A Direct Comparison of Two Densely Sampled HIV Epidemics: The UK and Switzerland.

Détails

Ressource 1Télécharger: srep32251.pdf (693.59 [Ko])
Etat: Public
Version: de l'auteur⸱e
ID Serval
serval:BIB_CD1F0CAF1666
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
A Direct Comparison of Two Densely Sampled HIV Epidemics: The UK and Switzerland.
Périodique
Scientific reports
Auteur⸱e⸱s
Ragonnet-Cronin M.L., Shilaih M., Günthard H.F., Hodcroft E.B., Böni J., Fearnhill E., Dunn D., Yerly S., Klimkait T., Aubert V., Yang W.L., Brown A.E., Lycett S.J., Kouyos R., Brown A.J.
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Statut éditorial
Publié
Date de publication
19/09/2016
Peer-reviewed
Oui
Volume
6
Pages
32251
Langue
anglais
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
Résumé
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.
Mots-clé
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
Oui
Création de la notice
28/09/2016 16:53
Dernière modification de la notice
20/08/2019 15:47
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