A Direct Comparison of Two Densely Sampled HIV Epidemics: The UK and Switzerland.
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State: Public
Version: author
State: Public
Version: author
Serval ID
serval:BIB_CD1F0CAF1666
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
A Direct Comparison of Two Densely Sampled HIV Epidemics: The UK and Switzerland.
Journal
Scientific reports
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Publication state
Published
Issued date
19/09/2016
Peer-reviewed
Oui
Volume
6
Pages
32251
Language
english
Notes
Publication types: Comparative Study ; Journal Article ; Multicenter Study ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Publication Status: epublish
Abstract
Phylogenetic clustering approaches can elucidate HIV transmission dynamics. Comparisons across countries are essential for evaluating public health policies. Here, we used a standardised approach to compare the UK HIV Drug Resistance Database and the Swiss HIV Cohort Study while maintaining data-protection requirements. Clusters were identified in subtype A1, B and C pol phylogenies. We generated degree distributions for each risk group and compared distributions between countries using Kolmogorov-Smirnov (KS) tests, Degree Distribution Quantification and Comparison (DDQC) and bootstrapping. We used logistic regression to predict cluster membership based on country, sampling date, risk group, ethnicity and sex. We analysed >8,000 Swiss and >30,000 UK subtype B sequences. At 4.5% genetic distance, the UK was more clustered and MSM and heterosexual degree distributions differed significantly by the KS test. The KS test is sensitive to variation in network scale, and jackknifing the UK MSM dataset to the size of the Swiss dataset removed the difference. Only heterosexuals varied based on the DDQC, due to UK male heterosexuals who clustered exclusively with MSM. Their removal eliminated this difference. In conclusion, the UK and Swiss HIV epidemics have similar underlying dynamics and observed differences in clustering are mainly due to different population sizes.
Keywords
Cluster Analysis, Epidemics, Female, HIV Infections/epidemiology, HIV Infections/virology, HIV-1/classification, HIV-1/genetics, Heterosexuality/statistics & numerical data, Homosexuality, Male/statistics & numerical data, Humans, Logistic Models, Male, Phylogeny, Risk Factors, Switzerland/epidemiology, United Kingdom/epidemiology, pol Gene Products, Human Immunodeficiency Virus/classification, pol Gene Products, Human Immunodeficiency Virus/genetics
Pubmed
Web of science
Open Access
Yes
Create date
28/09/2016 16:53
Last modification date
20/08/2019 15:47