Epidemiological characteristics of HIV infected Korean: Korea HIV/AIDS Cohort Study

Epidemiol Health. 2019:41:e2019037. doi: 10.4178/epih.e2019037. Epub 2019 Sep 3.

Abstract

Objectives: To manage evidence-based diseases, it is important to identify the characteristics of patients in each country.

Methods: The Korea HIV/AIDS Cohort Study seeks to identify the epidemiological characteristics of 1,442 Korean individuals with human immunodeficiency virus (HIV) infection (12% of Korean individuals with HIV infection in 2017) who visited 21 university hospitals nationwide. The descriptive statistics were presented using the Korea HIV/AIDS cohort data (2006-2016).

Results: Men accounted for 93.3% of the total number of respondents, and approximately 55.8% of respondents reported having an acute infection symptom. According to the transmission route, infection caused by sexual contact accounted for 94.4%, of which 60.4% were caused by sexual contact with the same sex or both males and females. Participants repeatedly answered the survey to decrease depression and anxiety scores. Of the total participants, 89.1% received antiretroviral therapy (ART). In the initial ART, 95.3% of patients were treated based on the recommendation. The median CD4 T-cell count at the time of diagnosis was 229.5 and improved to 331 after the initial ART. Of the patients, 16.6% and 9.4% had tuberculosis and syphilis, respectively, and 26.7% had pneumocystis pneumonia. In the medical history, sexually transmitted infectious diseases showed the highest prevalence, followed by endocrine diseases. The main reasons for termination were loss to follow-up (29.9%) and withdrawal of consent (18.7%).

Conclusions: Early diagnosis and ART should be performed at an appropriate time to prevent the development of new infection.

Keywords: AIDS-related opportunistic infections; Antiretroviral therapy highly active; Communicable diseases; HIV.

MeSH terms

  • AIDS-Related Opportunistic Infections / epidemiology
  • Adolescent
  • Adult
  • Antiretroviral Therapy, Highly Active / statistics & numerical data
  • Cohort Studies
  • Female
  • HIV Infections / drug therapy
  • HIV Infections / epidemiology*
  • Humans
  • Male
  • Middle Aged
  • Republic of Korea / epidemiology
  • Risk Factors
  • Young Adult