Journal of AIDS and HIV Research
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Article Number - E0EA9AD770


Vol.1(1), pp. 008-017 , October 2009

ISSN: 2141-2359



Full Length Research Paper

Piloting second generation HIV surveillance in Berlin, Germany, 2005 - 2007: Risk profile of recently acquired HIV infections in MSM



Jörg Bätzing-Feigenbaum
  • Jörg Bätzing-Feigenbaum
  • HIV/AIDS and STI Unit, Department for Infectious Disease Epidemiology, Robert Koch-Institute, Berlin, Germany.Infectious Disease Protection and Epidemiology Unit, State Office for Health and Social Welfare, Land of Berlin, Berlin, Germany.
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Stephan Loschen
  • Stephan Loschen
  • HIV Variability and Molecular Virology, Robert Koch-Institute, Berlin, Germany.
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Silvia Gohlke-Micknis
  • Silvia Gohlke-Micknis
  • HIV/AIDS and STI Unit, Department for Infectious Disease Epidemiology, Robert Koch-Institute, Berlin, Germany.
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Ruth Zimmermann
  • Ruth Zimmermann
  • HIV/AIDS and STI Unit, Department for Infectious Disease Epidemiology, Robert Koch-Institute, Berlin, Germany.
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Claudia Kücherer
  • Claudia Kücherer
  • HIV Variability and Molecular Virology, Robert Koch-Institute, Berlin, Germany.
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Osamah Hamouda
  • Osamah Hamouda
  • HIV/AIDS and STI Unit, Department for Infectious Disease Epidemiology, Robert Koch-Institute, Berlin, Germany.
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 Accepted: 02 October 2009  Published: 31 October 2009

Copyright © 2009 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0


Men having sex with men (MSM) are by far the transmission-risk-category most affected by HIV in Berlin and were investigated in this pilot-study with the aim to identify detailed risk- and prevention-behaviours in recently infected persons. From November, 2005 - February, 2007, venous blood samples were taken from patients in Berlin aged ≥18 years within 3 months after diagnosis of HIV-infection and tested with BED IgG-capture-ELISA (BED-CEIA) to differentiate between longstanding and recent HIV-infections dating back no longer than 140 days from blood sampling. Data on knowledge, attitudes, behaviour and practices (“KABP-survey”) relating to HIV/AIDS, were collected anonymously by structured patients’ questionnaires, accomplished by demographic data via additional questionnaires filled by the physicians. SPSS 15.0 was used for data analysis. This sub-analysis includes 37 MSM with confirmed recently acquired HIV infection. Mean age was 34 years (20 - 53). Good knowledge on HIV/AIDS in Germany and transmission risks was present in most cases; nevertheless unprotected sexual contacts were indicated by 90% of recently HIV-infected MSM (independent from type of intercourse and partners’ sero-status) with 64% reporting unprotected anal intercourse. Unprotected anal intercourse with a person they knew to be infected with HIV was stated by 19% of cases. In 5% drugs/alcohol and in 48% (n = 18/37) uncertain HIV-related knowledge, hope and beliefs about transmission risks were stated as reasons for unprotected sex. Almost half of recently infected MSM in this pilot-study were infected because hope and beliefs on HIV-transmission-risks had guided their personal decisions on HIV-prevention efforts. Limitations due to a small study population, lack of HIV-negative-tested controls and selection bias should be optimised in future studies; however, the findings have strong implications for amending prevention messages in Germany addressing MSM.

 

Key words: KABP-survey, HIV, BED-CEIA, second-generation HIV surveillance, recency of infection.


APA (2009). Piloting second generation HIV surveillance in Berlin, Germany, 2005 - 2007: Risk profile of recently acquired HIV infections in MSM. Journal of AIDS and HIV Research, 1(1), 008-017.
Chicago Jörg Bätzing-Feigenbaum, Stephan Loschen, Silvia Gohlke-Micknis, Ruth Zimmermann, Claudia Kücherer and Osamah Hamouda. "Piloting second generation HIV surveillance in Berlin, Germany, 2005 - 2007: Risk profile of recently acquired HIV infections in MSM." Journal of AIDS and HIV Research 1, no. 1 (2009): 008-017.
MLA Jouml;rg Bauml;tzing-Feigenbaum, et al. "Piloting second generation HIV surveillance in Berlin, Germany, 2005 - 2007: Risk profile of recently acquired HIV infections in MSM." Journal of AIDS and HIV Research 1.1 (2009): 008-017.
   
DOI
URL http://academicjournals.org/journal/JAHR/article-abstract/E0EA9AD770

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