TÜRKİYE’DE HIV/AIDS İLE İLGİLİ EPİDEMİYOLOJİK ÇALIŞMALAR: BİR DERLEME
İnsan Bağışıklık Yetmezliği Virüsü (HIV), Edinsel Bağışıklık Yetmezliği Sendromu (AIDS) tüm dünyada milyonlarca insanı etkilemeye devam eden büyük bir halk sağlığı sorunudur. HIV epidemisinin başından beri HIV ilişkili nedenlere bağlı olarak yaklaşık 79,3 milyon insan hayatını kaybetmiştir. HIV'in birçok farklı bulaşma yolu vardır, bulaşma sıklığı ve en yaygın bulaşma şekli dünyanın farklı yerlerinde farklılık gösterir. Türkiye'de HIV ile ilgili epidemiyolojik verilerde yıllar içinde değişiklikler olmuştur. Bu çalışma bir derleme çalışmasıdır. Türkiye'de HIV/AIDS konusunda yayınlanmış çalışmalar ve raporlar gözden geçirilmiştir. Bu derlemenin amacı, Türkiye'de HIV/AIDS ile ilgili ilk vakanın görülmesinden bu yana epidemiyolojik yayınları analiz etmek ve ülkedeki HIV bulaşma şeklini araştırmak için yapılan çalışmaların niceliğini ve niteliğini belirlemektir. 1985-2022 yılları arasında yayınlanan tüm yayınlar gözden geçirilmiş,756 çalışma belirlenmiş ve 54 özgün makale, kılavuz, rapor ve sempozyum sunumuna yer verilmiştir. Araştırma türleri, katılımcı sayıları, katılımcı grupları, çalışma yeri, cinsiyet ve bulaş yolları incelenmiştir. HIV/AIDS prevalansı artmaktadır. Heteroseksüel yolla bulaş şekli yaygındır ve erkeklerle cinsel ilişkiye giren erkekler yolu ile bulaş şekli artmaktadır. Ulusal düzeyde yeterince büyük ölçekli çalışmaların olmadığı görülmüştür. HIV/AIDS konusunda ulusal düzeyde veya çok merkezli olarak daha ileri çalışmalar yapılmalıdır.
EPIDEMIOLOGICAL STUDIES ON HIV/AIDS IN TÜRKİYE: A REVIEW
Human Immundeficiency Virus (HIV), Acquired Immune Deficiency Syndrom (AIDS) is a major public health problem continues to affect millions of people all over the world. An average of 79.3 million people died from HIV-related causes since the start of the epidemic. HIV has many different routes of transmission, and the frequency of transmission and the most common mode of transmission varies in different parts of the world. In Turkiye, there have been changes in epidemiological data on HIV over the years. This is a c review paper. The published studies on HIV/AIDS and reportes in Turkiye were reviewed. The aim of this review is to analyze epidemiologic publications since the first case was seens in Turkiye on HIV/AIDS and to determine the studies quantity and quality to explore mode of transmission of HIV in the country. All publications published between 1985 and 2022 were reviwed. 756 studies were identified and 54 original articles, guidelines, reports and symposium presentation were included. The types of researches, the number of participants, the participant groups, study location, gender and mode of transmission were examined. HIV/AIDS prevelance is increasing. The mode of transmission is common through heterosexual transmission and men who have sex with men transmission mode is increasing. It was seen that there were not enough large-scale studies at the national level. Further studies on HIV/AIDS should be conducted as national level or multicenter.
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