Progress on HIV and other sexually transmitted infections elimination among youth and adults across BRICS-plus countries: Results from the Global Burden of Disease Study 2021
Background: Global strategies aim to eradicate HIV and other sexually transmitted infections (STIs) by 2030. We aim to assess HIV and other STIs morbidity trends from 1992 to 2021 across BRICS-plus (Brazil, Russia, India, China, South Africa, Egypt, Ethiopia, Iran, Saudi Arabia, and the United Arab...
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Elsevier
2025-02-01
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| Series: | Journal of Infection and Public Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1876034124003599 |
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| author | Rizhen Wang Yinuo Sun Huan Wang Xiaoran Yu JiYan Ma Zuokun Liu Jing Li Zhiyong Zou Yangmu Huang |
| author_facet | Rizhen Wang Yinuo Sun Huan Wang Xiaoran Yu JiYan Ma Zuokun Liu Jing Li Zhiyong Zou Yangmu Huang |
| author_sort | Rizhen Wang |
| collection | DOAJ |
| description | Background: Global strategies aim to eradicate HIV and other sexually transmitted infections (STIs) by 2030. We aim to assess HIV and other STIs morbidity trends from 1992 to 2021 across BRICS-plus (Brazil, Russia, India, China, South Africa, Egypt, Ethiopia, Iran, Saudi Arabia, and the United Arab Emirates), which accounts for nearly half of the world population. Methods: HIV and other STIs morbidity estimates were derived from the Global Burden of Disease Study 2021. We derived percentage changes to evaluate the progress towards HIV 2020 milestones and annualised rate of change to determine the progress needed to achieve 2030 targets. We used age-period-cohort (APC) model to estimate period (cohort) relative risks for both disease areas. Results: Around 46 % of global incident cases attributed to HIV and other STIs were found in BRICS-plus countries, exceeding the combined totals of North American countries. The HIV new cases in BRICS-plus declined by 8.2 % between 2010 and 2020. No countries within BRICS-plus achieved a target of a 75 % decrease in HIV new cases in 2020 or 2021, but India (-41.7 %), Ethiopia (-34.4 %), China (-29.7 %), and South Africa (-11.7 %) showed reductions. Individuals aged 15–24 years (-32·9 %) had a decline for HIV new cases, while individuals aged ≥ 25 years plateaued. There were evident period risks of morbidity for HIV in Russia and Iran since 2012 and for syphilis and gonorrhea in Brazil since 2012. Younger generations had a higher risk of contracting HIV in Brazil, China, Egypt, Iran, and Russia, and other STIs in Brazil, India, Iran, and South Africa, particularly genital herpes. Conclusion: BRICS-plus was still far from reaching the global 2030 targets for both disease areas. Adults aged ≥ 25 years have little progress in HIV new cases, and youth and adults in other STIs. |
| format | Article |
| id | doaj-art-a8b7838bb4b44cf38548e2dce706454c |
| institution | Kabale University |
| issn | 1876-0341 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Infection and Public Health |
| spelling | doaj-art-a8b7838bb4b44cf38548e2dce706454c2025-01-21T04:12:55ZengElsevierJournal of Infection and Public Health1876-03412025-02-01182102625Progress on HIV and other sexually transmitted infections elimination among youth and adults across BRICS-plus countries: Results from the Global Burden of Disease Study 2021Rizhen Wang0Yinuo Sun1Huan Wang2Xiaoran Yu3JiYan Ma4Zuokun Liu5Jing Li6Zhiyong Zou7Yangmu Huang8Department of Global Health, School of Public Health, Peking University, Beijing 100191, ChinaDepartment of Global Health, School of Public Health, Peking University, Beijing 100191, ChinaSchool of Public Health, Peking University, Beijing 100191, China; Institute of Child and Adolescent Health, Peking University, Beijing 100191, China; National Health Commission Key Laboratory of Reproductive Health, Peking University, Beijing 100191, ChinaSchool of Public Health, Peking University, Beijing 100191, China; Institute of Child and Adolescent Health, Peking University, Beijing 100191, China; National Health Commission Key Laboratory of Reproductive Health, Peking University, Beijing 100191, ChinaDepartment of Global Health, School of Public Health, Peking University, Beijing 100191, ChinaDepartment of Global Health, School of Public Health, Peking University, Beijing 100191, ChinaSchool of Public Health, Peking University, Beijing 100191, China; Institute of Child and Adolescent Health, Peking University, Beijing 100191, ChinaSchool of Public Health, Peking