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국내 Human Immunodeficiency Virus 감염의 감염 경로: 한국 HIV/AIDS 코호트 연구

Other Titles
 Mode of Human Immunodeficiency Virus Transmission in Korea: The Korea HIV/AIDS Cohort Study 
 김준명  ;  최준용  ;  정우용  ;  성혜  ;  김신우  ;  김우주  ;  최희정  ;  김민자  ;  우준희  ;  김윤정  ;  최보율  ;  최윤수  ;  기미경  ;  김기순 
 Korean Journal of Medicine, Vol.93(4) : 379-386, 2018 
Journal Title
Korean Journal of Medicine
Issue Date
HIV ; HIV infections ; Acquired immune deficiency syndrome ; Disease transmission, Infectious ; Homosexuality
Background/Aims: Global efforts to prevent human immunodeficiency virus (HIV) infection and strengthen treatment programs have reduced the annual incidence of HIV infection. However, the incidence recently increased unexpectedly in Korea. Therefore, to understand the cause of the increase in HIV infection incidence in Korea, it is important to identify the mode of HIV transmission.
Methods: We included HIV-infected individuals enrolled in the Korea HIV/AIDS (acquired immune deficiency syndrome) Cohort from December 2006 to January 2018. The subjects were older than 18 years and were receiving care at 21 participating hospitals. They were interviewed by their physician at enrollment, and an epidemiological survey was conducted using a stand ardized questionnaire provided by a professional counseling nurse.
Results: There were 1,474 subjects: 1,377 men and 97 women. Their mean age was 41.4 ± 12.6 years, and the male-to-female ratio was 14.2. The transmission modes were as follows: homosexual and bisexual contacts in 885 (60.1%), heterosexual contacts in 508 (34.6%), blood transfusion and blood products in 5 (0.3%), and injected drug use in 1 (0.0%). Regarding age, the proportion infected by homosexual and bisexual contacts was higher in the younger age groups: 71.5% in subjects aged 18-29 years. When this age group was further subdivided, 92.9% of those aged 18-19 years were determined to be infected via homosexual and bisexual contacts.
Conclusions: In Korea, HIV is transmitted predominantly via homosexual and bisexual contacts, which is more common among younger age groups and the cause of infections in most teenagers. (Korean J Med 2018;93:379-386)
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, June Myung(김준명)
Seong, Hye(성혜) ORCID logo https://orcid.org/0000-0002-5633-7214
Jeong, Wooyong(정우용)
Choi, Jun Yong(최준용) ORCID logo https://orcid.org/0000-0002-2775-3315
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