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The HIV/AIDS epidemic in Cuba: description and tentative explanation of its low HIV prevalence

Overview of attention for article published in BMC Infectious Diseases, November 2007
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (92nd percentile)
  • High Attention Score compared to outputs of the same age and source (92nd percentile)

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2 news outlets

Citations

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28 Dimensions

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45 Mendeley
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Title
The HIV/AIDS epidemic in Cuba: description and tentative explanation of its low HIV prevalence
Published in
BMC Infectious Diseases, November 2007
DOI 10.1186/1471-2334-7-130
Pubmed ID
Authors

Héctor de Arazoza, Jose Joanes, Rachid Lounes, Camille Legeai, Stéphan Clémençon, Jorge Pérez, Bertran Auvert

Abstract

The Cuban HIV/AIDS epidemic has the lowest prevalence rate of the Caribbean region. The objective of this paper is to give an overview of the HIV/AIDS epidemic in Cuba and to explore the reasons for this low prevalence. Data were obtained from the Cuban HIV/AIDS programme established in 1983. This programme has an extensive adult HIV testing policy, including testing of all pregnant women. HIV and AIDS cases have been recorded since 1986. Persons found to be HIV-positive are interviewed on their sexual behaviour and partners. Tracing and voluntary testing of these partners are organised. Epidemiological description of this epidemic was obtained from analysis of this data set. Using elementary mathematical analyses, we estimated the coverage of the detection system (percentage of HIV-positive adults detected) and the average period between HIV infection and detection. Estimated HIV prevalence rates were corrected to account for the coverage. HIV prevalence has increased since 1996. In 2005, the prevalence among pregnant women was 1.2 per 10,000 (16/137000). Estimated HIV prevalence among 15- to 49-year-olds was 8.1 per 10,000 (4913/6065000; 95%CI: 7.9 per 10,000 - 8.3 per 10,000). Most (77%) of the HIV-positive adults were men, most (85.1%) of the detected HIV-positive men were reported as having sex with men (MSM), and most of the HIV-positive women reported having had sex with MSM. The average period between HIV infection and detection was estimated to be 2.1 years (IQR = 1.7 - 2.2 years). We estimated that, for the year 2005, 79.6% (IQR: 77.3 - 81.4%) of the HIV-positive persons were detected. MSM drive the HIV epidemic in Cuba. The extensive HIV testing policy may be an important factor in explaining the low HIV prevalence. To reduce the HIV epidemic in Cuba, the epidemic among MSM should be addressed. To understand this epidemic further, data on sexual behaviour should be collected. Now that antiretroviral therapy is more widely available, the Cuban policy, based on intensive HIV testing and tracing of partners, may be considered as a possible policy to control HIV/AIDS epidemics in other countries.

Mendeley readers

The data shown below were compiled from readership statistics for 45 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 2 4%
United States 1 2%
Thailand 1 2%
Brazil 1 2%
Unknown 40 89%

Demographic breakdown

Readers by professional status Count As %
Researcher 17 38%
Student > Master 9 20%
Student > Bachelor 6 13%
Student > Ph. D. Student 3 7%
Librarian 2 4%
Other 6 13%
Unknown 2 4%
Readers by discipline Count As %
Medicine and Dentistry 16 36%
Social Sciences 9 20%
Agricultural and Biological Sciences 4 9%
Computer Science 3 7%
Nursing and Health Professions 3 7%
Other 7 16%
Unknown 3 7%

Attention Score in Context

This research output has an Altmetric Attention Score of 18. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 December 2016.
All research outputs
#526,862
of 8,729,235 outputs
Outputs from BMC Infectious Diseases
#114
of 3,855 outputs
Outputs of similar age
#18,296
of 231,339 outputs
Outputs of similar age from BMC Infectious Diseases
#9
of 122 outputs
Altmetric has tracked 8,729,235 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 93rd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,855 research outputs from this source. They receive a mean Attention Score of 4.1. This one has done particularly well, scoring higher than 97% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 231,339 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 92% of its contemporaries.
We're also able to compare this research output to 122 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 92% of its contemporaries.