University, Beijing 100191, China; Institute of Child and Adolescent Health, Peking University, Beijing 100191, China; National Health Commission Key Laboratory of Reproductive Health, Peking University, Beijing 100191, China; Correspondence to: Institute of Child and Adolescent Health, National Health Commission Key Laboratory of Reproductive Health, Peking University School of Public Health, No. 38 Xueyuan Rd, Haidian District, Beijing 100191, ChinaDepartment of Global Health, School of Public Health, Peking University, Beijing 100191, China; Institute for Global Health and Development, Peking University, Beijing 100191, China; Correspondence to: Institute for Global Health and Development, and School of Public Health, Peking University, No.38 Xueyuan Rd, Haidian District, Beijing 100191, ChinaBackground: Global strategies aim to eradicate HIV and other sexually transmitted infections (STIs) by 2030. We aim to assess HIV and other STIs morbidity trends from 1992 to 2021 across BRICS-plus (Brazil, Russia, India, China, South Africa, Egypt, Ethiopia, Iran, Saudi Arabia, and the United Arab Emirates), which accounts for nearly half of the world population. Methods: HIV and other STIs morbidity estimates were derived from the Global Burden of Disease Study 2021. We derived percentage changes to evaluate the progress towards HIV 2020 milestones and annualised rate of change to determine the progress needed to achieve 2030 targets. We used age-period-cohort (APC) model to estimate period (cohort) relative risks for both disease areas. Results: Around 46 % of global incident cases attributed to HIV and other STIs were found in BRICS-plus countries, exceeding the combined totals of North American countries. The HIV new cases in BRICS-plus declined by 8.2 % between 2010 and 2020. No countries within BRICS-plus achieved a target of a 75 % decrease in HIV new cases in 2020 or 2021, but India (-41.7 %), Ethiopia (-34.4 %), China (-29.7 %), and South Africa (-11.7 %) showed reductions. Individuals aged 15–24 years (-32·9 %) had a decline for HIV new cases, while individuals aged ≥ 25 years plateaued. There were evident period risks of morbidity for HIV in Russia and Iran since 2012 and for syphilis and gonorrhea in Brazil since 2012. Younger generations had a higher risk of contracting HIV in Brazil, China, Egypt, Iran, and Russia, and other STIs in Brazil, India, Iran, and South Africa, particularly genital herpes. Conclusion: BRICS-plus was still far from reaching the global 2030 targets for both disease areas. Adults aged ≥ 25 years have little progress in HIV new cases, and youth and adults in other STIs.http://www.sciencedirect.com/science/article/pii/S1876034124003599HIVSexually transmitted diseasesIncidenceAge-period-cohort analysisHealth disparities |
| spellingShingle | Rizhen Wang Yinuo Sun Huan Wang Xiaoran Yu JiYan Ma Zuokun Liu Jing Li Zhiyong Zou Yangmu Huang Progress on HIV and other sexually transmitted infections elimination among youth and adults across BRICS-plus countries: Results from the Global Burden of Disease Study 2021 Journal of Infection and Public Health HIV Sexually transmitted diseases Incidence Age-period-cohort analysis Health disparities |
| title | Progress on HIV and other sexually transmitted infections elimination among youth and adults across BRICS-plus countries: Results from the Global Burden of Disease Study 2021 |
| title_full | Progress on HIV and other sexually transmitted infections elimination among youth and adults across BRICS-plus countries: Results from the Global Burden of Disease Study 2021 |
| title_fullStr | Progress on HIV and other sexually transmitted infections elimination among youth and adults across BRICS-plus countries: Results from the Global Burden of Disease Study 2021 |
| title_full_unstemmed | Progress on HIV and other sexually transmitted infections elimination among youth and adults across BRICS-plus countries: Results from the Global Burden of Disease Study 2021 |
| title_short | Progress on HIV and other sexually transmitted infections elimination among youth and adults across BRICS-plus countries: Results from the Global Burden of Disease Study 2021 |
| title_sort | progress on hiv and other sexually transmitted infections elimination among youth and adults across brics plus countries results from the global burden of disease study 2021 |
| topic | HIV Sexually transmitted diseases Incidence Age-period-cohort analysis Health disparities |
| url | http://www.sciencedirect.com/science/article/pii/S1876034124003599 |
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