheitennone
dc.description.versionPeer Reviewednone

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