Published: 2018-11-26

HIV reactivity trends in a tertiary care teaching hospital in Himachal Pradesh: a ten-year ICTC based retrospective analysis

Isampreet Kaur, Kamlesh Thakur, Smriti Chauhan, Anuradha Sood, Piyush Sharma, Harshvardhan Singh, Pankaj Sharma


Background: Despite being a low HIV prevalence nation, India has the third largest number of PLHAs in the world. The study aimed to explore the prevalence, pattern of socio-demographic and epidemiological distribution among HIV sero-positive patients in this part of Himachal Pradesh. Objective was to estimate the prevalence of HIV infection among the clients who had attended the ICTC for a period of ten years, i.e. from 2008 to 2017.

Methods: A retrospective descriptive analysis of secondary data from the National AIDS control program from the year 2008 through 2017 was done.

Results: Overall prevalence of HIV positivity amongst the clients attending the centre was observed to be 2.1%. Out of the total 55610 clients tested for HIV infection, 40.4% were male, 25.4% were female (excluding ANCs) and 34.2% were Ante-natal cases. Overall, seropositivity was higher among males (58%) than females (40%). However, amongst the groups, higher prevalence has been observed to be present in the females (3.3%) over males (3%) and Ante-natal cases (0.12%). Belonging to the female sex [OR 1.99 (95% CI: 1.77-2.24)] and male sex [OR 2.07 (95% CI: 1.84- 2.33)] had higher odds of having HIV sero-positivity than Ante-natal cases [OR 0.04 (95% CI: 0.02-0.05)]. Heterosexual route of transmission was the major route seen in 70.1%. Maximum HIV seropositivity was in the age group of 25 - 34 years (35.4%).

Conclusions: The trends over the last 10 years show no steady pattern. Hence, there is a need for scaled up and sustained efforts focused on the males of reproductive age group for the prevention and control of HIV infection.


HIV, Heterosexual, ICTC, Seropositivity

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